Claims Adjuster
4 weeks ago
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
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
None.
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.
Expert en sinistre
Sous la supervision du Vice-Président Québec, l’expert(e) en sinistres doit fournir un niveau de service élevé et constant en faisant enquête sur les réclamations des assureurs ou des tiers et en négociant le règlement des réclamations d’une manière satisfaisante pour toutes les parties.
PRINCIPALES TÂCHES ET RESPONSABILITÉS
- Gérer les réclamations attribuées tout en respectant les normes de qualité de l’entreprise, notamment en menant des enquêtes approfondies, en déterminant la couverture et la validité des réclamations, en interrogeant et en communiquant avec les assurés, les requérants et les témoins, en inspectant les sites touchés, en élaborant des rapports et en négociant des règlements.
- Maintenir des dossiers exacts en conformité avec les normes et les procédures de l’entreprise, au moyen des systèmes informatiques spécialisés de l’entreprise.
- Gérer de manière précise et efficace la facturation des dossiers attribués, en fonction des échéanciers établis.
- Aider au recouvrement des comptes débiteurs pour les réclamations attribuées.
- Participer aux efforts de marketing locaux de la succursale, assister à des événements professionnels et sociaux, et développer de nouvelles affaires.
- Maintenir une excellente relation de travail avec les clients existants, de manière à développer nos affaires.
- Démontrer un haut niveau de raisonnement et de compétence en mathématiques pour pouvoir calculer et analyser des données et parvenir à une conclusion logique.
- Suivre des cours de formation continue afin d’être au courant des questions et des changements qui touchent le
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