Adjuster

Sedgwick; United States; Remote; USD 55,000 - 90,000; Full time

Job summary

Sedgwick is seeking a Claims Adjuster to investigate, evaluate, and quantify insurance claims. The role involves determining coverage and liability, interviewing involved parties, inspecting sites, and coordinating with vendors and counsel as required.

The position requires post-secondary education, CIP designation or progress toward it, a valid driver’s license, and proven negotiating skills. Strong communication and computer proficiency 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, and computer proficiency

Responsibilities

• Investigates, evaluates, and quantifies insurance claims; determines coverage and liability and provides recommendations within policy terms.
• Interviews insured, claimants, and witnesses; inspects claim sites as required; coordinates with external vendors and defense counsel as needed.
• Maintains accurate records in company systems and may work in client systems.
• Manages billing for assigned files within required timelines and supports receivables collection.
• Participates in local marketing and develops new business opportunities; maintains strong client relationships.

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.

Adjuster

PRIMARYPURPOSEAclaims adjusteris charged with the investigation, evaluation and quantification of an insuranceclaim. 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/adjustsassigned 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 sitesas required, assigning external vendors as required,recommendations for reserves,preparing reports and negotiating settlementswithin granted authority. Participate in mediation and arbitrations as required. Work 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 socialevents anddevelops new businessopportunities.
• Maintains an excellent working relationship with existing clients to further develop businessand will participate as required in client file reviews and audits.
• Requires a high level of mathematical and reasoning ability to calculate and analyze data to arrive at a logical conclusion
• The ability to 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 changesand licensing requirements.
• Responsible to ensure reserves, coding and reporting is up to date on claims files assigned.
• Assists with local marketing of the branch; attends professional and social events and develops new business opportunities.

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
• 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 ina 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 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.

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