Claims Adjuster-Auto

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.

Claims Adjuster-Auto PRIMARY PURPOSE: Reporting to the Team Leader, the Claims Adjuster, Auto is responsible for providing a consistently high level of service by investigating insurance claims for insurers or third parties and negotiating settlement of the claims to the satisfaction of all parties.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES:

• Must be familiar with reviewing coverage analysis.

• 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

• 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

• Identifies the need and co-ordination of task assignments utilizing field adjusters

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ADDITIONAL FUNCTIONS and RESPONSIBILITIES: Performs other duties as assigned.

QUALIFICATIONS:

• Education & Licensing: Licensed in local province

• Obtain license in local province or other provinces combination within 6 months of hire date

• 4-Year college degree or equivalent or relative claim experience or 2-year associate’s degree in related field

• Enrolled in CIP or completed CIP Designation Licensed in local province.

Experience:

• Success as Sedgwick trainee or prior TPA/Field and/or carrier experience1–3-year claims handling experience.

Skills & Knowledge:

• Proven adjusting, negotiating skills and analytical skills

• Excellent interpersonal and communication skills

• Advanced computer skills including office, outlook and web based applications

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.

Where applicable, Sedgwick uses artificial intelligence tools to assist in the screening, assessment, or selection of candidates. These tools are subject to periodic review.

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.

Originally posted on Himalayas