Claims Examiner - Property

Sedgwick•Telecommuter LA, TX

About The Position

The Claims Examiner analyzes and processes complex or technically difficult personal and commercial property claims valued up to $100,000. The role scopes damages and completes estimates or obtains contractor estimates for review. It also manages claim documentation, litigation processes, vendor coordination, reporting large claims to excess carriers, and communication with insureds, clients, and agents or brokers. The position pursues subrogation opportunities, handles salvage, and develops action plans to meet required contact deadlines and move claims toward prompt and appropriate resolution. Travel may be required.

Requirements

Five years of claims management experience, or an equivalent combination of education and experience.
Knowledge of construction basics.
Experience with property estimating software.
In-depth knowledge of personal and commercial property policies, coverages, principles, and laws.
Knowledge of the appropriate application of deductibles and sub-limits.
Strong oral and written communication skills, including presentation skills.
Computer literacy, including Microsoft Office products.
Strong organizational and interpersonal skills.
Good negotiation skills.
Ability to work in a team environment.
Ability to meet or exceed Performance Competencies.
Licenses as required.

Nice To Haves

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

Responsibilities

Process complex commercial and personal line property claims and ensure claim files are properly documented and coded.
Manage the litigation process for litigated claims.
Coordinate vendor management, including using independent adjusters to assist with claim investigations.
Report large claims to excess carriers.
Develop and maintain action plans to meet state-required contact deadlines and move files toward prompt and appropriate resolution.
Identify and pursue subrogation opportunities; secure and dispose of salvage.
Communicate claim actions and processing with insureds, clients, and agents or brokers when appropriate.
Support the organization's quality programs.
Perform other duties as assigned.
Travel as required.