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Insurance Claims Specialist

2 months ago

Fall River, Massachusetts, United States Sedgwick Full time

At Sedgwick, we prioritize the well-being of our employees, fostering a culture that values care and support. Joining our team means embracing a flexible work environment that allows you to balance your professional and personal life. It’s an opportunity to engage in meaningful work that positively impacts individuals and organizations alike. We are committed to supporting your mental, physical, financial, and professional growth, ensuring you have the resources to succeed.

A career with Sedgwick aligns passion with purpose, enabling you to make a significant difference in the lives of those we serve. If you are motivated to create positive change, enjoy tackling challenges, and genuinely care about others, you will find a rewarding place within our organization.

Recognized as a Great Place to Work and a Most Loved Workplace, Sedgwick is also honored as a Forbes Best-in-State Employer.

Position Overview:
As an Insurance Claims Specialist, your primary responsibility will be to evaluate and manage auto and transportation claims at a low to mid-level complexity.

Key Responsibilities:

  • Process auto property damage claims and lower-level injury claims, ensuring accurate documentation and coding in accordance with policy guidelines.
  • Develop and implement action plans to meet state-mandated deadlines while facilitating timely and appropriate claim resolutions.
  • Identify and pursue subrogation opportunities, managing salvage processes effectively.
  • Maintain clear communication regarding claim status with insured parties, clients, and agents or brokers as necessary.
  • Uphold professional relationships with clients.
  • Conduct thorough coverage, liability, and damage assessments for all assigned claims.

Additional Responsibilities:

  • Perform other assigned duties as required.
  • Contribute to the organization’s quality initiatives.
  • Travel as necessary for the role.

Qualifications:

Education & Licensing:
A Bachelor’s degree from an accredited institution is preferred but not mandatory. Candidates must secure and maintain the necessary state adjusting licenses for the position, with a current home state license being advantageous.

Skills & Knowledge:

  • Understanding of personal and commercial insurance policies and endorsements.
  • Ability to evaluate Property Damage estimates and negotiate claims effectively.
  • Familiarity with total loss processing and state salvage requirements.
  • Strong oral and written communication skills, including the ability to present information clearly.
  • Proficient in Microsoft Office and other relevant software.
  • Excellent analytical and interpretive abilities.
  • Strong organizational and interpersonal skills.
  • Capacity to work collaboratively within a team.
  • Commitment to meeting or exceeding service expectations.

Work Environment:
Reasonable accommodations will be considered when applicable and appropriate.

Mental Demands:
This role requires clear and conceptual thinking, excellent judgment, problem-solving skills, and the ability to manage work-related stress while handling multiple priorities and meeting deadlines.

Physical Demands:
Responsibilities include computer keyboarding and travel as required.

Auditory/Visual Demands:
The role necessitates good hearing, vision, and verbal communication abilities.

Note:
A background credit check is required for this position.

Pay Transparency:
Sedgwick provides a reasonable compensation range for roles in jurisdictions requiring pay transparency. Actual compensation will depend on various factors, including skills, experience, and location. A comprehensive benefits package is available, including medical, dental, vision, 401k matching, PTO, disability and life insurance, employee assistance programs, and additional voluntary benefits.

Sedgwick is an Equal Opportunity Employer and maintains a Drug-Free Workplace.

If you are enthusiastic about this opportunity but your experience does not align perfectly with every qualification, we encourage you to apply. Sedgwick values diversity and recognizes that each individual brings a unique set of skills and experiences.