Multi Line Adjuster

Sedgwick Claims Management Services Ltd; Canada; Remote; CAD 50,000 - 90,000; Full time

Job summary

Join a forward-thinking company where caring counts and make a meaningful impact every day. As a claims adjuster, you will investigate and evaluate insurance claims, ensuring compliance while developing strong client relationships. This role offers the chance to sharpen your skills in a supportive environment that values diversity and inclusion. If you're driven by purpose and enjoy challenges, this is the perfect opportunity for you to thrive and grow your career.

Benefits

Flexible working hours

Support for mental health

Professional development opportunities

Inclusive work environment

Qualifications

• Post-secondary education with a focus on insurance or business management.
• Proven adjusting and negotiating skills with excellent communication.

Responsibilities

• Investigate and evaluate insurance claims while ensuring compliance with company standards.
• Maintain accurate records and manage billing for assigned claims.

Skills

Adjusting Skills

Negotiating Skills

Interpersonal Skills

Communication Skills

Analytical Skills

Organizational Skills

Education

Post-secondary education

CIP designation

Valid driver's license

Tools

Microsoft Office

Excel

Client required ancillary systems

Job description

Global Privacy Policy
Sedgwick’s caring counts commitment is to value the right of privacy of the companies and individuals we serve. It is Sedgwick’s policy to comply with all applicable privacy and data protection laws and maintain the trust of those we serve.

We want to share with you our policy to what personal information we may collect, how we may use this information and other important areas relating to your privacy and data protection. Please find below links to the policies that apply to all internet sites and applications of Sedgwick and its groups of companies.

A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

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

1. 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, recommendations for reserves, preparing reports and negotiating settlements within granted authority. Participate in mediation and arbitrations as required. Work with defense counsel as assigned.
2. Maintains accurate records based on company standards and procedures, using company custom computer systems. Will require the ability to work in external client systems.
3. Accurately and efficiently manages the billing for assigned files, within specified timelines.
4. Assists with collection of accounts receivables for assigned claims.
5. Maintains an excellent working relationship with existing clients to further develop business and will participate as required in client file reviews and audits.
6. Requires a high level of mathematical and reasoning ability to calculate and analyze data to arrive at a logical conclusion.
7. The ability to cope with extreme weather, environmental and driving conditions at any time of day or night.
8. Committed to continuous education to keep up-to-date with all industry and legislative issues and changes and licensing requirements.
9. Responsible to ensure reserves, coding and reporting is up to date on claims files assigned.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

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

QUALIFICATIONS

Education & Licensing

1. Post-secondary education.
2. Has or is working toward CIP designation.
3. Must be licensed or have the ability to obtain a provisional license.
4. Must possess a valid driver's license.
5. Proven adjusting and negotiating skills.
6. Excellent interpersonal and communication skills, and computer proficiency.

Experience

1. Proven adjusting and negotiating skills.
2. Excellent interpersonal and communication skills, and computer proficiency.

Skills & Knowledge

1. Strong knowledge of insurance, claims or business management.
2. Excellent oral and written communication.
3. PC literate, including Microsoft Office products and Excel.
4. Ability to navigate and work in client required ancillary systems.
5. Ability to work in a remote/home office environment.
6. Analytical and interpretive skills.
7. Strong organizational skills.
8. Excellent interpersonal skills.
9. Ability to work in a team environment.
10. 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.

Sedgwick is an Equal Opportunity Employer.

About Us

Taking care of people is at the heart of everything we do. Caring counts

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us.