Claims Adjuster

2 weeks ago

Montreal, Quebec, Canada Sedgwick Full time

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague.

A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.


A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve.

If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here.

Join us and contribute to Sedgwick being a great place to work.

Great Place to Work

Top 100 Most Loved Workplace

Forbes Best-in-State Employer

Claims Adjuster - Property / Expert(e) en sinistres - Assurance de biens

PRIMARY PURPOSE:
To handle losses and claims for property and casualty insurers.

ESSENTIAL FUNCTIONS and 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.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES

  • Performs other duties as assigned.
  • Supports the organization's quality program(s).
  • Travels as required.

QUALIFICATIONS
Education & Licensing

Bachelor's degree from an accredited college or university preferred. Obtain IIA-AIC designation within 12 to 18 months. Appropriate state adjuster license is required.

Experience

  • 1 to 2 year experience
  • Proven adjusting, negotiating skills and analytical skills
  • Excellent interpersonal and communication skills
Skills & Knowledge

  • 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


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.

claimsexaminer

OBJECTIF PRINCIPAL :
Traiter les pertes et les réclamations pour les assureurs de biens et de risques divers.

FONCTIONS ESSENTIELLES et RESPONSABILITÉS

  • Examiner les polices d'assurance et autres documents pour déterminer la couverture d'assurance.
  • Interviewer, téléphoner et/ou correspondre avec le requérant et les témoins concernant la réclamation.
  • Consulter les dossiers de la police et des hôpitaux et inspecter les dommages matériels pour déterminer l'étendue de la responsabilité de la compagnie et les différentes méthodes d'enquête selon le type d'assurance.
  • Estimer le coût de la réparation, du remplacement ou de l'indemnisation.
- Élaborer un rapport présentant les conclusions et négocier un règlement avec le requérant.

  • Recommander l'introduction d'un litige par le service juridique lorsqu'un règlement ne peut être négocié.
  • Assister aux audiences sur le litige.
  • Réviser les provisions du dossier pour les réclamations attribuées, afin de couvrir les coûts probables.
  • Aider à l'élaboration du rapport d'expérience de perte afin de déterminer la rentabilité et de calculer les taux futurs correspondants.
AUTRES FONCTIONS et RESPONSABILITÉS

  • S'acquitter d'autres fonctions attribuées.
  • Prendre en charge le(s) programme(s) de qualité de l'organisation.
  • Voyager vers d'autres régions selon les besoins.

QUALIFICATIONS
Formation et accréditations

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