Claims Analyst jobs in Melbourne, FL

Claims Analyst analyzes and reviews insurance claims for accuracy, completeness, and eligibility. Reviews claims for eligibility to be reimbursed. Being a Claims Analyst maintains updated records and prepares required documentation. Assists in controlling the cost of processing claims. Additionally, Claims Analyst contacts policyholders about claims and may provide information regarding the amount of benefits. May require a bachelor's degree or its equivalent. Typically reports to a supervisor or manager. The Claims Analyst gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Analyst typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Claims Examiner
  • Orion180 Insurance Services, LLC
  • Melbourne, FL FULL_TIME
  • 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. Major cities such as Orlando, Tampa, and Miami are all within one to three hours of driving distance.

    CITON Claims Solutions LLC is a subsidiary of Orion180 Group Inc., and handles Claims Administration, Management, and Investigation.


    Job Summary

    The Claims Examiner - Inside Desk Adjuster has direct responsibility for homeowners' property insurance claims, starting with contacting the insured upon the loss through claims resolution. The Claims Examiner provides world class customer service to insurers, insureds, and agents by empathetically handling each claim and working as efficiently as possible to handle every claim fairly.

    The Claims Examiner is responsible for demonstrating an understanding of insurance principles, claims investigation, damage evaluation, and resolution of property claims, creating a positive customer experience. A Claims Examiner provides prompt, cost effective and efficient examination, investigation, evaluation, and payment of insurance claims by exercising independent decision-making skills and judgment within designated authority. The role of the Claim Examiner is to investigate, evaluate, negotiate, and settle claims in multi-jurisdictions, applying coverage, laws, and regulations; accordingly, reporting to upper management and reinsurers within necessary timelines and guidelines.

    Role and Responsibilities

    To perform the job successfully, the individual must be able to perform each essential duty satisfactorily and should demonstrate the following competencies to consistently perform the essential functions of this position. All employees are expected to adhere to and be knowledgeable of Orion180 operations standards, established security/safety rules and requirements for attendance. The requirements listed below are representative of the fundamental knowledge, skill, and/or ability required to perform the job successfully:


    • Conducts prompt, thorough investigation of claims from initial contact to resolution including research, analysis, and synthesis of all findings.
    • Provides superior customer service to Orion180 policyholders.
    • Determines coverage and identifies coverage issues related to various claims, applying a thorough understanding of applicable insurance policies and relevant coverage and loss types. Issue appropriate Reservation of Rights and/or declination letters.
    • Resolves coverage issues in collaboration with Claims Management.
    • Assesses subrogation potential of losses and recommend files to subrogation examiners as appropriate.
    • Negotiates settlements with insureds and third parties using an object approach to claims resolution.
    • Composes correspondence to insureds, claimants, attorneys, agents, and regulatory agencies.
    • Appropriately and clearly documents all claim file activity, including current strategy, plan of action and exit plan.
    • Effectively presents and discusses loss facts, issues and recommendations in department discussions and meetings.
    • Contact and maintain communication with policyholder, field adjuster and other parties to ensure timely processing of claim.
    • Review adjuster reports and estimates to ensure estimates are technically accurate and meet appropriate industry guidelines for repair.


    Qualifications and Education Requirements

    • 2 years of experience in daily field or desk adjusting is required
    • 2 years of Xactimate/Xactanalysis estimating experience
    • Adjusters license or the ability to obtain required state license
    • Ability to read and interpret insurance policies
    • Ability to write reports, business correspondence, and procedure manuals.
    • Excels at customer service and customer experience
    • Proactive in approach to claim handling
    • Proficient oral and written communications using MS Word, Excel and Outlook
    • Preferred Skills
    • Ability to work with minimal supervision in a team-oriented environment.
    • Must be self-directed and able to meet deadlines.
    • Excellent time management and organizational skills.
    • Ability to work effectively with all levels.
    • Excellent time management and organizational skills.
    • Awareness of business trends.
    • Accuracy and attention to detail.
    • Trustworthiness, integrity, and personal accountability and adherence to standards of ethical behavior and professional conduct

    Physical Demands

    While performing general office duties for this position, the employee is regularly required to sit, stand and/or walk around (including the use of stairs). Other demands include the ability to openly communicate with others by talking, listening, and reading, able to lift light objects (<25lbs), and use standard office equipment such as computer, printer, and phone. In addition, there is an occasional need to bend, twist or stoop to open/close cabinets, reach for files or other standard office type objects.

