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Claims Examiner - Complex

Orion180 Insurance Services LLC · Irving, TX, United States · On Site · Active · Rippling ATS

Job facts

FieldValue
CompanyOrion180 Insurance Services LLC
TitleClaims Examiner - Complex
Normalized title-
Department / teamCITON
LocationIrving, TX, United States
Work modelOn Site
Employment typeFull Time
Salary-
Statusactive
ATS providerRippling ATS
Posted / first seen2026-04-30 / 2026-05-30
Changed / last seen2026-06-06 / 2026-06-06

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PageWhat it containsOpen
Company jobsActive postings from Orion180 Insurance Services LLC.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through Rippling ATS.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in Irving.Open
Department jobsActive postings in CITON.Open
Work model jobsActive On Site postings.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

CompanyOrion180 Insurance Services LLC
Sourcebdf23e95-c763-4a43-8e82-79d0ba5c2ce9
ATS providerRippling ATS

Description

company CITON Claims Solutions, LLC stands out as a leading provider of claim management and administration services tailored specifically for insurance companies. We pride ourselves on delivering efficient and innovative solutions that cater to the unique needs of each client. Our dedicated team of experts, equipped with cutting-edge technology, ensures seamless processes, accurate assessments, and prompt resolutions, providing unparalleled value and peace of mind to our clients. CITON Claims Solutions is proud to call two vibrant cities home. Our headquarters on Florida’s stunning Space Coast in Melbourne offers an exceptional quality of life, with affordable housing, excellent transportation, and close proximity to major cities like Orlando, Tampa, and Miami. Our Irving, Texas location places us in a dynamic center of culture, business, and entertainment, keeping us deeply connected to innovation and growth. role Join our team as a Claims Examiner - Complex! ABOUT THE ROLE: Are you a detail-oriented claims professional with a passion for helping others? We’re looking for a Desk Adjuster to work in our office located in Melbourne, Florida or Dallas, Texas . In this role, you’ll play a pivotal part in investigating, evaluating, and resolving insurance claims, ensuring fair and efficient processing in line with policy terms and company guidelines. In this role you will be handling complex litigated claims, mediations, appraisals, and claims involving other 3 rd parties. WHAT YOU’LL DO: Review Claims: Assess and analyze submitted claims documentation to determine validity and coverage. Gather Essential Information: Communicate with policyholders, witnesses, and other involved parties to collect relevant details for claims evaluation. Document Findings Thoroughly: Create detailed reports and maintain comprehensive notes to support claims assessments. Analyze Coverage: Review insurance policies to determine applicable coverage and assess liability. Prepare Reports: Submit thorough reports with findings and well-supported recommendations for claim settlements. Negotiate Settlements: Work with policyholders and third parties to negotiate settlements that ensure fair and just outcomes. Resolve Disputes: Handle disputes professionally and efficiently, ensuring favorable resolutions. Maintain Clear Communication: Foster transparent and professional communication with policyholders and all stakeholders throughout the claims process. Collaborate Across Teams: Partner with internal teams, including underwriters and legal advisors, to resolve complex claims. Ensure Compliance: In all claims processes, comply with state and federal regulations and company policies. Support Catastrophe Response: Provide critical support for claims management efforts during disaster events as needed. WHAT WE’RE LOOKING FOR: Experience: Minimum of 7+ years in a claim adjusting role, with direct experience handling litigated claims, mediations, appraisals, and claims involving other 3 rd parties. Experience handling Florida property claims is strongly preferred. Technical Skills: Proficiency with CMS, Microsoft Suite of products, strong analytical, investigative, and problem-solving skills; solid understanding of legal concepts surrounding liability claims. Licensing and Certifications: Valid adjuster’s license in home state and Florida required. Insurance Knowledge: Strong understanding of insurance policies, coverage evaluation, claim investigation, and dispute resolution throughout the life of a file. Should be able to demonstrate advanced understanding of all issues related to liability claims including state regulations, case law, and statutes. Negotiation Skills: Excellent negotiation and communication skills, with proven ability to manage complex conversations and drive fair claim resolution with insureds, vendors, attorneys, and public adjusters. WHAT’S IN IT FOR YOU: Dynamic Environment: Thrive in a fast-paced, collaborative, and results-driven office where your contributions make a real impact. Career Growth: Opportunities for professional development and advancement within a supportive company culture. If you’re excited to join a company that values innovation, teamwork, and your technical expertise, we’d love to hear from you. Take the next step in your IT career and help us keep our technology running smoothly! 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 ( 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 [email protected] to request assistance.

