UPC Insurance

  • Liability Claims Adjuster II

    Job Locations US-FL-St. Petersburg
  • Overview

    Summary: The Liability Claims Adjuster II role provides prompt, courteous and fair claim service on Third Party Liability claims. Will be responsible for the investigation of homeowner claims to determine coverage under the Section ll - Liability of the contract, corresponding with customers over the phone, obtaining important claims information, and negotiating damage settlements. You will be documenting claims activity into our claims system and following processes that provide fair claim resolutions, customer satisfaction and cost management. This position involves legal issue spotting and resolution, litigation management and claims resolution planning.


    UPC Insurance Claims Overview

    Our mission statement is to Keep the Promise® – to our policyholders, our shareholders and to our stakeholders”. The promise to our policyholders is fairly and timely resolve their claims. Our business practices, processes, objectives and how we conduct ourselves daily is done so from the perspective of our policyholders rather than from our own convenience of how claims should be handled. This embodies the standard that our professional claims department strives to achieve every day, both in daily claims handling and CAT claims. Since the UPC mission is to be the premier provider of homeowner insurance in catastrophe exposed areas, we take our responsibility to Keep the Promise® as one of the fundamental tenets of accomplishing this mission.


    Essential Duties/Responsibilities:
    Using strong organizational and interpersonal skills, the duties will include:

    • Acknowledge claim assignments; confirm policy coverage through interpretation of the contract; direct adjustment of claims.
    • Interpret policy; make decisions using independent judgment on minor to moderate claims and determine if coverage applies to the claims submitted.
    • Investigate claims to determine validity and verify extent of damage by telephone contact with policyholders.
    • Negotiate settlements and make payments within scope of authority, settling claims timely, and in the most cost-effective manner.
    • Develop and maintain working relationships with vendor partners in the industry, including legal counsel.
    • Keeps abreast of claim and related legal principles, tax requirements as well as underwriting rules and procedures.
    • Manage litigation of claims, including mediation and other pretrial activities.
    • Performs other related duties as assigned.
    • Some travel, as appropriate: approximately 10%.

    Supervisory Responsibilities: None



    To perform the job successfully, an individual should demonstrate the following behaviors:

    • Motivation/Initiative: Motivated and curious, willing to ask questions, research issues and take on challenging projects/assignments; creative, brings new ideas to the table, exhibits self-confidence.  Has strong achievement motivation and tenacity. 
    • Administrative Skills: Possesses ability to organize and follow-through on multiple tasks, recognizes and attends to important details with accuracy and efficiency, effectively prioritizes work of staff members. Works to complete goals, tasks and plans, anticipates potential problems and analyzes alternative solutions.
    • Interpersonal Style: (Interpersonal Skills, Communication, Teamwork); develops/ maintains effective working relationships; listens attentively to others; communicates ideas clearly (written & verbal); relates to people in an open/ sincere manner; participates effectively in meetings; assists in finding solutions as well as identifying problems; communicates appropriately with supervisor, managed staff and co-workers. Able to manage other individuals and maintain calm and reliable demeanor in the face of challenges.
    • Self-Management: (Adaptability/Flexibility, Stress Tolerance, Autonomy); adapts readily to changes in routine; works effectively in stressful situations; needs limited guidance and direction; is comfortable working in a fast-paced environment; is reliable and dependable; is results-oriented; maintains productivity and composure under pressure; views problems as opportunities to create solutions.
    • Thinking Skills: Diagnoses problems efficiently; gathers sufficient input before making decision or plans; makes timely decision, quickly determines sources of problem, identifies information needed to solve problem and analyzes alternative solutions, communicates issues and decisions effectively to team. 
    • Customer Orientation: Sensitive & responsive to internal and external customer needs; demonstrates skills in customer services and satisfaction; maintains a positive attitude, willing to listen to customer problems and seeks solutions; stays in tune with changing needs of customers.

    Education and/or Experience:

    • Bachelor’s degree or equivalent combination of relevant education and In lieu of a degree, a minimum four (4+) years of experience in claims adjusting of minor to moderate claims with increasing responsibilities in a company environment is required. Recent military experience will be considered in lieu of industry experience.
    • Ability to acquire insurance licenses as required by Florida license in good standing is required within six (6) months from employment start date.
    • Ensures that all assigned claims are concluded equitably and
    • Excellent verbal/written communication skills and organizational skills.
    • Strong computer skills, e. Word, Excel, Access, Outlook and web-based programs.
    • Ability to understand the long-term and short-term perspectives of
    • Ability to manage relationships in a fast-paced environment, while demonstrating persistence and problem-solving
    • Emotional intelligence – self-awareness, confidence, ability to manage conflict, empathy.
    • Interpersonal and leadership skills – servant leadership, collaboration, facilitation, and negotiation skills.

    Required Skills:

    • Oral Communication Skills
    • Customer Relations/Diplomacy 
    • Time Management 
    • Professionalism
    • Written Communication Skills
    • Customer Service
    • Organization and Planning

    Physical Demands and Work Environment: While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; and talk or hear. The employee is regularly required to stand; walk; reach with hands and arms and stoop, kneel, or crouch. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus. The noise level in the work environment is usually quiet. The employee may be required to use any or all of the following on a daily basis: PC, telephone, cell phone, scanner, fax, printer and other office equipment.


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