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. This role handles both personal line and commercial property losses for Insurers, and our National Corporate clients. The position involves managing comprehensive desktop investigation of assigned claims while meeting company standards and quality, including obtaining all required loss details and relevant information; determining coverage and validity of claims, and communicating with insured and claimants; preparing reports and negotiating settlements. It also requires maintaining accurate records based on company standards and procedures, using company custom computer systems, identifying the need and co-ordination of task assignments utilizing field adjusters, and reviewing and interpreting policy wording to confirm and apply coverage of losses. The role also includes accurately and efficiently managing the billing for assigned files, within specified timelines, maintaining an excellent working relationship with existing clients to further develop business, and being committed to continuous education to keep up to date with all industry and legislative issues and changes. The company is committed to inclusive, barrier-free recruitment and selection processes. If contacted for an employment opportunity, please advise Colleague Resources if you require accommodation. Sedgwick is an Equal Opportunity Employer.

Requirements

  • 3 to 5 year experience
  • Proven adjusting, negotiating skills and analytical skills
  • Ability to meet closing ratio with a focus on customer experience and/or NPS
  • Excellent interpersonal and communication skills
  • Advanced computer skills including office, outlook and web-based applications
  • Strong oral and written communication, including presentation skills
  • PC literate, including Microsoft Office products
  • Demonstrated commitment to timely reporting
  • Strong customer service skills
  • Strong interpersonal skills
  • Attention to detail and accuracy
  • Good time management and organizational skills
  • Ability to work independently or in a team environment
  • Ability to meet or exceed Performance Competencies
  • Enrolled in CIP program

Nice To Haves

  • Commercial Property Experience is an asset

Responsibilities

  • Examines insurance policies and other records to determine insurance coverage.
  • Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim.
  • Consults police and hospital records and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance.
  • Estimates cost of repair, replacement, or compensation.
  • Prepares report of findings and negotiates settlement with claimant.
  • Recommends litigation by legal department when settlement cannot be negotiated.
  • Attends litigation hearings.
  • Revises case reserves in assigned claims files to cover probable costs.
  • Assists in preparing loss experience report to help determine profitability and calculates adequate future rates.
  • Performs other duties as assigned.
  • Manages comprehensive desktop investigation of assigned claims while meeting company standards and quality, including obtaining all required loss details and relevant information; determining coverage and validity of claims, and communicating with insured and claimants; preparing reports and negotiating settlements.
  • Maintains accurate records based on company standards and procedures, using company custom computer systems.
  • Identifies the need and co-ordination of task assignments utilizing field adjusters.
  • Reviews and interprets policy wording to confirm and apply coverage of losses.
  • Accurately and efficiently manages the billing for assigned files, within specified timelines.
  • Maintains an excellent working relationship with existing clients to further develop business.
  • Committed to continuous education to keep up to date with all industry and legislative issues and changes.

Benefits

  • Caring culture
  • Work-life balance
  • No limit to what you can achieve
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