Casualty Claims Specialist

Sedgwick; United States; Remote; USD 55,000 - 75,000; Full time

Job summary

Sedgwick is seeking a Casualty Claims Specialist to investigate claims against insurers or other entities for personal, casualty, or property loss and damages; focus on assessing coverage, interviewing involved parties, and negotiating settlements to avoid litigation where possible.

Ideal candidates have a high school diploma or GED, at least six years of office experience, and solid knowledge of professional liability claims, with strong communication and analytical skills.

Qualifications

• High School diploma or GED required.
• Six years of general office experience required; claims industry preferred.
• Knowledge of professional liability claims.
• Strong communication, accuracy, and PC literacy required.

Responsibilities

• Examines claim forms to determine insurance coverage and liability.
• Interviews claimants and witnesses and inspects property damage.
• Prepares findings and negotiates settlements with claimants.
• Recommends litigation when settlement cannot be negotiated; attends hearings.
• Revises case reserves and assists in loss experience reporting.

Skills

Professional liability claims

Oral & written communication

PC literacy (MS Office)

Attention to detail

Teamwork

Performance competencies

Education

High School diploma or GED

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

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.

Sedgwickis an Equal Opportunity Employer and a Drug-Free Workplace.