    Work Environment

    The office environment is generally quiet and, in a temperature, controlled setting with random adjustments in noise or temperature due conversations, unscheduled maintenance repairs to the building or its interior offices or unpredictable situations due to weather or other acts beyond company control. An employee must be willing to work their regularly assigned work schedule for their duties and/or job responsibilities and in times of need, be able to work an extended schedule depending on company/department needs, project requirements or customer demands.


    If you are interested in applying for employment and need special assistance or an accommodation to apply for a posted position, contact our Human Resources department at (321) 460-8484 or HR@orion180.com


    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.

  • 1 Month Ago

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Claims Adjuster Trainee
  • Progressive Insurance
  • Port Saint Lucie, FL FULL_TIME
  • As a claims adjuster trainee, you’ll learn how to help customers get back on the road after an accident. This is not a field position which means you’ll be building relationships with customers over t...
  • Just Posted

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Insurance Claims Sales Specialist
  • Soligo
  • Rockledge, FL FULL_TIME
  • Big Contracts - Explosive industry! $100k potential - Training Provided! Soligo is a local, established company that is hiring top sales producers due to explosive demand from a storm that has affecte...
  • 4 Days Ago

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Accounts Receivable Insurance Claims Specialist
  • Cayuga Centers
  • Port Saint Lucie, FL FULL_TIME
  • Job Description: Earn $55,000 annually plus 2 weeks paid vacation, paid holidays, paid personal time and paid sick time. Also includes a Hybrid schedule, a generous medical package, 401k and life insu...
  • 26 Days Ago

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Claims Advocate - Commercial insurance (South Florida location)
  • Insurance Office of America
  • Satellite Beach, FL FULL_TIME
  • Title: Claims Advocate Welcome to Insurance Office of America – one of the nation’s largest and premier privately held insurance agencies! Recognized as a Top Workplaces USA Award winner, IOA’s commit...
  • 1 Month Ago

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Claims Advocate - Commercial insurance (South Florida location)
  • Insurance Office of America
  • Cocoa, FL FULL_TIME
  • Title: Claims Advocate Welcome to Insurance Office of America – one of the nation’s largest and premier privately held insurance agencies! Recognized as a Top Workplaces USA Award winner, IOA’s commit...
  • 1 Month Ago

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0 Claims Analyst jobs found in Melbourne, FL area

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Independent Insurance Claims Adjuster in Satellite Beach, Florida
  • MileHigh Adjusters Houston Inc
  • Satellite Beach, FL
  • Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to ...
  • 3/28/2024 12:00:00 AM

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Independent Insurance Claims Adjuster in Palm Bay, Florida
  • MileHigh Adjusters Houston Inc
  • Palm Bay, FL
  • Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to ...
  • 3/28/2024 12:00:00 AM

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Insurance Sales Agent / Representative
  • Renegade Insurance
  • Palm Bay, FL
  • Job Description Job Description We're looking for relentless go-getters who thrive on success, strive towards continuous...
  • 3/28/2024 12:00:00 AM

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Independent Insurance Claims Adjuster in Melbourne, Florida
  • MileHigh Adjusters Houston Inc
  • Melbourne, FL
  • Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to ...
  • 3/28/2024 12:00:00 AM

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Remote Digital Insurance Agent
  • Insurify
  • Orlando, FL
  • Do you want to be part of Boston's hottest up and coming startup? Insurify is one of the fastest-growing MIT FinTech sta...
  • 3/28/2024 12:00:00 AM

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Financial Analyst
  • Sedgwick
  • Orlando, FL
  • Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A c...
  • 3/27/2024 12:00:00 AM

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Insurance Sales Agent
  • GreatFlorida Insurance
  • Melbourne, FL
  • Job Description Job Description We are seeking energetic and driven individuals with a winning spirit to join our fast p...
  • 3/26/2024 12:00:00 AM

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Life Insurance Sales Agent (Remote)
  • The Hirsh Agency
  • Melbourne, FL
  • Compensation: 10K-15K Monthly (Uncapped) *100% Commission Schedule: Employee's choice Location: Work from Home!!! Work/L...
  • 3/24/2024 12:00:00 AM

Melbourne /ˈmɛlbərn/ is a city in Brevard County, Florida, United States. As of the 2010 census, the population was 76,068. The municipality is the second-largest in the county by both size and population. Melbourne is a principal city of the Palm Bay – Melbourne – Titusville, Florida Metropolitan Statistical Area. In 1969 the city was expanded by merging with nearby Eau Gallie. Melbourne is located approximately 60 miles (97 km) southeast of Orlando on the Space Coast, along Interstate 95. It is approximately midway between Jacksonville and Miami. According to the United States Census Bureau,...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Analyst jobs
$35,149 to $45,075
Melbourne, Florida area prices
were up 1.5% from a year ago

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