Claim Adjuster-Auto

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

Job summary

Sedgwick in the United States seeks an experienced Claim Adjuster-Auto to analyze auto claims, determine damages, and adjudicate according to company standards. You will gather information, assess liability, manage subrogation, and negotiate settlements while ensuring accurate documentation and strong client relations.

Travel may be required. A bachelor’s degree and adjusting licenses are preferred; strong communication, analytical, and negotiation skills are essential to succeed in this role.

Qualifications

• Bachelor's degree preferred.
• State adjusting licenses required where applicable.
• Four years of claims management experience required.
• Professional certification in claims preferred.

Responsibilities

• Manages auto claims by gathering information to determine exposure and reserves.
• Assesses liability and resolves claims within evaluation.
• Approves and processes claims, determines benefits, and plans actions.
• Manages subrogation and negotiates settlements.
• Communicates claim actions with claimants and clients.
• Ensures files are properly documented and client relationships maintained.
• Travels as required.

Skills

Claims management experience

Analytical skills

Negotiation skills

Oral and written communication

Teamwork

Problem solving

Attention to detail

Education

Bachelor's degree

State adjusting licenses as required

Professional certification in claims (preferred)

Tools

Microsoft Office

Job description

Claim Adjuster-Auto

PRIMARY PURPOSE: To analyze mid- and higher-level general auto claims to determine scope of damages; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Manages mid-level and higher-level auto commercial and personal lines claims by gathering information to determine exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.
• Assesses liability and resolves claims within evaluation.
• Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
• Manages subrogation of claims and negotiates settlements.
• Communicates claim action with claimant and client.
• Ensures claim files are properly documented and claims coding is correct.
• Maintains professional client relationships.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.
• Travels as required.

QUALIFICATIONS

• Education & Licensing: Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.
• Secure and maintain the State adjusting licenses as required for the position.
• Experience: Four (4) years of claims management experience or equivalent combination of education and experience required.

Skills & Knowledge

• Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles as applicable to line-of-business.
• 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.

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.

Job type: We are currently hiring Compensation Information: Salary Range : $50,000-$70,000 CAD annually This position is full time.

Sedgwick uses artificial intelligence tools to assist in the screening, assessment, or selection of candidates. These tools are subject to periodic review. 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.