Claims Assistant

Sedgwick Claims Management Services Ltd; Town of Texas (WI); Hybrid; USD 42,000 - 65,000; Full time

Job summary

Sedgwick Claims Management Services Ltd. seeks a Claims Assistant to support property and casualty claims processing as a telecommuter in Texas. You will evaluate coverage, conduct investigations, interview claimants, estimate losses, and prepare detailed reports.

The role involves negotiating settlements, issuing checks, and coordinating with legal when necessary. Ideal candidates have a bachelor's degree, an adjuster license, and 3 years of related experience.

Qualifications

• Bachelor's degree preferred, plus applicable adjuster license.
• IIA-AIC designation to be obtained within 12–18 months in role.
• State adjuster license required.

Responsibilities

• Evaluate coverage by reviewing policies, forms, and records.
• Conduct investigations and gather reports as needed.
• Interview claimants and witnesses by phone or correspondence.

Skills

Empathetic handling

Communication

Analytical thinking

Organizational skills

Interpersonal skills

MS Office

Negotiation

Written reports

Team player

Education

Bachelor's degree

IIA-AIC designation within 12-18 months

State Adjuster license

Job description

## Claims AssistantApply: Telecommuter TX: Full time: Posted Today: R78075By 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 & InsuranceClaims Assistant**PRIMARY PURPOSE****:** Handles losses and claims valued up to $15,000 for property and casualty insurers through the thorough examination of documents, records, loss reports, and other relevant documentation. Efficiently manages a case load using technology for efficient claim processing.**ESSENTIAL FUNCTIONS and RESPONSIBILITIES*** Evaluates insurance policies, claims forms, policies, endorsements, carrier instructions, and other records to determine insurance coverage.* Conducts thorough investigations, gathers official reports as needed, consults police and hospital records and inspects physical damage or written estimates for damages based on a conducted inspection to determine extent of company's liability and varying methods of investigation, according to type of insurance.* Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim.* Estimates cost of repair, replacement, or compensation.* Prepares report of findings and negotiates claim settlements by adhering to carrier instructions and obtaining necessary information. Issues settlement checks, files regulatory documents, and handles salvage and subrogation as applicable.* Recommends litigation by legal department when settlement cannot be negotiated.* Attends litigation hearings and participates in depositions as necessary.* Revises case reserves in assigned claims files to cover probable costs.* Maintains an expected caseload efficiently.* Utilizes technology and automation tools for efficient claim handling.* Sends claims exceeding $15,000 gross loss amount to leadership for authority approval.**ADDITIONAL FUNCTIONS and RESPONSIBILITIES*** Performs other duties as assigned.**QUALIFICATIONS****Education & Licensing**Bachelor's degree from an accredited college or university preferred. Must obtain IIA-AIC designation within 12 to 18 months in the role. Appropriate state adjuster license is required.**Experience** Three (3) year of related experience or equivalent combination of education and experience required. Prior experience handling property and casualty claims a plus but not required.**Skills & Knowledge*** Empathetic claims handling demeanor* Strong communication, analytical, organizational, and interpersonal skills* PC literate, including Microsoft Office products* Analytical and interpretive skills* 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.Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.