Claims Examiner - Property

Sedgwick; Louisiana; Hybrid; USD 55,000 - 75,000; Full time

Job summary

Sedgwick is seeking a Property Claims Examiner to analyze and process complex personal and commercial line property claims, scoping damages and coordinating with contractors for estimates. This role emphasizes thorough documentation and adherence to deadlines in a collaborative environment.

Ideal candidates have five years of claims management experience, knowledge of property policies and estimating software, and strong communication skills to interact with insureds, clients, and brokers.

Qualifications

• Bachelor's degree preferred.
• Professional certification as applicable to line of business preferred.
• Licenses as required.
• Five (5) years of claims management experience or equivalent combination of education and experience.
• Knowledge of construction basics.
• Knowledge of property estimating software.
• Knowledge of deductibles and sub-limits.
• Strong oral and written communication, including presentation skills.

Responsibilities

• Processes complex commercial and personal line property claims and ensures claim files are properly documented and coded.
• Responsible for litigation process on litigated claims.
• Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims.
• Reports large claims to excess carrier(s).
• Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution.
• Identifies and pursues subrogation opportunities; secures and disposes of salvage.
• Communicates claim action/processing with insured, client, and agent or broker when appropriate.
• Performs other duties as assigned.
• Supports the organization's quality program(s).
• Travels as required.

Skills

Property policies knowledge

Construction basics

Estimating software

Deductibles & sub-limits

Communication skills

MS Office

Organizational skills

Interpersonal skills

Negotiation skills

Teamwork

Education

Bachelor's degree

Licenses as required

Professional certification as applicable

Tools

Property estimating software

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

Claims Examiner - Property

PRIMARY PURPOSE : To analyze and process complex or technically difficult personal and commercial line property claims by scoping damages and completing an estimate or by obtaining a contractor's estimate for review.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Processes complex commercial and personal line property claims and ensures claim files are properly documented and coded correctly.
• Responsible for litigation process on litigated claims.
• Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims.
• Reports large claims to excess carrier(s),
• Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution.
• Identifies and pursues subrogation opportunities; secures and disposes of salvage.
• Communicates claim action/processing with insured, client, and agent or broker when appropriate.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.
• Supports the organization's quality program(s).
• 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. Licenses as required.

Experience

Five (5) years of claims management experience or equivalent combination of education and experience required to include knowledge of construction basics, property estimating software experience and in-depth knowledge of personal and commercial lines property policies, coverages, principles, and laws.

Skills & Knowledge

• In-depth knowledge of personal and commercial line property policies, coverages, principles, and laws
• Knowledge of construction basics and property estimating software
• Knowledge of appropriate application of deductibles and sub-limits
• Strong oral and written communication, including presentation skills
• PC literate, including Microsoft Office products
• Strong organizational skills
• Strong interpersonal skills
• Good negotiation skills
• 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.