Full job record

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Source IDbdf23e95-c763-4a43-8e82-79d0ba5c2ce9
Board IDbdf23e95-c763-4a43-8e82-79d0ba5c2ce9
Providerrippling
Provider Job Keyf3f59c42-2363-4e07-9dc6-b9563788a927
TitleClaims Examiner - Complex
Normalized Title
Statusactive
Activeyes
Location TextIrving, TX, United States
DepartmentCITON
Team
Employment Typefull_time
Workplace Typeon_site
Remote Policy
CountryUnited States
RegionTX
CityIrving
Salary Raw
Salary Min
Salary Max
Salary Currency
Salary Period
Source URLhttps://ats.rippling.com/orion180/jobs/f3f59c42-2363-4e07-9dc6-b9563788a927
Apply URLhttps://ats.rippling.com/orion180/jobs/f3f59c42-2363-4e07-9dc6-b9563788a927
First Seen At2026-05-30 07:43:27Z
Last Seen At2026-06-06 08:44:52Z
Last Checked At2026-06-06 08:44:52Z
Last Changed At2026-06-06 08:44:52Z
Inactive At
Source Posted At2026-04-30 21:19:33Z
Source Updated At
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      "role": "<meta><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><br></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><b><strong style=\"white-space:pre-wrap;\">Join our team as a Claims Examiner - Complex!</strong></b></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><br></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><b><strong style=\"white-space:pre-wrap;\">ABOUT THE ROLE:</strong></b></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"white-space:pre-wrap;\">Are you a detail-oriented claims professional with a passion for helping others? We’re looking for a&nbsp;</span><b><strong style=\"white-space:pre-wrap;\">Desk Adjuster </strong></b><span style=\"white-space:pre-wrap;\">to work in our office located in&nbsp;</span><b><strong style=\"white-space:pre-wrap;\">Melbourne, Florida or Dallas, Texas</strong></b><span style=\"white-space:pre-wrap;\">. In this role, you’ll play a pivotal part in investigating, evaluating, and resolving insurance claims, ensuring fair and efficient processing in line with policy terms and company guidelines.  In this role you will be handling complex </span><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">litigated claims, mediations, appraisals, and claims involving other 3</span><sup style=\"color:rgb(0,0,0);white-space:pre-wrap;\"><span>rd</span></sup><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\"> parties.</span></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><b><strong style=\"white-space:pre-wrap;\">&nbsp;</strong></b></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><b><strong style=\"white-space:pre-wrap;\">WHAT YOU’LL DO:</strong></b></p><ul data-pattern=\"discCircleSquare\" data-depth=\"1\" style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;margin:8px 0px;line-height:1.6;padding:0px 0px 0px 32px;list-style-type:disc;\"><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><b><strong style=\"white-space:pre-wrap;\">Review Claims:&nbsp;</strong></b><span style=\"white-space:pre-wrap;\">Assess and analyze submitted claims documentation to determine validity and coverage.</span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><b><strong style=\"white-space:pre-wrap;\">Gather Essential Information:&nbsp;</strong></b><span style=\"white-space:pre-wrap;\">Communicate with policyholders, witnesses, and other involved parties to collect relevant details for claims evaluation.</span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><b><strong style=\"white-space:pre-wrap;\">Document Findings Thoroughly:&nbsp;</strong></b><span style=\"white-space:pre-wrap;\">Create detailed reports and maintain comprehensive notes to support claims assessments.</span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><b><strong style=\"white-space:pre-wrap;\">Analyze Coverage:&nbsp;</strong></b><span style=\"white-space:pre-wrap;\">Review insurance policies to determine applicable coverage and assess liability.</span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><b><strong style=\"white-space:pre-wrap;\">Prepare Reports:&nbsp;</strong></b><span style=\"white-space:pre-wrap;\">Submit thorough reports with findings and well-supported recommendations for claim settlements.</span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><b><strong style=\"white-space:pre-wrap;\">Negotiate Settlements:&nbsp;</strong></b><span style=\"white-space:pre-wrap;\">Work with policyholders and third parties to negotiate settlements that ensure fair and just outcomes.</span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><b><strong style=\"white-space:pre-wrap;\">Resolve Disputes:&nbsp;</strong></b><span style=\"white-space:pre-wrap;\">Handle disputes professionally and efficiently, ensuring favorable resolutions.</span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><b><strong style=\"white-space:pre-wrap;\">Maintain Clear Communication:&nbsp;</strong></b><span style=\"white-space:pre-wrap;\">Foster transparent and professional communication with policyholders and all stakeholders throughout the claims process.</span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><b><strong style=\"white-space:pre-wrap;\">Collaborate Across Teams:&nbsp;</strong></b><span style=\"white-space:pre-wrap;\">Partner with internal teams, including underwriters and legal advisors, to resolve complex claims.</span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><b><strong style=\"white-space:pre-wrap;\">Ensure Compliance:&nbsp;</strong></b><span style=\"white-space:pre-wrap;\">In all claims processes, comply with state and federal regulations and company policies.</span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><b><strong style=\"white-space:pre-wrap;\">Support Catastrophe Response:&nbsp;</strong></b><span style=\"white-space:pre-wrap;\">Provide critical support for claims management efforts during disaster events as needed.