Claims Examiner - Property
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®
Most Loved Workplace®
Forbes Best-in-State Employer
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 laws
- Knowledge of construction basics and property estimating software
- Knowledge of appropriate application of deductibles and sub-limits
- Strong oral and written communication, including presentation skills
- PC literate, including Microsoft Office products
- Strong organizational skills
- Strong interpersonal skills
- Good negotiation skills
- 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: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
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.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
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At Sedgwick, we're all about taking care of people, starting with you as our new Claims Examiner - Property. If you're a detail-oriented individual with a passion for helping others, this telecommuting position in LA could be the perfect fit. In this role, you’ll take the lead in analyzing and processing complex personal and commercial property claims, addressing everything from scoping damages to coordinating with contractors. Picture yourself contributing to a culture that values flexibility and support for your mental, physical, financial, and professional well-being. We're proud to be recognized as a Great Place to Work® and Most Loved Workplace®, and we believe that when you thrive, our entire team thrives. Your responsibilities will include managing litigation processes and communicating effectively with clients and brokers. You'll need a solid foundation in property policies, construction basics, and the use of estimating software. If you're ready to make a meaningful impact every day and grow your career in an inclusive environment, we would love to have you join us. Don’t worry if you don’t meet every qualification; we celebrate diversity, and your unique skill set could be exactly what we need!
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Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain hea...
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