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Sedgwick
Telecommute, Canada
(on-site)
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Adjuster- Lifestyle Claims
The insights provided are generated by AI and may contain inaccuracies. Please independently verify any critical information before relying on it.
Adjuster- Lifestyle Claims
The insights provided are generated by AI and may contain inaccuracies. Please independently verify any critical information before relying on it.
Description
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
Adjuster- Lifestyle Claims
PRIMARY PURPOSE A Multi-Lines claims adjuster is charged with the investigation, evaluation and quantification of an insurance claim. The adjuster will determine and provide recommendations with respect to coverage, liability and quantum, within the terms of the policy.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
- Manages/adjusts assigned claims while meeting company standards and quality, including conducting thorough investigations; determining coverage and validity of claims, interviewing and communicating with insured, claimants and witnesses;, assigning external vendors as required, recommendations for reserves, preparing reports and negotiating settlements within granted authority.
- Maintains accurate records 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 business and will participate as required in client file reviews and audits.
- Requires a high level of mathematical and reasoning ability to calculate and analyze data to arrive at a logical conclusion
- .
- Committed to continuous education to keep up-to-date with all industry and legislative issues and changes and licensing requirements.
- Responsible for ensuring reserves, coding and reporting are up to date on claims files assigned.
- Positively impact customer experience by focusing on achieving positive Net Promoter Score
- Identifies the need and co-ordination of task assignments utilizing field adjusters
- Reviews and interprets policy wording to confirm and apply coverage of losses
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 or have the ability to obtain a provisional license
- Proven adjusting and negotiating skills
- Excellent interpersonal and communication skills, and computer proficiency
Experience
- Proven adjusting and negotiating skills
- Excellent interpersonal and communication skills, and computer proficiency
- Commercial and condo claim experience is an asset
Skills & Knowledge
- Strong knowledge of insurance, claims or business management
- Excellent oral and written communication
- PC literate, including Microsoft Office products and Excel
- Ability to navigate and work in client required ancillary systems
- Ability to work in a remote/home office environment
- Analytical and interpretive skills
- Strong organizational skills
- Excellent interpersonal skills
- Excellent negotiation skills
- Ability to work in a team environment
- Ability to meet or exceed Performance Competencies
- Strong interpersonal skills allowing you to effectively deal with conflict and difficult situations
Job type:
We are currently hiring for this position.
Compensation Information:
Salary Range: $50,000 - $70,000 CAD annually
This position is full time and compensation is salaried. Compensation is determined based on experience, qualifications, and internal equity. Sedgwick is committed to transparent and equitable pay practices.
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.
Where applicable, Sedgwick uses artificial intelligence tools to assist in the screening, assessment, or selection of candidates. These tools are subject to periodic review.
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.
Sedgwick is an Equal Opportunity Employer
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.
Job ID: 83159883
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