Adjuster- Lifestyle Claims

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.

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PRIMARYPURPOSE A Multi-Linesclaims adjuster is charged with the investigation,evaluationand quantification of an insuranceclaim . The adjuster willdetermineand provide recommendations with respect to coverage,liabilityand quantum, within the terms of the policy.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

Manages/adjustsassigned claims while meeting company standards and quality, including conducting thorough investigations;determiningcoverage and validity of claims,interviewingand communicating with insured,claimantsandwitnesses;,assigning external vendors asrequired,recommendations for reserves,preparing reports and negotiating settlementswithin granted authority.

Maintainsaccuraterecords based on company standards and procedures, using company custom computer systems. Will require the ability to work in external client systems.

Accurately and efficiently manages the billing for assigned files, within specified timelines

Maintains an excellent working relationship with existing clients to further develop businessand willparticipateasrequiredin client file reviews and audits.

Requiresa high levelof mathematical and reasoning ability to calculate and analyze data to arrive at a logical conclusion

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Committed to continuous education to keepup-to-datewith all industry and legislative issues and changesand licensing requirements.

Responsiblefor ensuringreserves, coding and reportingareup to date on claims files assigned.

Positivelyimpactcustomer experience by focusing on achieving positive Net Promoter Score

Identifiesthe need and co-ordination of task assignmentsutilizingfieldadjusters

Reviews and interprets policy wording to confirm and apply coverage oflosses

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

Performs other duties as assigned.

Supports the organization's quality program(s).

QUALIFICATIONS

Education & Licensing

Post-secondary education

Has or is working toward CIP designation

Must be licensed orhave the ability toobtain a provisionallicense

Proven adjusting and negotiatingskills

Excellent interpersonal and communication skills, and computerproficiency

Experience

Proven adjusting and negotiating skills

Excellent interpersonal and communication skills, and comp