Adjuster- Lifestyle Claims

Sedgwick

129d•Remote

About The Position

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. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Adjuster- Lifestyle Claims PRIMARY PURPOSE A Multi-Lines 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.

Requirements

Post-secondary education
Has or is working toward CIP designation
Must be licensed or have the ability to obtain a provisional license
Proven adjusting and negotiating skills
Excellent interpersonal and communication skills, and computer proficiency
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
Strong interpersonal skills allowing you to effectively deal with conflict and difficult situations

Nice To Haves

Commercial and condo claim experience is an asset

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;, assigning external vendors as required, recommendations for reserves, preparing reports and negotiating settlements within granted authority.
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
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 .
Committed to continuous education to keep up-to-date with all industry and legislative issues and changes and licensing requirements.
Responsible for ensuring reserves, coding and reporting are up to date on claims files assigned.
Positively impact customer experience by focusing on achieving positive Net Promoter Score
Identifies the need and co-ordination of task assignments utilizing field adjusters
Reviews and interprets policy wording to confirm and apply coverage of losses
Performs other duties as assigned.
Supports the organization's quality program(s).