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Claims Adjuster
3 months 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
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:
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 changesADDITIONAL FUNCTIONS and RESPONSIBILITIES:
Performs other duties as assigned.QUALIFICATIONS:
Education & Licensing
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 Identifies the need and co-ordination of task assignments utilizing field adjusters 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 Enrolled in CIP programExperience
1 to 2 year experience Proven adjusting, negotiating skills and analytical skills Excellent interpersonal and communication skills Advanced computer skills including office, outlook and web based applicationsSkills & Knowledge
1-2 years of auto experience Proven adjusting, negotiating skills and analytical skills Demonstrated passion for customer service Excellent interpersonal and communication skills Excellent oral and written communication skills Advanced computer skills including office, outlook and web based applicationsThe 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(e) en sinistres – Automobile
OBJECTIF PRINCIPAL : Sous la supervision du chef d’équipe, l’expert(e) en sinistres - automobile 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.
FONCTIONS ESSENTIELLES et RESPONSABILITÉS :
Gérer une enquête de bureau complète sur les réclamations qui lui sont confiées tout en respectant les normes de qualité de l’entreprise, y compris l’obtention de tous les détails sur la perte subie et des informations pertinentes, la détermination de la couverture et de la validité des réclamations, la communication avec les assurés et les requérants, la préparation des rapports et la négociation 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. Examiner et interpréter les termes des polices afin de confirmer et de mettre en application la protection pour les pertes subies. Gérer de manière précise et efficace la facturation des dossiers attribués, en fonction des échéanciers établis. Maintenir une excellente relation de travail avec les clients existants, de manière à développer nos affaires. Suivre des cours de formation continue afin d’être au courant des questions et des changements qui touchent le secteur et les lois.AUTRES FONCTIONS et RESPONSABILITÉS :
S’acquitter d’autres fonctions attribuées.QUALIFICATIONS :
Formation et accréditations
Gérer une enquête de bureau complète sur les réclamations qui lui sont confiées tout en respectant les normes de qualité de l’entreprise, y compris l’obtention de tous les détails sur la perte subie et des informations pertinentes, la détermination de la couverture et de la validité des réclamations, la communication avec les assurés et les requérants, la préparation des rapports et la négociation 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. Déterminer le besoin et la méthode de coordination de l’assignation des mandats en collaboration avec les experts route. Examiner et interpréter les termes des polices afin de confirmer et de mettre en application la protection pour les pertes subies. Gérer de manière précise et efficace la facturation des dossiers attribués, en fonction des échéanciers établis. Maintenir une excellente relation de travail avec les clients existants, de manière à développer nos affaires. Suivre des cours de formation continue afin d’être au courant des questions et des changements qui touchent le secteur et les lois. Être inscrit(e) dans un programme de PAAExpérience
1 à 2 ans d’expérience Compétences avérées en matière d’expertise en sinistres, de négociation et d’analyse Excellentes compétences interpersonnelles et de communication Compétences informatiques avancées, y compris avec Office, Outlook et les applications WebCompétences et connaissances
1 à 2 ans d’expérience dans le domaine de l’automobile Compétences avérées en matière d’expertise en sinistres, de négociation et d’analyse Passion évidente pour le service à la clientèle Excellentes compétences interpersonnelles et de communication Excellentes compétences en communication orale et écrite Compétences informatiques avancées, y compris avec Office, Outlook et les applications WebLes déclarations contenues dans ce document sont destinées à décrire la nature générale et le niveau du travail effectué par un(e) collègue affecté(e) à ce poste. Elles ne constituent pas une liste exhaustive de fonctions, de devoirs ou de variantes locales. La direction se réserve le droit d’ajouter ou de modifier à sa discrétion les fonctions du poste en tout temps.
Nous nous sommes engagés à mettre en place des processus de recrutement et de sélection inclusifs et sans obstacles. Si l’on vous contacte pour une offre d’emploi, veuillez communiquer avec les Ressources collègues si vous avez besoin de mesures d’adaptation.
Sedgwick is an Equal Opportunity Employer.
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. Sedgwick retains the discretion to add or to change the duties of the position at any time.
