Casualty Claims Specialist

Sedgwick; Tucson (AZ); Remote; USD 48,000 - 72,000; Full time

Job summary

Sedgwick is seeking a Casualty Claims Specialist to investigate claims involving personal, casualty, or property loss and to negotiate settlements. You will review claim forms, interview parties, inspect damages, and prepare findings for potential litigation when needed.

Ideal candidates have strong communication skills, attention to detail, and experience with liability claims. This remote role in Arizona offers stability and a chance to contribute to a leading claims administration partner.

Qualifications

• High School diploma or GED required.
• Six years of general office experience or equivalent; claims industry experience preferred.
• Knowledge of professional liability claims.
• Oral and written communication skills.
• PC literate including Microsoft Office products.
• Attention to detail and accuracy.
• Ability to work in a team environment.
• Ability to meet or exceed Performance Competencies.

Responsibilities

• Examines claim forms and other records to determine insurance coverage.
• Interviews, telephones, or corresponds with claimant and witnesses; consults police and hospital records; and inspects property damage to determine extent of company's liability, varying method of investigation according to type of insurance.
• Prepares report of findings and negotiates settlement with claimant.
• Recommends litigation by legal department when settlement cannot be negotiated.
• Attends litigation hearings.
• Revises case reserves in assigned claims files to cover probably costs.
• Assists in preparing loss experience report to help determine profitability and calculates adequate future rates.

Skills

Liability claims

Communication skills

Teamwork

Attention to detail

Policy review

Education

High School diploma or GED

Tools

Microsoft Office

Job description

Telecommuter AZ

Full time

R77669

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

Casualty Claims Specialist

PRIMARY PURPOSE

To investigate claims against insurance or other companies for personal, casualty, or property loss or damages; attempts to effect out-of-court settlement with claimant.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Examines claim forms and other records to determine insurance coverage.
• Interviews, telephones, or corresponds with claimant and witnesses; consults police and hospital records; and inspects property damage to determine extent of company's liability, varying method of investigation according to type of insurance.
• Prepares report of findings and negotiates settlement with claimant.
• Recommends litigation by legal department when settlement cannot be negotiated.
• Attends litigation hearings.
• Revises case reserves in assigned claims files to cover probably costs.
• Assists in preparing loss experience report to help determine profitability and calculates adequate future rates.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

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

QUALIFICATIONS

Education & Licensing

High School diploma or GED required.

Experience

Six (6) years of general office experience or equivalent combination of education and experience required. Claims industry experience preferred.

Skills & Knowledge

• Knowledge of professional liability claims
• Ability to review information and ensure accuracy and applicable policy placement
• Oral and written communication skills
• PC literate, including Microsoft Office products
• Attention to detail and accuracy
• 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.

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

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

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