Claims Adjuster- Liability

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Claims Adjuster- Liability

PRIMARY PURPOSE A claims adjuster is charged with the investigation, evaluation and quantification of an insurance claim. The adjuster will determine and provide recommendations with respect to coverage, liability and quantum, within the terms of the policy.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

Manages/adjusts assigned claims while meeting company standards and quality, including conducting thorough investigations; determining coverage and validity of claims, interviewing and communicating with insured, claimants and witnesses; inspecting claims sites as required, assigning external vendors as required, recommendations for reserves, preparing reports and negotiating settlements within granted authority. Participate in mediation and arbitrations as required. Work with defense counsel as assigned.

Maintains accurate records based on company standards and procedures, using company custom computer systems. Will require the ability to work in external client systems.

Accurately and efficiently manages the billing for assigned files, within specified timelines

Assists with collection of accounts receivables for assigned claims

Assists with local marketing of the branch; attends professional and social events and develops new business opportunities.

Maintains an excellent working relationship with existing clients to further develop business and will participate as required in client file reviews and audits.

Requires a high level of mathematical and reasoning ability to calculate and analyze data to arrive at a logical conclusion

The ability to cope with extreme weather, environmental and driving conditions at any time of day or night.

Committed to continuous education to keep up-to-date with all industry and legislative issues and changes and licensing requirements.

Responsible to ensure reserves, coding and reporting is up to date on claims files assigned.

Assists with local marketing of the branch; attends professional and social events and develops new business opportunities.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

Performs other duties as assigned.

Supports the organization's quality program(s).

QUALIFICATIONS

Education & Licensing

Post-secondary education

Has or is working toward CIP designation

Must be licensed or have the ability to obtain a provisional license

Must possess a valid driver's license

Proven adjusting and negotiating skills

Excellent interpersonal and communication skills, and computer proficiency

Experience

Proven adjusting and negotiating skills

Excellent interpersonal and communication skills, and computer proficiency

Skills & Knowledge

Strong knowledge of insurance, claims or business management

Excellent oral and written communication

PC literate, including Microsoft Office products and Excel

Ability to navigate and work in client required ancillary systems

Ability to work in a remote/home office environment

Analytical and interpretive skills

Strong organizational skills

Excellent interpersonal skills

Excellent negotiation skills

Ability to work in a team environment

Ability to meet or exceed Performance Competencies

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

We are 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

Sedgwick is an Equal Opportunity Employer.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Sedgwick retains the discretion to add or to change the duties of the position at any time.