Claims Examiner

About Orion180

Orion180 is a leading provider of claim management and administration services, delivering innovative solutions tailored to the unique needs of insurance companies. Our team of experts, equipped with cutting-edge technology, ensures seamless processes, accurate assessments, and prompt resolutions, providing unparalleled value and peace of mind to our clients.

Job Summary

The Claims Examiner plays a crucial role in managing homeowners' property insurance claims, from initial contact to claims resolution. This position is dedicated to providing exceptional customer service to insurers, insureds, and agents by empathetically handling each claim and ensuring fair and efficient processing.

Key Responsibilities

• Conduct thorough claims investigations, evaluating damages and resolving property claims to create a positive customer experience.
• Demonstrate a solid understanding of insurance principles and apply knowledge to make independent decisions within designated authority.
• Collaborate with Claims Management to resolve coverage issues and negotiate settlements with insureds and third parties.
• Compose clear and professional correspondence to insureds, claimants, attorneys, agents, and regulatory agencies.
• Maintain effective communication with policyholders, field adjusters, and other parties to ensure timely processing of claims.

Qualifications and Education Requirements

• Experience: Minimum of 2 years in daily field or desk adjusting.
• Estimating Skills: 2+ years of experience with Xactimate/Xactanalysis.
• Licensing: Adjuster's license or the ability to obtain the required state license.
• Insurance Knowledge: Ability to read and interpret insurance policies.
• Communication Skills: Proficient in writing reports, business correspondence, and procedure manuals.
• Customer Service: Strong focus on customer experience and proactive claim handling.
• Technical Proficiency: Proficient in MS Word, Excel, and Outlook.

Preferred Skills

• Ability to work independently in a team-oriented environment.
• Self-directed with excellent time management and organizational skills.
• Strong interpersonal skills to work effectively with all levels of staff.
• Attention to detail and a commitment to accuracy.
• High standards of integrity, trustworthiness, and ethical behavior.

Work Environment

The office environment is typically quiet and temperature-controlled, with occasional noise or temperature fluctuations due to maintenance or weather conditions. Employees are expected to adhere to their assigned work schedules and may need to work extended hours based on departmental needs or project requirements.

Equal Opportunity Employer

Orion180 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status, and will not be discriminated against based on disability.

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