Auto/Property Claims Representative - Consumer

Sedgwick Claims Management Services Ltd; Kentucky; Hybrid; USD 43,000 - 53,000; Full time

Benefits offered by this job

Medical benefits

Dental & Vision

401(k) matching

Paid time off

Job summary

Sedgwick is seeking an Auto/Property Claims Representative to analyze reports, determine benefits due, and issue timely payments and adjustments. You will coordinate investigations and negotiate settlements for high value and complex claims, while maintaining thorough documentation and meeting client expectations.

The ideal candidate has 3 years of claims management experience, an active Property & Casualty Adjuster License (multiple state licenses preferred), and strong communication and

Qualifications

• Active Property & Casualty Adjuster License preferred; multiple state licenses advantageous.
• 3 years of claims management experience or equivalent education/experience required.
• Bachelor's degree preferred; professional licensure as applicable to line of business.

Responsibilities

• Analyze reports, determine benefits due and make timely payments/adjustments.
• Coordinate investigations and negotiate settlements up to authority level.
• Adjudicate proper settlement for high value/complex claims with client/underwriter.
• Document claim files to meet quality, deadlines and client guidelines.

Skills

Claim adjudication

Analytical skills

Communication skills

Microsoft Office

Teamwork

Organization

Problem solving

Attention to detail

Education

Bachelor's degree

Professional certification

Tools

MS 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

Auto/Property Claims Representative - Consumer

PRIMARY PURPOSE: To analyze reports claims, determine benefits due and make timely payments and adjustments; to make timely payments and adjustments for specified program claims including high value and complex claims; to coordinate investigative efforts; to thoroughly review contested claims; to negotiate settlement of claims up to the designated authority level; and to provide superior customer services.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Manages first party property, casualty and/or medical reimbursement claims based on multiple/additional coverage and/or programs as defined by client-specific program.
• Makes coverage determinations based on investigation/evaluation and communicates claim actions with claimant and client.
• Adjudicates proper settlement up to designated authority level.
• Works directly with underwriter/client on high value and complex cases.
• Handles high volume of claims, phone calls and correspondence ensuring claim files are properly documented; meets quality and production goals; and meets customer guidelines and deadlines.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

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

QUALIFICATIONS

Licensing Requirements Candidates should possess an active Property & Casualty Adjuster License for states where licensing is required. Multiple state adjuster licenses are strongly preferred and will be considered a significant advantage.

Preferred Experience

We are seeking candidates with demonstrated experience handling ongoing property claims in a structured claims environment. Candidates with a proven track record of long-term engagement in desk-adjusting or staff-adjusting roles are preferred. Experience managing claims through the full claim lifecycle, maintaining productivity standards, and working within established processes is highly desirable.

Education & Licensing

Bachelor's degree from and accredited college or university preferred. Professional certification as applicable to line of business preferred. Experience Three (3) years of claims management experience or equivalent combination of experience and education required.

Skills & Knowledge

• In-depth knowledge of first party property and casualty claim adjudication as applicable to line of business
• Excellent oral and written communication, including presentation skills
• PC literate, including Microsoft Office products
• Excellent analytical and interpretive skills
• Excellent organizational skills
• Excellent interpersonal skills
• 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 talking

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. As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of a specific location. For the jurisdiction noted inthis job posting only, the range of starting pay for this role is $48,000 salary.

A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.

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