Claims Examiner - Property

Sedgwick•Telecommuter LA, LA

3d•Onsite

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: To analyze and process complex or technically difficult (up to $100,000) personal and commercial line property claims by scoping damages and completing an estimate or by obtaining a contractor's estimate for review. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Processes complex commercial and personal line property claims and ensures claim files are properly documented and coded correctly. Responsible for litigation process on litigated claims. Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims. Reports large claims to excess carrier(s), Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution. Identifies and pursues subrogation opportunities; secures and disposes of salvage. Communicates claim action/processing with insured, client, and agent or broker when appropriate. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as required.

Requirements

Five (5) years of claims management experience or equivalent combination of education and experience required to include knowledge of construction basics, property estimating software experience and in-depth knowledge of personal and commercial lines property policies, coverages, principles, and laws.
In-depth knowledge of personal and commercial line property policies, coverages, principles, and laws
Knowledge of construction basics and property estimating software
Knowledge of appropriate application of deductibles and sub-limits
Strong oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Strong organizational skills
Strong interpersonal skills
Good negotiation skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies

Nice To Haves

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

Responsibilities

Processes complex commercial and personal line property claims and ensures claim files are properly documented and coded correctly.
Responsible for litigation process on litigated claims.
Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims.
Reports large claims to excess carrier(s).
Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution.
Identifies and pursues subrogation opportunities; secures and disposes of salvage.
Communicates claim action/processing with insured, client, and agent or broker when appropriate.
Performs other duties as assigned.
Supports the organization's quality program(s).
Travels as required.