Adjuster
About this role
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.
AdjusterPRIMARYPURPOSE A claims adjuster is charged with the investigation, evaluation and quantification of aninsuranceclaim. The adjuster will determine and provide recommendations with respect to coverage, liability and quantum, within the terms of the policy.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Manages/adjustsassigned claims while meeting company standards and quality, including conducting thorough investigations; determining coverage and validity of claims, interviewing and communicating with insured, claimants and witnesses; inspecting claims sitesas required, assigning external vendors as required,recommendations for reserves,preparing reports and negotiating settlementswithin granted authority. Participate in mediation and arbitrations as required. Work with defense counsel as assigned.
Maintains accurate records based on company standards and procedures, using company custom computer systems. Will require the ability to work in external client systems.
Accurately and efficiently manages the billing for assigned files, within specified timelines
Assists with collection of accounts receivables for assigned claims
Assists with local marketing of the branch; attends professional and socialevents anddevelops new businessopportunities.
Maintains an excellent working relationship with existing clients to further develop businessand will participate as required in client file reviews and audits.
Requires a high level of mathematical and reasoning ability to calculate and analyze data to arrive at a logical conclusion
The ability to cope with extreme weather, environmental and driving conditions at any time of day or night.
Committed to continuous education to keep up-to-date with all industry and legislative issues and changesand licensing requirements.
Responsible to ensure reserves, coding and reporting is up to date on claims files assigned.
Assists with local marketing of the branch; attends professional and social events and develops new business opportunities.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
Performs other duties as assigned.
Supports the organization's quality program(s).
QUALIFICATIONS
Education & Licensing
Post-secondary education
Has or is working toward CIP designation
Must be licensed or have the ability to obtain a provisional license
Must possess a valid driver's license
Proven adjusting and negotiating skills
Excellent interpersonal and communication skills, and computer proficiency
Experience
Proven adjusting and negotiating skills
Excellent interpersonal and communication skills, and computer proficiency
Skills & Knowledge
Strong knowledge of insurance, claims or business management
Excellent oral and written communication
PC literate, including Microsoft Office products and Excel
Ability to navigate and work in client required ancillary systems
Ability to work ina remote/home office environment
Analytical and interpretive skills
Strong organizational skills
Excellent interpersonal skills
Excellent negotiation skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies
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.
We are committed to inclusive, barrier-free recruitment and selection processes. If contacted for an employment opportunity, please advise Colleague Resources if you require accommodation.
Sedgwick is an Equal Opportunity Employer
Originally posted on Himalayas