Claims Examiner - Liability (PD / TL ) | Remote
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 Claims Examiner - Liability (PD / TL ) | Remote As an adjuster at Sedgwick, you’ll have the opportunity to take on new challenges and help solve complex problems for the world’s best brands.
- Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
- Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.
- Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
- Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.
- Take advantage of a variety of professional development opportunities that help you perform your best work, grow your career and your profile.
- Enjoy flexibility and autonomy in your daily work, your location, and your career path.
- Build a meaningful career that will take you places with the ability to travel and deploy at a moment’s notice.
- Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
Primary Purpose Of The Role
- To analyze mid-level commercial auto physical damage and total loss claims to determine scope of damages; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.
YOU AN IDEAL CANDIDATE? The idea candidate has a passion for helping others and understands the urgency to provide timely and quality reports to their customers. The ideal candidate also possesses the time management skills necessary to complete tasks in a timely manner, is well organized and has the technical skills of estimating and computer skills to perform the job. Essential Responsiblities May Include
- Receive and review new claims and maintain data integrity in the claims system.
- Conduct claim file activities including evaluations, investigations, litigation management and resolution.
- Review investigative reports, insurance policies and other pertinent records for proper coverage.
- Investigate the cause and extent of the damages, obtain appropriate documentation and issue settlement.
- Determine coverage of claims with proper limits and deductibles in accordance with policy information.
- Prepare settlement documents and requests payment for the claim and expenses.
- Work with external vendors and professionals.
- Interview and correspond with claimant and witnesses regarding claims.
- Estimate cost of repair, replacement or compensation.
- Prepare report findings and negotiate settlements with claimants.
- Recommend litigation by legal department when settlement cannot be negotiated.
- Revise case reserves in assigned claims files to cover probable costs.
- Assist in preparing loss experience report to help determine profitability and calculate adequate future rates.
Qualifications
Bachelor's degree from an accredited college or university preferred but not required. Appropriate state adjuster license is required. TAKING CARE OF YOU
- Wonderful team culture with career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K and PTO.
- Wellness benefits including wellness allowance and life insurance.
- Competitive salary with a rewarding bonus structure.
- Job security and flexibility; potential to work from home once training is completed.
Work Environment
Requirements For Entry-level Opportunities Include – Physical: Computer keyboarding Auditory/visual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.