General Liability / Casualty Adjuster

Sedgwick

110d

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 this position is to manage a caseload of basic to highly complex liability claims within the granted authority level, including related financial implications. The role involves ensuring ongoing adjudication of claims within company standards and industry best practices, identifying subrogation of claims, and negotiating settlements.

Requirements

• Bachelor's degree from an accredited college or university preferred.
• State adjuster licenses required.
• Six (6) years of related experience and/or training or equivalent combination of education and experience required.
• Thorough legal and jurisdictional knowledge based on line of business.
• Strong oral and written communication, including presentation skills.
• PC literate, including Microsoft Office products.
• Analytical and interpretive skills.
• Strong organizational skills.
• Excellent interpersonal skills.
• Strong customer service skills.
• Ability to work in a team environment.
• Ability to meet or exceed Performance Competencies.

Responsibilities

• Utilizes special account instructions to obtain individual customer information and adhere to instructions.
• Identifies, initiates, and coordinates various specialized services such as subrogation, fraud evaluation, or case management review to resolve claims.
• Establishes and maintains effective relationships with internal and external customers and coworkers; communicates effectively and timely.
• Mentors/coaches account representatives and account specialists; facilitates round table discussions within the assigned team.
• Investigates, evaluates, and resolves claims; identifies potential problems/trends in claim files and takes corrective action or makes corrective recommendations.
• Interprets medical reports and state law or jurisdictional law in claim handling.
• Applies jurisdictional and medical knowledge to properly assess the indemnity, medical, and expense exposure of assigned claims and appropriately interprets and applies insurance coverage.
• Reviews client files and collaborates with team to prepare information which includes thorough analysis of file strategies, claims status, and emerging trends.
• Proactively manages litigation in conjunction with client requirements; works constructively with client and legal representatives to resolve claims.
• Ensures compliance and best possible outcomes by minimizing financial liability.
• Compiles requirements in order to prevent penalties and fines; utilizes instructions and tools provided to ensure that all state required documentation is issued accurately and in a timely manner.
• Monitors reports as assigned and documents compliance with key jurisdictional requirements.
• Assists Team Lead in tracking completion of team’s tasks and projects.
• Reviews SAS/SOX documents and submits in a timely manner.
• Assists with takeover and reverse takeover projects ensuring that claim files are transferred and handled appropriately.
• Performs other duties as assigned.
• Supports the organization's quality program(s).

What This Job Offers

• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees