Claims Adjuster -Auto

Sedgwick Claims Management Services Ltd; Canada; Hybrid; CAD 65,000 - 85,000; Full time

Job summary

Sedgwick Claims Management Services Ltd seeks a Claims Adjuster to analyze mid- and higher-level auto claims from a remote Canada-based location. You will determine exposure, reserve values, and settlements in line with company standards and industry practices.

Ideal candidates have a Bachelor's degree and 4 years of claims management experience, with strong analytical, negotiation, and communication skills. Travel may be required as part of the role.

Qualifications

• Bachelor's degree preferred.
• 4+ years of claims management experience required.
• Strong knowledge of insurance principles and laws relevant to line of business.

Responsibilities

• Analyze mid- to high-level auto claims to determine damages and coverage.
• Assign reserves, issue payments, and settle claims within authority.
• Assess liability, determine benefits, and manage subrogation.

Skills

Analytical thinking

Negotiation

Communication skills

Team player

Problem solving

Education

Bachelor's degree

Tools

Microsoft Office

Job description

## Claims Adjuster -AutoApply: Canada Telecommuter: Full time: Posted Today: R77996By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.Claims Adjuster -Auto**PRIMARY PURPOSE****:** To analyze mid- and higher-level general auto claims to determine scope of damages; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.**ESSENTIAL FUNCTIONS and RESPONSIBILITIES*** Manages mid-level and higher-level auto commercial and personal lines claims by gathering information to determine exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.* Assesses liability and resolves claims within evaluation.* Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.* Manages subrogation of claims and negotiates settlements.* Communicates claim action with claimant and client.* Ensures claim files are properly documented and claims coding is correct.* Maintains professional client relationships.**ADDITIONAL FUNCTIONS and RESPONSIBILITIES*** Performs other duties as assigned.* Travels as required.**QUALIFICATIONS****Education & Licensing** Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Secure and maintain the State adjusting licenses as required for the position.**Experience**Four (4) years of claims management experience or equivalent combination of education and experience required.**Skills & Knowledge*** Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles as applicable to line-of-business.* Excellent oral and written communication skills, including presentation skills* PC literate, including Microsoft Office products* Analytical and interpretive skills* Strong organizational skills* Excellent interpersonal skills* Excellent negotiating skills* Ability to create and complete comprehensive, accurate and constructive written reports* Ability to work in a team environment* Ability to meet or exceed Performance Competencies**WORK ENVIRONMENT**When applicable and appropriate, consideration will be given to reasonable accommodations.**Mental****:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines**Physical****:** Computer keyboarding, travel as required**Auditory/Visual****:** Hearing, vision and talkingThe statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.