Expert(e) général(e) exécutif(ve)/ Adjuster General Executive

Sedgwick Claims Management Services Ltd; City of Moncton; On-site; CAD 65,000 - 90,000; Full time

Job summary

Sedgwick Claims Management Services Ltd. seeks an experienced exam expert in claims to investigate international indemnity requests and negotiate settlements.

The role handles complex claims with or without assistance, including accounting losses, and involves comprehensive document review and witness interviews. Necessary qualifications include a Bachelor's degree and an IIA-AIC designation, with a loss adjusting license expected.

Qualifications

• Bachelor's degree from an accredited college or university preferred.
• The candidate must hold the IIA-AIC designation and pursue additional professional credentials.
• Loss adjusting license is required.
• Eight years of related experience or equivalent education/experience.

Responsibilities

• Investigate international insurance claims and negotiate settlements.
• Process complex claims locally up to designated authority; assist for larger claims.
• Examine claim forms to determine coverage and liaise with claimants and witnesses.
• Consult police/hospital records and inspect property damage to assess liability.
• Estimate repair or indemnification costs and prepare settlement reports.
• Negotiate settlements and advise legal if needed.
• Support quality programs and participate in standard procedures.

Skills

Excellent communication

Written communication

PC literate / Microsoft Office

Leadership / team management

Negotiation skills

Time management / organization

Education

Bachelor's degree

IIA-AIC designation

Tools

Microsoft Office

Job description

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. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Expert(e) général(e) exécutif(ve)/ Adjuster General Executive Expert(e) général(e) exécutif(ve)

OBJECTIF PRINCIPAL:

enquêter sur les demandes d’indemnisation internationales, quelle que soit leur taille ou leur complexité, contre des compagnies d’assurance ou autres, pour des pertes ou des dommages personnels, accidentels ou matériels, et tenter d’obtenir un règlement à l’amiable avec les demandeurs d’indemnisation.

FONCTIONS ET RESPONSABILITÉS ESSENTIELLES

• Traiter localement les sinistres complexes sans assistance jusqu’à l’autorité désignée ; apporter son aide pour les sinistres plus importants, y compris le traitement des sinistres de nature comptable (pertes d’exploitation et stocks).
• Examine les formulaires de demande d’indemnisation et d’autres documents pour déterminer la couverture d’assurance.
• Interroge, téléphone ou correspond avec le demandeur et les témoins au sujet du sinistre.
• Consulte les dossiers de la police et de l’hôpital et inspecte les dommages matériels afin de déterminer l’étendue de la responsabilité de l’entreprise et les différentes méthodes d’enquête en fonction du type d’assurance.
• Estime le coût de la réparation, du remplacement ou de l’indemnisation.
• Prépare un rapport sur ses conclusions et négocie un règlement avec le demandeur.
• Recommande au service juridique d’engager une action en justice lorsqu’un règlement ne peut être négocié.
• Assiste aux audiences de contentieux.
• Révise les réserves de cas dans les dossiers de sinistres assignés pour couvrir les coûts probables.
• Prépare les rapports de sinistres afin d’aider à déterminer la rentabilité et calcule les taux futurs adéquats.

FONCTIONS ET RESPONSABILITÉS SUPPLÉMENTAIRES

Effectue d’autres tâches qui lui sont confiées. Soutient le(s) programme(s) de qualité de l’organisation. Déplacements selon les besoins.

QUALIFICATIONS

• Baccalauréat d’un collège ou d’une université accrédité(e) de préférence.
• Le candidat doit avoir obtenu le titre de IIA-AIC et poursuivre activement l’obtention d’un autre titre professionnel dans le domaine de l’assurance. Une licence d’expert en sinistres est requise.

Expérience

• Cinq (5) ans d’expérience dans le domaine concerné ou une combinaison équivalente de formation et d’expérience est requise.

Compétences et connaissances

• Excellente communication orale et écrite, y compris des compétences en matière de présentation
• Maîtrise de l’outil informatique, y compris des produits Microsoft Office
• Solides compétences en matière de service à la clientèle
• Souci du détail et de la précision
• Bonne gestion du temps et sens de l’organisation
• Capacité à travailler de manière indépendante ou dans un environnement d’équipe
• Capacité à atteindre ou à dépasser les compétences en matière de performances

Les énoncés contenus dans le présent document ont pour but de décrire la nature générale et le niveau du travail effectué par un collègue affecté à cette description. Elles ne constituent pas une liste exhaustive des fonctions, des tâches ou des variations locales. La direction se réserve le droit d’ajouter ou de modifier les fonctions du poste à tout moment. Nous engageons à mettre en place des processus de recrutement et de sélection inclusifs et exempts d’obstacles. Si vous êtes contacté(e) pour une opportunité d’emploi, veuillez informer les ressources collégiales si vous avez besoin d’un accommodement. Sedgwick est un employeur qui souscrit au principe de l’égalité des chances.

PRIMARY PURPOSE:

To create profitable growth by acquiring and maintaining new and existing client relationships and increasing market presence by utilizing superior, innovative and personalized service.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Develops and implements annual business plans and delivers profitable growth of the business’ operating revenues and earnings budget utilizing Sedgwick’s business processes.
• Generates and establishes talent, management, and financial control plans to secure successful execution of a region’s performance.
• Oversees activities of assigned property and casualty staff to ensure efficient operation of branch.
• Facilitates communication between internal and external customers.
• Monitors work product for validity and accuracy to ensure it is delivered technically and grammatically correct to the intended audience.
• Creates and maintains an environment of customer and colleague satisfaction.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

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

SUPERVISORY RESPONSIBILITIES

• Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
• Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions.
• Provides support, guidance, leadership and motivation to promote maximum performance.

QUALIFICATIONS

Education & Licensing Bachelor's degree from an accredited college or university preferred.

Experience Eight (8) years of related experience or equivalent combination of education and experience, including but not limited to technical multi-lines insurance claims adjusting and people leadership experience.

Skills & Knowledge Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership/management/motivational skills 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 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. Where applicable, Sedgwick uses artificial intelligence tools to assist in the screening, assessment, or selection of candidates. These tools are subject to periodic review. 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.

ONTARIO ONLY: Job type: This posting is to create a candidate pool for future opportunities Compensation Information: Commission-Based: Brief description of commission structure. This position is full-time and compensation is commission-based. Compensation is determined based on experience, qualifications, and internal equity. Sedgwick is committed to transparent and equitable pay practices. Commission structure is based on a percentage of your billings. Sedgwick is an Equal Opportunity Employer Sedgwick is an Equal Opportunity Employer.

The 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. Sedgwick retains the discretion to add or to change the duties of the position at any time. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com

Sedgwick is an Equal Opportunity Employer

Sedgwick is an Equal Opportunity Employer