Construction Defect Adjuster

Sedgwick; United States; Remote; USD 88,000 - 120,000; Full time

Job summary

Sedgwick is hiring a Construction Defect Adjuster to handle end-to-end CGL claims, including complex coverage analysis, liability determinations, and risk transfer across multiple jurisdictions. The role emphasizes proactive file management, settlements, and collaboration with defense counsel.

The ideal candidate has 5+ years of CGL experience, strong negotiation skills, and proficiency in claims systems and MS Office, with licensing as required. Extensive regulatory compliance is expected.

Qualifications

• Bachelor’s degree or equivalent work experience and appropriate adjuster licensing.
• Minimum of 5+ years of commercial general liability claims handling experience.
• Strong knowledge of CGL coverage, policy interpretation and jurisdictional differences.

Responsibilities

• Investigate and manage a full caseload of CGL claims, including premises liability, slip-and-fall, product liability and construction-related losses.
• Drive timely claim resolution through proactive file management and documentation.
• Analyze complex policy language to determine coverage applicability and draft coverage position letters.
• Oversee litigation matters and coordinate with defense counsel and clients.
• Negotiate settlements within delegated authority and assess liability and damages.
• Identify risk transfer opportunities and pursue subrogation where feasible.
• Maintain proactive communication with insureds, claimants, brokers, clients, and internal stakeholders.
• Ensure compliance with state regulations and internal quality standards.

Skills

CGL coverage interpretation

Litigated claims

Risk transfer strategies

Negotiation & settlements

Policy interpretation

Contractual indemnity

Subrogation opportunities

Communication skills

MS Office proficiency

Claims systems proficiency

Education

Bachelor’s degree or equivalent

Adjuster licensing as required by jurisdiction(s)

Tools

MS Office

Claims systems

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

Construction Defect Adjuster

Primary Purpose

The Commercial General Liability (CGL) Claims Adjuster is responsible for the end-to-end handling of complex third-party bodily injury and property damage claims arising under commercial general liability policies. This role requires advanced expertise in coverage analysis, liability determination, litigation management, and risk transfer, particularly across multi-jurisdictional and construction-related exposures. The adjuster is expected to proactively manage claim outcomes, control loss costs, and ensure compliance with client service standards, regulatory requirements, and internal quality expectations.

Essential Functions and Responsibilities

• Claim Investigation & File Ownership

• Independently investigate and manage a full caseload of CGL claims, including but not limited to premises liability, slip and fall, product liability, construction defect and construction-related losses, and contractual liability exposures.
• Drive timely claim resolution through proactive file management, strategic planning, and adherence to best practices in diary management and documentation.
• Coverage Analysis & Policy Interpretation
• Analyze complex policy language, including insuring agreements, endorsements, exclusions (e.g., ongoing/completed operations, additional insured provisions), and limits to determine coverage applicability.
• Draft clear, defensible coverage position letters, including reservation of rights and denial letters, consistent with jurisdictional requirements and client expectations.
• Liability & Damages Evaluation
• Conduct comprehensive liability investigations, including:
• Review and analysis of incident reports, contracts, lease agreements, and indemnification provisions
• Identification and application of contractual risk transfer provisions
• Obtaining and evaluating recorded statements, expert opinions, photographs, and surveillance
• Evaluate injury severity, medical treatment, and long-term exposure, including review of medical records, bills, and independent medical evaluations (IMEs) where applicable.
• Establish, maintain, and adjust reserves in accordance with claim developments and severity exposure.
• Litigation Management
• Manage litigated files, including the retention and direction of defense counsel.
• Provide strategic oversight on litigation plans, budgets, pleadings, discovery, and dispositive motions.
• Participate in mediations, settlement conferences, and trial preparation, ensuring alignment with client and organizational strategies.
• Settlement & Negotiation
• Negotiate settlements within delegated authority while balancing cost containment and risk exposure.
• Evaluate settlement value based on liability, damages, venue, and litigation risks, and upscale appropriately when exceeding authority.
• Risk Transfer & Subrogation
• Identify, evaluate, and pursue risk transfer opportunities, including:
• Additional insured tenders
• Contractual indemnity provisions
• Subrogation potential
• Coordinate with coverage counsel, carriers, and third parties to maximize recovery and proper allocation of liability.
• Client & Stakeholder Communication
• Maintain proactive, professional communication with insureds, claimants, brokers, clients, and internal stakeholders.
• Provide detailed status updates, large loss reports, and claim summaries tailored to client-specific reporting requirements.
• Documentation, Compliance & Quality
• Maintain thorough, accurate, and timely file documentation to support claim decisions and audit readiness.
• Ensure compliance with applicable state regulations, client service instructions, and internal audit and quality standards.
• Participate in internal and external audits, file reviews and continuous improvement initiatives.

Additional Functions and Responsibilities

• Support organizational quality initiatives, audit programs, and operational excellence efforts.
• Contribute to process improvement, knowledge sharing, and team development activities as needed.
• Perform other duties as assigned.

Qualifications

Education & Licensing

• Bachelor’s degreeor equivalent work experience.
• Adjuster licensing as required by jurisdiction(s) handled.

Experience

• Minimum of5+ years of commercial general liability claims handling experience required; experience with litigated and construction-related claims strongly preferred.

Skills & Knowledge

• CGL coverage, policy interpretation, and jurisdictional differences
• litigated claims and working with defense counsel
• construction defect, additionalinsuredcoverage, and risk transfer strategies
• liability, damages, and exposure in complex loss scenarios
• negotiation and settlement skills
• Excellent written and verbal communication , including drafting coverage correspondence and client reports
• Proficiency in claims systems and Microsoft Office applications
• Demonstrated organization, attention to detail, and time management
• Ability to work both independently and collaboratively in a fast-paced, team-driven environment
• Proven ability to meet or exceed performance, quality, and compliance metrics

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.

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 ($88,000 - $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 benefits.

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