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.

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Claims Adjuster- Liability

PRIMARY PURPOSE A claims adjuster is charged with the investigation, evaluation and quantification of an insurance claim.  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/adjusts assigned 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 sites as required, assigning external vendors as required, recommendations for reserves, preparing reports and negotiating settlements within 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 social events and develops new business opportunities.  

Maintains an excellent working relationship with existing clients to further develop business and 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 changes and 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 in a 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 

Sedgwick is an Equal Opportunity Employer.

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 l