By 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.
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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; determining coverage and validity of claims; interviewing and communicating with insured, claimants, and witnesses; inspecting claims sites as required; assigning external vendors as required; making recommendations for reserves; preparing reports; and negotiating settlements within granted authority. Participates in mediation and arbitrations as required. Works with defense counsel as assigned.
- Maintains accurate records based on company standards and procedures, using company custom computer systems. Will require the ability to work in external client systems.
- Accurately and efficiently manages the 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; develops new business opportunities.
- Maintains excellent working relationships with existing clients to further develop business; participates in client file reviews and audits as required.
- Requires a high level of mathematical and reasoning ability to analyze data and arrive at logical conclusions.
- The ability to cope with extreme weather, environmental, and driving conditions at any time of day or night.
- Committed to continuous education to stay updated on industry, legislative issues, changes, and licensing requirements.
- Responsible for ensuring reserves, coding, and reporting are up to date on claims files assigned.
- Supports the organization's quality program(s).
- Performs other duties as assigned.
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.
- Proven adjusting and negotiating skills.
- Excellent interpersonal and communication skills, and computer proficiency.
Experience
- Proven adjusting and negotiating skills.
- Excellent interpersonal and communication skills, and 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.
The statements in this document describe the general nature and level of work performed by a colleague in this role. They are not a comprehensive list of functions, duties, or variances. Management may add or change duties at any time.
Sedgwick is an Equal Opportunity Employer.