Claims Adjuster Workers Compensation
About The Position
As an adjuster at Sedgwick, you’ll have the opportunity to take on new challenges and help solve complex problems for the world’s best brands. Apply your adjuster knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights. Take advantage of a variety of professional development opportunities that help you perform your best work, grow your career and your profile. Enjoy flexibility and autonomy in your daily work, your location, and your career path. Build a meaningful career that will take you places with the ability to travel and deploy at a moment’s notice. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. PRIMARY PURPOSE OF THE ROLE To provide clients with professional care handling losses or claims regionally unassisted with the ability to address most complex adjustment issues pertaining to damages and coverage and to assist on large losses with the ability to manage smaller and non-complex claims To handle losses and claims for the property and casualty insurers.
Requirements
- Appropriate state adjuster license is required.
Nice To Haves
- Bachelor's degree from an accredited college or university preferred but not required.
- Passion for helping others and understands the urgency to provide timely and quality reports to their customers.
- Time management skills necessary to complete tasks in a timely manner.
- Well organized.
- Technical skills of estimating and computer skills to perform the job.
Responsibilities
- Receive and review new claims and maintain data integrity in the claims system.
- Conduct claim file activities including evaluations, investigations, litigation management and resolution.
- Review investigative reports, insurance policies and other pertinent records for proper coverage.
- Investigate the cause and extent of the damages, obtain appropriate documentation and issue settlement.
- Determine coverage of claims with proper limits and deductibles in accordance with policy information.
- Prepare settlement documents and requests payment for the claim and expenses.
- Work with external vendors and professionals.
- Interview and correspond with claimant and witnesses regarding claims.
- Estimate cost of repair, replacement or compensation.
- Prepare report findings and negotiate settlements with claimants.
- Recommend litigation by legal department when settlement cannot be negotiated.
- Revise case reserves in assigned claims files to cover probable costs.
- Assist in preparing loss experience report to help determine profitability and calculate adequate future rates.
Benefits
- medical
- dental
- vision
- 401k and matching
- PTO
- disability and life insurance
- employee assistance
- flexible spending or health savings account
- other additional voluntary benefits
- career development and promotional growth opportunities
- wellness benefits including wellness allowance and life insurance
- rewarding bonus structure
- Job security and flexibility; potential to work from home once training is completed.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
