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POSITION SUMMARY: The purpose of the position is to supervise the internal field staff responsible for the investigation of suspicious property and casualty claims throughout South Florida. ESSENTIAL FUNCTIONS: THE FOLLOWING ARE THE USUAL, BASIC AND ESSENTIAL FUNCTIONS OF THE POSITION. THESE FUNCTIONS ARE NOT TO BE CONSTRUED AS AN EXHAUSTIVE LIST OF ALL RESPONSIBILITIES, DUTIES, AND SKILLS REQUIRED.
• Supervise field investigators to ensure proper claim handling, investigation and compliance with procedures
• Responsible for hiring, training, and conducting performance review of subordinate staff
• Monitor the SIU field operations for assigned territory
• Conduct initial review of property and liability claims and make assignments to staff
• Conduct opened and closed files reviews and field reviews for qualitative and quantitative measures
• Develop and analyze statistical reports to identify trends and propose appropriate actions
• Manage investigative costs and loss adjustment expense
• Recognize complex, claim investigation, develop appropriate investigative strategies, and escalates as appropriate.
• Communicate and interact with internal business partners, external business partners, and law enforcement agencies and exercise sound independent judgment.
• Participate in training and mentoring of internal business partners
• Participate in training of external business partners
• Research, review, and interpret laws as necessary.
• Assist in establishing policy and procedure, developing strategic goals and objectives, and providing direction, support and leadership
• Assist in the budgeting process
• Keep current on industry activity and trends; report to upper management as appropriate.
• May participate in catastrophe planning and response REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES:
• Comprehensive knowledge of property and liability claims practices and laws related to SIU
• Comprehensive knowledge of fire science
• Strong research and investigative skills
• Strong quantitative and analytical skills
• Ability to effectively communicate, through oral, written, and listening skills
• Ability to effectively work with other departments and units within the organization
• Ability to effectively work with external business partners
• Strong planning, organizational, and time management skills
• Ability to effectively perform duties in a remote location
• Computer literacy in Microsoft Word, Excel, and Outlook REQUIRED EDUCATION AND EXPERIENCE:
• Bachelor’s Degree OR Associate’s Degree with 2 years relevant experience to the position
• 5 years combined professional claims experience in SIU and property/casualty claims handling.
• Valid driver’s license and ability to operate company owned/rented vehicles according to Citizens policy on vehicle use. PREFERRED QUALIFICATIONS:
• Bachelor’s Degree
• Industry certifications: Certified Insurance Fraud Investigator (CIFI), Fraud Claims Law Specialist (FCLS), and Fraud Claims Law Associate (FCLA)
• 2 years Florida property and casualty claims
• Prior supervisory experience of SIU investigators or demonstrated leadership skills PHYSICAL REQUIREMENTS:
This position requires the ability to conduct fieldwork on a regular basis and be able to work a flexible schedule. Ability to sit for long periods, hear and converse over the telephone, and key frequently on a computer. Position also requires the ability to be mobile, operate a motor vehicle, inspect physical damage and work in a highly energetic and flexible work environment. Position also requires ability to travel overnight on a limited basis.
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