General Adjuster National

Sedgwick Claims Management Services Ltd; Concord (CA); Hybrid; USD 120,000 - 135,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development opportunities

Comprehensive benefits

Job summary

Sedgwick is seeking an experienced National Claims Adjuster to adjudicate complex customer claims within a dynamic, global organization. You’ll leverage a broad network of experts to resolve losses of varying sizes and complexities while delivering customer-focused solutions.

The role emphasizes flexibility, autonomy in daily work, and opportunities for professional development across a leading insurance services company with extensive benefits and a commitment to diversity.

Qualifications

• High School Diploma or GED required.
• Bachelor's degree preferred.
• IIA-AIC designation required.
• Appropriate state adjuster license required.
• Five (5) years of related experience or equivalent combination.

Responsibilities

• Examines insurance policies, claims, and other records to determine insurance coverage.
• Administers and reconciles complex catastrophic claims for property.
• Interviews, telephones, or corresponds with claimant(s) and witnesses regarding claim.
• Consults police and hospital records; inspects property damage to determine liability and investigation methods.
• Estimates cost of repair, replacement, or compensation.
• Prepares report of findings and negotiates settlement with claimant.
• Recommends litigation by legal department when settlement cannot be negotiated.
• Attends litigation hearings.
• Revises case reserves in assigned claims files to cover probable costs.
• Prepares loss experience reports to help determine profitability and rates.
• Interacts with excess carrier to determine coverages and potential reimbursements.

Education

High School Diploma or GED

Bachelor's degree preferred

IIA-AIC designation

State adjuster license

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 General Adjuster Regional

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands? Apply your adjuster knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights. Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. Enjoy flexibility and autonomy in your daily work, your location, and your career path. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

WORK LOCATIONS

This role requires availability during Pacific Time Zone business hours. See posting for eligible locations.

PRIMARY PURPOSE

To handle losses or claims nationally regardless of size, including having the ability to address any complex adjustment issue and any medium sized and relatively complex National Account.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Examines insurance policies, claims, and other records to determine insurance coverage.
• Administers and reconciles complex catastrophic claims for property.
• Interviews, telephones, or corresponds with claimant(s) and witnesses regarding claim.
• Consults police and hospital records; and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance.
• Estimates cost of repair, replacement, or compensation.
• Prepares report of findings and negotiates settlement with claimant.
• Recommends litigation by legal department when settlement cannot be negotiated.
• Attends litigation hearings.
• Revises case reserves in assigned claims files to cover probably costs.
• Prepares loss experience reports to help determine profitability and calculates adequate future rates.
• Interacts with excess carrier to determine coverages, excess insurance levels, and potential reimbursements.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

Performs other duties as assigned. Travels as required.

QUALIFICATIONS

• Education & Licensing: High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Must have earned the IIA-AIC designation. Appropriate state adjuster license is required.
• Experience: Five (5) years of related experience or equivalent combination of education and experience required.

TAKING CARE OF YOU

• Flexible work schedule.
• Referral incentive program.
• Opportunity to work in an agile environment.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

WORK ENVIRONMENT REQUIREMENTS INCLUDE

• 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.

NOTE

Employment may be contingent upon successful completion of a motor vehicle record (MVR) check, where job-related.

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 $120,000 - $135,000. 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. #claims #hybrid #LI-REMOTE

Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.

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 an Equal Opportunity Employer and a Drug-Free Workplace.

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