Claims Adjuster- Liability

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Claims Adjuster- Liability

PRIMARYPURPOSE A claims adjuster is charged with the investigation,evaluationand quantification of aninsuranceclaim.The adjuster willdetermineand provide recommendations with respect to coverage,liabilityand 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 andarbitrationsas required. Work with defense counsel as assigned.

• Maintainsaccuraterecords 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

• Assistswith collection of accounts receivables for assigned claims

• Assistswith local marketing of the branch; attends professional and socialevents anddevelops new businessopportunities.

• Maintains an excellent working relationship with existing clients to further develop businessand willparticipateasrequiredin client file reviews and audits.

• Requiresa high levelof 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 keepup-to-datewith all industry and legislative issues and changesand licensing requirements.

• Responsible to ensure reserves, coding and reportingisup to date on claims files assigned.

• Assistswith 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 orhave the ability toobtain a provisional license

• Mustpossessa valid driver's license

• Proven adjusting and negotiating skills

• Excellent interpersonal and communication skills, and computerproficiency

Experience

• Proven adjusting and negotiating skills

• Excellent interpersonal and communication skills, and computerproficiency

Skills & Knowledge

• Strong knowledge of insurance,claimsor business management

• Excellent oral and written communication

• PC literate, including Microsoft Office products and Excel

• Ability to navigate and work in clientrequiredancillary 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. Managementretainsthe 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.Ifcontacted for an employment opportunity, pleaseadviseColleague Resources if you require accommodation.

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 local variances. Sedgwick retains the discretion to add or to change the duties of the position at any time.