Adjuster

Sedgwick Claims Management Services Ltd; New Brunswick; On-site; CAD 60,000 - 75,000; Full time

Job summary

Sedgwick Claims Management Services Ltd is seeking a claims adjuster to investigate, evaluate, and quantify insurance claims. You will determine coverage, assess liability, and quantify quantum within policy terms.

You will conduct thorough investigations, interview insureds and witnesses, inspect sites, and coordinate with vendors. Strong negotiation, analytics, and client relations are essential.

Qualifications

• Post‑secondary education.
• Has or is working toward CIP designation.
• Must be licensed or have the ability to obtain a provisional license.
• Must possess a valid driver’s license.
• Proven adjusting and negotiating skills.
• Excellent interpersonal and communication skills.
• Computer proficiency.

Responsibilities

• Manages/adjusts assigned claims while meeting company standards and quality, including conducting thorough investigations.
• Determines coverage and validity of claims, interviews and communicates with insured, claimants and witnesses.
• Inspects claim sites as required and assigns external vendors as necessary.
• Recommends reserves, prepares reports and negotiates settlements within granted authority.
• Participates in mediation and arbitrations as required and works with defense counsel as assigned.
• Maintains accurate records based on company standards and procedures, using company custom computer systems.
• Accurately and efficiently manages billing for assigned files within specified timelines.
• Assists with collection of accounts receivables for assigned claims.
• Assists with local marketing of the branch, attends professional and social events, and develops new business opportunities.
• Maintains excellent working relationships with existing clients to further develop business.
• Participates as required in client file reviews and audits.
• Ensures reserves, coding and reporting is up to date on claims files assigned.
• Requires a high level of mathematical and reasoning ability to calculate and analyze data to arrive at a logical conclusion.
• Can cope with extreme weather, environmental and driving conditions at any time of day or night.
• Committed to continuous education to keep up to date with all industry and legislative issues and changes and licensing requirements.

Skills

Insurance knowledge

Interpersonal comm.

Negotiation

Analytical skills

Organizational skills

Teamwork

Computer proficiency

Remote work capability

Education

Post-secondary education

CIP designation

Provisional license eligible

Valid driver’s license

Tools

Microsoft Office

Excel

Client systems access

Job description

Adjuster

PRIMARY PURPOSE

A claims adjuster is charged with the investigation, evaluation and quantification of an insurance claim. The adjuster will determine and provide recommendations with respect to coverage, liability and quantum, within the terms of the policy.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

• Manages/adjusts assigned claims while meeting company standards and quality, including conducting thorough investigations.
• Determines coverage and validity of claims, interviews and communicates with insured, claimants and witnesses.
• Inspects claim sites as required and assigns external vendors as necessary.
• Recommends reserves, prepares reports and negotiates settlements within granted authority.
• Participates in mediation and arbitrations as required and works with defense counsel as assigned.
• Maintains accurate records based on company standards and procedures, using company custom computer systems.
• Accurately and efficiently manages billing for assigned files within specified timelines.
• Assists with collection of accounts receivables for assigned claims.
• Assists with local marketing of the branch, attends professional and social events, and develops new business opportunities.
• Maintains excellent working relationships with existing clients to further develop business.
• Participates as required in client file reviews and audits.
• Ensures reserves, coding and reporting is up to date on claims files assigned.
• Requires a high level of mathematical and reasoning ability to calculate and analyze data to arrive at a logical conclusion.
• Can cope with extreme weather, environmental and driving conditions at any time of day or night.
• Committed to continuous education to keep up to date with all industry and legislative issues and changes and licensing requirements.

ADDITIONAL FUNCTIONS AND RESPONSIBILITIES

• Performs other duties as assigned.
• Supports the organization's quality program(s).

QUALIFICATIONS

Education & Licensing

• Post‑secondary education.
• Has or is working toward CIP designation.
• Must be licensed or have the ability to obtain a provisional license.
• Must possess a valid driver’s license.

Experience

• Proven adjusting and negotiating skills.
• Excellent interpersonal and communication skills.
• Computer proficiency.

Skills & Knowledge

• Strong knowledge of insurance, claims or business management.
• Excellent oral and written communication.
• PC literate, including Microsoft Office products and Excel.
• Ability to navigate and work in client‑required ancillary systems.
• Ability to work in a remote/home office environment.
• Analytical and interpretive skills.
• Strong organizational skills.
• Excellent interpersonal skills.
• Excellent negotiation skills.
• Ability to work in a team environment.
• Ability to meet or exceed performance competencies.

Equal Opportunity Employer Statement

We are committed to inclusive, barrier‑free recruitment and selection processes. If contacted for an employment opportunity, please advise Colleague Resources if you require accommodation. Sedgwick is an Equal Opportunity Employer.