</span></li></ul><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><b><strong style=\"white-space:pre-wrap;\">&nbsp;</strong></b></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><b><strong style=\"white-space:pre-wrap;\">WHAT WE’RE LOOKING FOR:</strong></b></p><ul data-pattern=\"discCircleSquare\" data-depth=\"1\" style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;margin:8px 0px;line-height:1.6;padding:0px 0px 0px 32px;list-style-type:disc;\"><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><b><strong style=\"white-space:pre-wrap;\">Experience:</strong></b><span style=\"white-space:pre-wrap;\"> </span><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\">Minimum of 7+ years in a claim adjusting role, with direct experience handling litigated claims, mediations, appraisals, and claims involving other 3</span><sup style=\"color:rgb(0,0,0);white-space:pre-wrap;\"><span>rd</span></sup><span style=\"color:rgb(0,0,0);font-size:11pt;white-space:pre-wrap;\"> parties. Experience handling Florida property claims is strongly preferred.</span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><b><strong style=\"white-space:pre-wrap;\">Technical Skills:</strong></b><span style=\"white-space:pre-wrap;\"> Proficiency with CMS, Microsoft Suite of products, strong analytical, investigative, and problem-solving skills; solid understanding of legal concepts surrounding liability claims.</span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><b><strong style=\"white-space:pre-wrap;\">Licensing and Certifications:</strong></b><span style=\"white-space:pre-wrap;\"> Valid adjuster’s license in home state and Florida required.</span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><b><strong style=\"white-space:pre-wrap;\">Insurance Knowledge:</strong></b><span style=\"white-space:pre-wrap;\"> Strong understanding of insurance policies, coverage evaluation, claim investigation, and dispute resolution throughout the life of a file. Should be able to demonstrate advanced understanding of all issues related to liability claims including state regulations, case law, and statutes.</span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><b><strong style=\"white-space:pre-wrap;\">Negotiation Skills:</strong></b><span style=\"white-space:pre-wrap;\"> Excellent negotiation and communication skills, with proven ability to manage complex conversations and drive fair claim resolution with insureds, vendors, attorneys, and public adjusters.</span></li></ul><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"white-space:pre-wrap;\">&nbsp;</span></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><b><strong style=\"white-space:pre-wrap;\">WHAT’S IN IT FOR YOU:</strong></b></p><ul data-pattern=\"discCircleSquare\" data-depth=\"1\" style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;margin:8px 0px;line-height:1.6;padding:0px 0px 0px 32px;list-style-type:disc;\"><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><b><strong style=\"white-space:pre-wrap;\">Dynamic Environment:</strong></b><span style=\"white-space:pre-wrap;\">&nbsp;Thrive in a fast-paced, collaborative, and results-driven office where your contributions make a real impact.</span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><b><strong style=\"white-space:pre-wrap;\">Career Growth:</strong></b><span style=\"white-space:pre-wrap;\">&nbsp;Opportunities for professional development and advancement within a supportive company culture.</span></li></ul><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"white-space:pre-wrap;\">&nbsp;</span></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"white-space:pre-wrap;\">If you’re excited to join a company that values innovation, teamwork, and your technical expertise, we’d love to hear from you. Take the next step in your IT career and help us keep our technology running smoothly!</span></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"white-space:pre-wrap;\">&nbsp;</span></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"background-color:white;font-size:11pt;white-space:pre-wrap;\">&nbsp;</span></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"color:black;font-size:11pt;white-space:pre-wrap;\">The office environment is fast-paced and collaborative.</span><span style=\"font-size:11pt;white-space:pre-wrap;\">&nbsp; </span><span style=\"color:black;font-size:11pt;white-space:pre-wrap;\">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.&nbsp;</span></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"background-color:white;font-size:11pt;white-space:pre-wrap;\">&nbsp;</span></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"color:black;background-color:white;font-size:11pt;white-space:pre-wrap;\">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 (&lt;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.&nbsp;</span><span style=\"background-color:white;font-size:11pt;white-space:pre-wrap;\">&nbsp;</span></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><br></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"color:black;background-color:white;font-size:11pt;white-space:pre-wrap;\">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.&nbsp;</span></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><br></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"color:black;background-color:white;font-size:11pt;white-space:pre-wrap;\">Reasonable accommodations are available for qualified individuals with disabilities during the application process.  Applicants who need accommodations may email </span><a href=\"mailto:[email protected]\" target=\"_blank\" class=\"css-173makr-linkStyle\" style=\"color:rgb(30,74,169);cursor:pointer;\"><span style=\"background-color:white;font-size:11pt;white-space:pre-wrap;\">[email protected]</span></a><span style=\"color:black;background-color:white;font-size:11pt;white-space:pre-wrap;\"> to request assistance. </span></p>",
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