Seasonal Claims Adjuster (Desk)

About the role

CITON Claims Solutions, LLC is a premier provider of claim management and administration services for insurance companies, specializing in efficient and innovative solutions tailored to meet each client's unique needs. With a dedicated team of experts and cutting-edge technology, CITON Claims Solutions, LLC ensures seamless processes, accurate assessments, and prompt resolutions, delivering unparalleled value and peace of mind to our clients.

CITON is located on the beautiful space coast of Melbourne, one of the best places to live in Florida. Melbourne offers affordable housing, transportation, and other amenities, and is in close proximity to major cities such as Orlando, Tampa, and Miami.

The Seasonal Claims Adjuster supports CITON’s claims operations during periods of increased claim volume, such as peak storm seasons, catastrophic events, or surges in policy activity. Working under the direction of a Claims Supervisor, the Seasonal Claims Adjuster investigates, evaluates, negotiates, and resolves assigned first- and third-party insurance claims in accordance with company guidelines, client instructions, and applicable state regulations.

Responsibilities

• Claim Investigation & Documentation: Receive, acknowledge, and set up new claim assignments within established service-level timeframes. Contact insureds, claimants, witnesses, and other involved parties to gather facts, record statements, and document loss circumstances.
• Evaluation & Analysis: Analyze facts, policy provisions, and applicable law to determine coverage, liability, and damages. Engage and direct vendors such as field inspectors, engineers, contractors, and appraisers as needed.
• Negotiation & Resolution: Negotiate settlements with insureds, claimants, attorneys, and representatives within granted authority. Issue payments, denials, or partial payments with clear, well-supported documentation.
• Communication & Customer Service: Provide timely, professional, and empathetic communication to all parties throughout the claim lifecycle. Explain coverage decisions, claim processes, and next steps in plain language.
• Compliance & Quality: Adhere to all client handling instructions, state fair-claims-handling regulations, and CITON quality standards. Meet established productivity, cycle-time, and file-quality metrics.

Qualifications

• High school diploma or equivalent; bachelor’s degree preferred.
• Active resident or non-resident adjuster license in the state(s) of assignment, or the ability to obtain one prior to start.
• Minimum 1–2 years of claims adjusting experience, or equivalent experience in insurance, construction, or a related field.
• Working knowledge of insurance policies, coverage analysis, and claims-handling principles.
• Strong written and verbal communication skills, with the ability to produce clear, professional documentation.
• Valid driver’s license and willingness to travel to loss sites as required.
• Proficiency with claims management software, estimating platforms (e.g., Xactimate, Symbility), and Microsoft Office.

Benefits

• Dynamic Environment: On-site role with a fast-paced and collaborative team culture.
• Compensation: Competitive base pay and performance bonuses.
• Career Growth: Mentorship, growth tracks, and professional development.