Complex Casualty Adjuster

Sedgwick

119d • 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. The primary purpose of the Complex Casualty Adjuster is to handle complex, technically challenging claims on automobile, homeowner, and excess liability policies. This role involves adjusting claims with complex coverage issues involving liability, damages, evidence, or other complex legal issues, while providing an exceptional customer experience.

Requirements

• Bachelor's degree from an accredited college or university preferred.
• State mandated adjusting licenses as required.
• Insurance designations such as CPCU, AIC, ARM preferred.
• Eight (8) years of related experience to include experience in personal lines claims, evaluating coverage and drafting coverage letters to include both reservation of rights and coverage denials, or equivalent combination of education and experience required.
• Experience with commercial lines claims and litigation in multiple states preferred.

Nice To Haves

• Exposure to and knowledge of affluent market segment.
• Strong knowledge of tort theories, legal concepts, negotiation strategies, and litigation management.
• Excellent oral and written communication skills, including presentation skills.
• PC literate, including Microsoft Office products.
• Analytical and interpretive skills.
• Strong organizational skills.
• Excellent interpersonal skills.
• Excellent negotiating skills.
• 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.

Responsibilities

• Adjusts claims that arise on Automobile, Homeowner and Excess Liability policies.
• Develops exposures and evaluates injury claims based on damages, the insurance contract, company policies, and applicable state laws.
• Investigates and evaluates coverage, liability and damages in handling of claims involving serious and catastrophic injuries, coverage, and other legal issues.
• Ensures timely referral of suits to counsel and evaluates changes in exposure through the course of discovery, considering costs and strategic plan of actions to prepare for trial or determine settlement capability.
• Responsible for managing defense counsel in litigation of serious and complex claims.
• Formulates effective plans to bring the claims to resolution while focusing on indemnity and expense leakage.
• Evaluates coverage and drafts coverage letters to include both reservation of rights and coverage denials.
• Maintains proper reserves on all pending claims.
• Performs other duties as assigned.
• Travel as required.

What This Job Offers

• Job Type: Full-time
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree