Claims Adjustment Specialist

2 weeks ago

Tampa, Florida, United States Loggerhead Full time

Position Overview

The Claims Adjustment Specialist plays a vital role within Loggerhead's Claims division, tasked with the reception, investigation, and resolution of straightforward first-party homeowner claims. This position also involves providing support to the claims team through various administrative tasks. The specialist operates under standard supervision, with decision-making authority aligned with their level of experience.

Key Responsibilities(additional duties may be assigned)

  • Receive First Notice of Loss (FNOL) via telephone or electronic means and initiate all known exposures in the claims management system.
  • Establish initial contact with policyholders, clarifying coverage details, limits, deductibles, and offering emergency assistance as necessary.
  • Assess new claims and determine the appropriate adjustment strategy.
  • Conduct initial and ongoing indemnity and expense reserving.
  • Gather recorded statements from policyholders and other relevant parties.
  • Investigate coverage issues and document findings in the claims management system.
  • Draft and dispatch acknowledgment, status updates, reservation of rights, or denial correspondence.
  • Document all investigative actions within the claims management system.
  • Follow up with involved parties to obtain essential information for claim evaluation.
  • Report claims to ISO and analyze loss history.
  • Collaborate with the Special Investigations Unit (SIU) to investigate potentially fraudulent claims.
  • Pursue all possible avenues for subrogation and recovery.
  • Review all claim documentation to determine contractual obligations or recommend denial where applicable.
  • Process indemnity and expense payments/recoveries within the claims management system.
  • Identify and report underwriting issues for risk assessment.
  • Seek managerial guidance on coverage matters, claims exceeding monetary authority, and unclear investigative steps.
  • Identify, investigate, and assist in resolving production discrepancies in the claims management system.
  • Support team members as required.
  • Manage incoming claims correspondence (both electronic and physical).

Required Skills

Excellent interpersonal skills with a strong emphasis on teamwork, enabling effective collaboration with a diverse range of internal and external stakeholders, including vendors, public adjusters, contractors, and attorneys.

Ability to work both collaboratively as part of a team and independently, demonstrating initiative.

Strong skills in presentation, persuasion, written communication, telephonic interaction, and interpersonal relations.

Meticulous attention to detail, coupled with strong organizational, time management, and analytical capabilities.

A genuine enthusiasm for personal and professional growth, as well as for exploring new opportunities within the company as it expands its offerings for policyholders.

Knowledge & Experience

Entry-level training in adjusting is preferred.

Proven experience in fulfilling each key responsibility effectively.

Familiarity with building construction, damage assessment, and repair techniques is desirable.

Proficient in internet software and MS Office applications.

Education & Certifications

An associate degree in Business, Risk Management, or a related field, or equivalent professional experience.

Possession of a Florida all-lines adjuster license.

Compensation and Benefits

Competitive salary in line with market standards.

A comprehensive benefits package that includes paid time off, extensive insurance options, and a 401(k) plan with company contributions.

Work Environment

A remote work-from-home setup with occasional requirements to attend training and corporate meetings.

Flexibility in working hours and potential weekend shifts may be necessary based on claim volume and emergencies.

Travel to various domestic locations may be required as needed.

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