Casualty Claims Specialist

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.

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PRIMARY PURPOSE: To investigate claims against insurance or other companies for personal, casualty, or property loss or damages; attempts to effect out-of-court settlement with claimant.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Examines claim forms and other records to determine insurance coverage.
• Interviews, telephones, or corresponds with claimant and witnesses; consults police and hospital records; and inspects property damage to determine extent of company's liability, varying method of investigation according to type of insurance.
• Prepares report of findings and negotiates settlement with claimant.
• Recommends litigation by legal department when settlement cannot be negotiated.
• Attends litigation hearings.
• Revises case reserves in assigned claims files to cover probably costs.
• Assists in preparing loss experience report to help determine profitability and calculates adequate future rates.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.
• Supports the organizations quality program(s).

QUALIFICATIONS

Education & Licensing
High School diploma or GED required.

Experience
Six (6) years of general office experience or equivalent combination of education and experience required. Claims industry experience preferred.

Skills & Knowledge

• Knowledge of professional liability claims
• Ability to review information and ensure accuracy and applicable policy placement
• Oral and written communication skills
• PC literate, including Microsoft Office products
• Attention to detail and accuracy
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: …