Claims Adjuster – Alternative Dispute Resolution (ADR) Focus

Alternative Dispute Resolution Claim Adjuster Remote At Frontline Insurance, we are on a mission to Make Things Better, and our Alternative Dispute Resolution Claim Adjuster plays a pivotal role in achieving this vision. We strive to provide high quality service and proactive solutions to all our customers to ensure that we are making things better for each one. What makes us different? At Frontline Insurance, our core values – Integrity, Patriotism, Family, and Creativity – are at the heart of everything we do. We’re committed to making a difference and achieving remarkable things together. If you’re looking for a role, as a Business Process Analyst, where you can make a meaningful impact and grow your career, your next adventure starts here! Our Alternative Dispute Resolution Claim Adjuster enjoys robust benefits:

• Health & Wellness: Company-sponsored Medical, Dental, Vision, Life, and Disability Insurance (Short-Term and Long-Term).
• Financial Security: 401k Retirement Plan with a generous 9% match
• Work-Life Balance: Four weeks of PTO and Pet Insurance for your furry family members.

What you can expect as a Alternative Dispute Resolution Claim Adjuster:

• Promptly review assigned claims and execute appropriate ADR strategies in compliance with Florida Statutes 627.70152 and 627.7152.
• Verify loss details and policy coverage to ensure accurate application of benefits.
• Manage claims from start to finish, including fact gathering, policy analysis, coverage determination, and payment issuance within authority limits.
• Review all claim materials to assess completed and pending investigations, positioning the file for timely resolution.
• Maintain detailed documentation of claim actions, communications, and decisions.
• Respond daily to emails, calls, and inquiries from insureds, public adjusters, attorneys, and contractors.
• Establish and adjust reserves promptly in response to changing claim exposure.
• Provide clear and timely status updates, explaining settlement decisions and claim outcomes.
• Submit reserve and payment approval requests as needed.
• Identify and draft Reservation of Rights or denial letters for managerial review.
• Evaluate claims for suitability for DFS Mediation or appraisal, initiate the selected ADR process, and manage the claim through resolution.
• Attend mediations and apply technical and negotiation skills to facilitate claim settlements.
• Oversee the appraisal process, ensuring regular communication and timely progress toward resolution.

What we are looking for as a Alternative Dispute Resolution Claim Adjuster:

• A four-year college degree is preferred
• Prior insurance experience with an insurance carrier or agency.
• Minimum 7 years’ experience and/or training in P & C Insurance or equivalent combination of education and experience. Minimum of 3 years’ experience in the appraisal process.
• Continuously maintain all licenses required to perform work in the states we currently complete business in within 60 days of employment

Why work for Frontline Insurance? At Frontline Insurance, we’re more than just a workplace – we’re a community of innovators, problem solvers, and dedicated professionals committed to our core values: Integrity, Patriotism, Family, and Creativity. We provide a collaborative, inclusive, and growth-oriented work environment where every team member can thrive. Frontline Insurance is an equal-opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. LI-REMOTE LI-AK1 Apply tot his job Apply To this Job