Seasonal Claims Adjuster (Desk) in Melbourne, Florida at Orion180 Insurance Services LLC

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.

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

We are actively seeking Seasonal Claims Adjusters to join our roster and team!

Position Summary

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. This is a fast-paced role suited to detail-oriented professionals who can exercise sound judgment and deliver quality outcomes under tight timelines.

Key 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.
• Inspect damaged property in person or via virtual/desk-adjusting tools; photograph and diagram loss sites as needed.
• Review policies, endorsements, and coverage documents to confirm applicable coverages, limits, and exclusions.

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.
• Evaluate repair estimates, medical records, wage documentation, and other supporting evidence to establish claim value.

Negotiation & Resolution

• Negotiate settlements with insureds, claimants, attorneys, and representatives within granted authority.
• Issue payments, denials, or partial payments with clear, well-supported documentation.
• Maintain accurate, contemporaneous claim notes and file documentation in the claims management system.

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.
• Escalate complex or high-value matters to the Claims Supervisor or senior adjuster as appropriate.

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.
• Safeguard confidential and personally identifiable information in accordance with data-privacy requirements.

Qualifications

Required

• 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.

Join Our Team & Make an Impact! At Orion180, we don’t just meet expectations, we exceed them. If you’re ready to take your career to the next level and be part of a growing, forward-thinking company, apply today!

• Dynamic Environment: On-site role with a fast-paced and collaborative team culture. Results-driven office where your contributions make a real impact.
• Compensation: Competitive base pay and performance bonuses.
• Career Growth: Mentorship, growth tracks, and professional development.

The office environment is fast-paced and collaborative. An employee must be willing and able to work their regularly assigned work schedule onsite, and in times of need, be able to work an extended schedule depending on company or departmental needs, project requirements, or customer demands.

While performing general 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, comprehending, and reading; being able to lift light objects (<25 lbs); and using standard office equipment such as computers, printers, and phones.  In addition, there is an occasional need to bend, twist, or squat down to open/close cabinets and reach for files or other standard office-type objects.

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, disability, or protected veteran status.

Reasonable accommodations are available for qualified individuals with disabilities during the application process. Applicants who need accommodations may email hr@orion180.com to request assistance.