Contents Desk Adjuster

Sedgwick Claims Management Services Ltd; Northern (KY); Hybrid; USD 52,000 - 70,000; Full time

Job summary

Sedgwick Claims Management Services Ltd is seeking an experienced Desk Adjuster to manage property and casualty claims valued up to $15,000. You will evaluate coverage, conduct investigations, interview claimants, and prepare settlements with attention to accuracy and regulatory compliance.

Ideal candidates have a Bachelor’s degree, a state adjuster license, and 3 years of related experience. Proficiency in MS Office and strong communication and negotiation skills are essential to collaborate

Qualifications

• Bachelor's degree preferred.
• Must obtain IIA-AIC designation within 12 to 18 months in the role.
• Appropriate state adjuster license is required.

Responsibilities

• Evaluates policies, forms and records to determine coverage.
• Conducts investigations, gathers reports, consults records, inspects damage.
• Interviews claimants and witnesses regarding claims.
• Estimates repair, replacement or compensation costs.
• Prepares findings and negotiates settlements per carrier instructions.
• Issues settlements and handles salvage/subrogation as applicable.
• Recommends litigation when settlement cannot be negotiated.
• Attends hearings and depositions as needed.
• Maintains caseload and uses technology for efficient handling.

Skills

Empathetic handling

Communication

Analytical

Organizational

Interpersonal skills

Negotiation

MS Office

Education

Bachelor's degree

IIA-AIC designation within 12–18 months

State adjuster license

Tools

None

Job description

By joining Sedgwick, you'll be part of something truly meaningful. It is 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 Contents Desk Adjuster

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 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.

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.

Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com