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Supervising Adjuster

Work from home Full-time role Hiring

*** Must reside in Florida *** Position Summary:

The Supervising Adjuster (SA) is responsible for prompt and thorough review and coverage evaluation of residential property claims. Responsibilities include managing task assignments, providing direction to the Customer Advocate Team regarding communications with the Insureds and their representatives, providing an exceptional customer experience to our external and internal customers, rendering coverage determinations, providing clear and concise directives to the Estimating team for damage repair estimates in a professional and timely manner. This role works closely with all other departments to ensure customer satisfaction and loyalty. The SA will ensure all claims handling is completed in a timely manner and in compliance with FPI/EDI best practices and Florida State Statutes.

Essential Functions

  • Work with all members of the claim team to provide an exceptional customer experience to our external and internal customers.
  • Review first notice of loss, request vendor assignments as needed, assign tasks and provide direction for future items to be completed.
  • Ensure field/desk adjusters are adhering to claim handling and statutory guidelines regarding contacts, inspections, and reports to ensure all claims handling is done in a timely manner and in compliance with FPI/EDI best practices and Florida State Statutes.
  • Respond to inquiries from the Customer Advocate Team, field/desk adjusters and IA firm management to identify the cause of loss and address all coverage questions.
  • Review Investigation Information and reports to Render Coverage determinations in accordance with the applicable policy and endorsements.
  • Timely identification, analysis and resolution of coverage issues arising in claims investigation.
  • Review investigative claim file documentation and Collaborate with Desk Estimators to create timely and accurate damage repair estimates in Xactimate.
  • Maintain proper file documentation reflecting progression of the claim adjustment.
  • Responsible for maintaining and updating reserves per FPI/EDI best practices and claims handling guidelines.
  • Responsible for generating Coverage Determination Letters and Payments, when applicable, citing accurate policy language to support the coverage determination rendered to conclude the claim.
  • Ability to work extended hours in the event of a Catastrophe (CAT).
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