Casualty Desk Adjuster - RGA

Sedgwick Claims Management Services Ltd; California; On-site; USD 100,000 - 120,000; Full time

Benefits offered by this job

Comprehensive benefits package

401k and matching

Flexible spending or health savings account

Job summary

Sedgwick Claims Management Services Ltd is looking for a Casualty Desk Adjuster - RGA to handle complex claims involving coverage issues and provide exceptional customer service. Candidates should have a minimum of 8 years of experience in claims handling, particularly in public entity and EPL claims.

This position offers the flexibility of telecommuting from California, focusing on resolving claims efficiently while adhering to insurance regulations and maintaining good communication with all parties involved.

Qualifications

• 8 years of related experience in claims handling and litigation.
• Experience in personal and commercial lines claims.
• State-mandated adjusting licenses as required.

Responsibilities

• Develop and evaluate injury claims based on damages.
• Investigation and evaluation of coverage, liability, and damages.
• Manage defense counsel in litigation.

Skills

Negotiation strategies

Analytical and interpretive skills

Excellent oral and written communication skills

Organizational skills

Education

Bachelor's degree from an accredited college or university

Tools

Microsoft Office

Job description

## Casualty Desk Adjuster - RGAApplylocations: Telecommuter CAtime type: Full timeposted on: Posted Todayjob requisition id: R74056By 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 CompaniesCertified as a Great Place to WorkFortune Best Workplaces in Financial Services & InsuranceCasualty Desk Adjuster - RGA**PRIMARY PURPOSE:** Candidate should have at least 5 years (prefer 10+) of Public Entity and EPL(Employment Practices Liability) and/or CSA (Childhood Sexual Assault) claims handling experience. Handles complex, technically challenging claims.. Adjusts claims with complex coverage issues involving liability, damages, evidence, or other complex legal issues, while providing an exceptional customer experience.**ESSENTIAL FUNCTIONS and RESPONSIBILITIES*** Develops exposures and evaluates injury claims based on damages, the insurance contract, company policies, and applicable state laws.* Investigates and evaluates coverage, liability and damages in handling of claims involving serious and catastrophic injuries, coverage, and other legal issues.* Ensures timely referral of suits to counsel and evaluates changes in exposure through the course of discovery, considering costs and strategic plan of actions to prepare for trial or determine settlement capability.* Responsible for managing defense counsel in litigation of serious and complex claim, litigated claims as well as complex coverage scenarios; manages defense counsel in litigation of serious and complex claims.* Formulates effective plans to bring the claims to resolution while focusing on indemnity and expense leakage.* Evaluates coverage and drafts coverage letters to include both reservation of rights and coverage denials.* Maintains proper reserves on all pending claims.**ADDITIONAL FUNCTIONS and RESPONSIBILITIES*** Performs other duties as assigned.* Travel as required**QUALIFICATIONS****Education & Licensing**Bachelor's degree from an accredited college or university preferred. State mandated adjusting licenses as required. Insurance designations such as CPCU, AIC, ARM preferred.**Experience**Eight (8) years of related experience to include experience in personal lines claims, evaluating coverage and drafting coverage letters to include both reservation of rights and coverage denials, or equivalent combination of education and experience required. Experience with commercial lines claims and litigation in multiple states preferred.**Skills & Knowledge*** Exposure to and knowledge of affluent market segment* Strong knowledge of tort theories, legal concepts, negotiation strategies, and litigation management* Excellent oral and written communication skills, including presentation skills* PC literate, including Microsoft Office products* Analytical and interpretive skills* Strong organizational skills* Excellent interpersonal skills* Excellent negotiating skills* Ability to create and complete comprehensive, accurate and constructive written reports* 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 talkingThe 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 specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($100,000 - $120,000 USD annually). 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 benefitsQualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.