Claims Adjuster, Auto | Property Damage

SedgwickTelecommuter WI, WI

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. PRIMARY PURPOSE OF THE ROLE: 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.

Requirements

  • Four (4) years of claims management experience or equivalent combination of education and experience required.
  • Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles as applicable to line-of-business
  • Excellent oral and written communication skills, including presentation skills
  • PC literate, including Microsoft Office products
  • Ability to create and complete comprehensive, accurate and constructive written reports
  • Ability to work in a team environment
  • Ability to meet or exceed Performance Competencies
  • Computer keyboarding
  • Hearing, vision and talking
  • Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.
  • Secure and maintain the State adjusting licenses as required for the position.

Nice To Haves

  • Bachelor's degree from an accredited college or university preferred.
  • Professional certification as applicable to line of business preferred.

Responsibilities

  • Manages mid-level and higher-level auto commercial and personal lines claims by gathering information to determine exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.
  • Assesses liability and resolves claims within evaluation.
  • Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
  • Manages subrogation of claims and negotiates settlements.
  • Communicates claim action with claimant and client.
  • Ensures claim files are properly documented and claims coding is correct.
  • Maintains professional client relationships.
  • Performs other duties as assigned.

Benefits

  • Caring culture
  • Work-life balance
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