About This Role
This claims adjuster role involves investigating, evaluating, and quantifying insurance claims. The adjuster determines and provides recommendations regarding coverage, liability, and the amount to be paid, according to policy terms.
Responsibilities
- Manage and process assigned claims while adhering to company quality standards, including conducting thorough investigations, determining coverage and claim validity, interviewing and communicating with policyholders, claimants, and witnesses, inspecting affected sites as needed, engaging external providers as needed, making recommendations for provisions, preparing reports, and negotiating settlements within granted authority
- Participate in mediations and arbitrations as required
- Collaborate with defense attorneys as needed
- Maintain accurate records in compliance with company standards and procedures, using specialized company IT systems
- Work within external client systems
- Accurately and efficiently manage billing for assigned files, according to established timelines
- Assist in accounts receivable recovery for assigned claims
- Participate in local branch marketing efforts, attend professional and social events, and develop new business opportunities
- Maintain excellent working relationships with existing clients to develop business and, where applicable, participate in client file reviews and audits
- Demonstrate a high level of reasoning and mathematical proficiency to calculate and analyze data and reach a logical conclusion
- Cope with extreme weather, environmental, and driving conditions, at any time of day or night
- Attend continuing education courses to stay current on industry issues and changes, laws, and applicable licensing requirements
- Ensure provisions, coding, and reports are up-to-date for assigned files
- Perform other assigned duties
- Take charge of the organization's quality program(s)
Requirements
- Post-secondary education
- Obtained or working towards a PAA designation
- License or ability to obtain a provisional license
- Valid driver's license
- Demonstrated claims adjusting and negotiation skills
- Excellent interpersonal and communication skills
- Computer proficiency, including Microsoft Office products and Excel
- Ability to navigate and work in auxiliary systems required by clients
About the Company
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.
