Commercial Claims Adjuster - Desktop

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Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

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PRIMARY PURPOSE: To analyze mid
- and higher-level general auto claims to determine scope of damages; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Manages comprehensive desktop investigation of assigned claims while meeting company standards and quality, including obtaining all required loss details and relevant information; determining coverage and validity of claims, and communicating with insured and claimants; preparing reports and negotiating settlements
  • Maintains accurate records based on company standards and procedures, using company custom computer systems
  • Identifies the need and co-ordination of task assignments utilizing field adjusters
  • Accurately and efficiently manages the billing for assigned files, within specified timelines
  • Maintains an excellent working relationship with existing clients to further develop business
  • Committed to continuous education to keep up-to-date with all industry and legislative issues and changes
  • Communicates claim action with insureds & clients
  • Ensures claim files are properly documented and claims coding is correct.
  • Maintains professional client relationships.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES
- Performs other duties as assigned.

QUALIFICATIONS

Education & Licensing

  • Post-secondary education; Insurance related
  • Obtained or working towards CIP designation
  • Must be licensed or have the ability to obtain a provisional licenses

Experience

Four (4) years of claims experience or equivalent combination of education and experience required.

Skills & Knowledge

  • Proven adjusting, negotiating skills and analytical skills
  • Excellent interpersonal and communication skills
  • Excellent oral and written communication skills, including presentation skills
  • PC literate, including Microsoft Office products
  • Analytical and interpretive skills
  • Strong organizational skills
  • Excellent interpersonal skills
  • Excellent negotiating skills
  • Ability to create and complete comprehensive, accurate and constructive written reports
  • Ability to work independently or 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.