Claims Examiner I

Claims Examiner I - RCD and Core Claims: Hybrid or Remote

Lilypad Insurance is a dynamic and growing property and casualty insurance carrier, brimming with positive energy about our future. Our team of dedicated professionals work together to create effective products that meet the needs of our policyholders. As a member of Team Lilypad, youll tackle exciting challenges while being guided by seasoned pros who are eager to support your professional journey. Wed love for you to join our award-winning team. Ready to be part of something amazing?

Your Mission as a Claims Examiner Extraordinaire:

Are you ready to make a real impact at Lilypad? As a Claims Examiner, you'll be the hero behind our brand, ensuring our claims process is top-notch and our policyholders receive world-class service. You'll navigate the complexities of property claims with ease, keep us ahead of the curve, and help us stay profitable while always looking out for future opportunities.

What You'll Do:

• Master Claims Handling:Take charge of property claims with minimal direction, making decisions within your authority and recommending settlement values.
• Proactive Management:Handle and manage RCD claims per company and statutory guidelines, ensuring efficient and fair resolutions.
• CAT Claims Support:During high CAT claim volumes, step in to manage new, low-complexity claims.
• End-to-End Resolution:Handle claims from inception to resolution, investigating loss circumstances, applying coverage accurately, and working within assigned authority levels.
• Strategic Disposition:Direct claims to third-party partners and explore alternative resolution methods.
• Coverage Expertise:Review and determine proper policy coverages, resolving claims per company guidelines.
• Reserve Management:Open, close, and adjust reserves in line with company best practices.
• Stay Informed:Keep up-to-date with insurance products, services, and court decisions impacting claims.
• Market Knowledge:Maintain current knowledge of local industry repair procedures and pricing.
• Reporting:Submit reports, reinsurance notifications, and other information to claims leadership.
• Fraud Detection:Identify fraud and recovery opportunities.
• Customer Service Excellence:Deliver a positive customer service experience in all interactions.
• Training & Mentoring:Assist with training or presentations and mentor less experienced claims professionals.
• Vendor Management:Engage and monitor the work of outside vendors in the claim adjustment process.
• Innovative Solutions:Use your expertise to recommend and implement changes when needed.
• Creative Strategies:Develop and employ creative resolution strategies.
• Compliance:Ensure compliance with all statutory regulations and unfair Claim Practice Acts.
• Team Strengthening:Actively mentor and coach less experienced claims professionals to enhance team expertise.

Education/Experience:

• Bachelor's degree (B.A./B.S.)preferred from a four-year college or university.
• 1-3 yearsof homeowner and/or commercial property and liability claims experience.
• Applicable state adjuster licensewhere required and in good standing.
• Functional knowledgeof claims handling concepts, practices, and techniques, including coverage issues and product line knowledge.
• Knowledge of law and insurance regulationsin various jurisdictions.

Required Skills and Abilities:

• Proficiency in Microsoft Officeproducts (Word, Excel, Outlook).
• Strong communication skills:Effectively communicate through strong verbal and written skills.
• Detail-oriented:Must be detail-oriented.
• Xactimate experience:Highly preferred.
• Analytical and decision-making skills:Demonstrated strong analytical, decision-making, and negotiation skills.
• Customer service skills:Demonstrated customer service skills to interact with policyholders, partners, attorneys, and legal partners.
• Flexibility:Able to work extended hours due to weather-related events.

Location:

• This position can be remote or located in our Sarasota, Florida, office.

Why You'll Love Us:

• We've Got You Covered: Enjoy comprehensive medical, dental, and vision insuranceall on us!
• Generous 6% 401(k) Match: For every dollar you contributed to your retirement plan, we match it up to 6% of your salary.
• Team Spirit:Join a crew thats as passionate and driven as you are.
• Work-Life Balance:We believe in working hard and playing hard.
• Plenty of Time Off: Enjoy 12 holidays and flexible PTO.
• Give Back:8 hours of volunteerism to support causes you care about.
• Fun Times:Corporate events to bond and celebrate.
• Casual Vibes:Rock your favorite jeans, shorts, and comfy teesno need for stuffy suits here!
• Remote Work: If you are not local to our corporate office, we offer remote work options.
• Hybrid Work: If you are within 30 miles of our office, you can enjoy the flexibility of working from home one day a week.

Welcome to Paradise!

Lilypad is nestled in the stunning Sarasota, right on Floridas Gulf Coast. Whether youre into fishing, sailing, swimming, kayaking, biking, golfing, or running, Sarasota offers a plethora of outdoor adventures year-round. For those who appreciate culture, the city boasts museums, art galleries, and a unique array of restaurants that cater to every taste. Families will love the strong economy, excellent schools, diverse churches, and parks perfect for family outings. What's even more appealing is that Florida has no state income tax! Florida has NO state income tax!

Heads Up!

Before you join our awesome team, well need to complete a few checks. This includes a criminal record check, education verification, and reference checks. Its all part of making sure everythings in tip-top shape before you start. We use E-Verify.