Claims Examiner - Property/Auto
Recruiting Only - Telecommuter
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. Itās an opportunity to do something meaningful, each and every day. Itās 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.Ā
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 youāre someone who cares, thereās a place for you here. Join us and contribute to Sedgwick being a great place to work.
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PRIMARY PURPOSE: To analyze and process complex or technically difficult (up to $100,000) personal and commercial line property claims by scoping damages and completing an estimate or by obtaining a contractor's estimate for review.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
- Processes complex commercial and personal line property claims and ensures claim files are properly documented and coded correctly.
- Responsible for litigation process on litigated claims.
- Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims.
- Reports large claims to excess carrier(s),
- Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution.
- Identifies and pursues subrogation opportunities; secures and disposes of salvage.
- Communicates claim action/processing with insured, client, and agent or broker when appropriate.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
- Performs other duties as assigned.
- Supports the organization's quality program(s).
- Travels as required.
QUALIFICATIONS
Education & Licensing
Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Licenses as required.
Experience
Five (5) years of claims management experience or equivalent combination of education and experience required to include knowledge of construction basics, property estimating software experience and in-depth knowledge of personal and commercial lines property policies, coverages, principles, and laws.
Skills & Knowledge
- In-depth knowledge of personal and commercial line property policies, coverages, principles, and ā¦
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RestrictionsTelecommuter
Benefits/Perks401k and matching Career growth Comprehensive benefits Comprehensive benefits package Dental Disability Employee assistance Flexibility Flexible Spending Health savings account Inclusive environment Life Insurance Medical PTO Support for mental and physical needs Vision
Tasks- Communicate with stakeholders
- Travel as required
Analysis Claims management Communication Disability Discretion Flexibility Interpersonal Investigation Litigation Management Microsoft Office Microsoft Office products Negotiation Organizational PC literate Performance competencies Presentation Problem-solving Subrogation Teamwork Troubleshooting Vendor Management Written communication
Experience5 years
Education Certifications