Adjuster TFS

PRIMARYPURPOSE A claims adjuster is charged with the investigation,evaluationand quantification of aninsuranceclaim.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,claimantsand witnesses; inspecting claims sitesasrequired, assigning external vendors asrequired,recommendations for reserves,preparing reports and negotiating settlementswithin granted authority. Participate in mediation andarbitrationsas required. Work with defense counsel as assigned.

• 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

• Assistswith collection of accounts receivables for assigned claims

• Assistswith local marketing of the branch; attends professional and socialevents anddevelops new businessopportunities.

• 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

• The ability to cope with extreme weather, environmental and driving conditions at any time of day or night.

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

• Responsible to ensure reserves, coding and reportingisup to date on claims files assigned.

• Assistswith local marketing of the branch; attends professional and social events and develops new business opportunities. 

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 provisional license

• Mustpossessa valid driver's license

• Proven adjusting and negotiating skills

• Excellent interpersonal and communication skills, and computerproficiency

Experience

• Proven adjusting and negotiating skills

• Excellent interpersonal and communication skills, and computerproficiency

Skills & Knowledge

• Strong knowledge of insurance,claimsor business management

• Excellent oral and written communication

• PC literate, including Microsoft Office products and Excel

• Ability to navigate and work in clientrequiredancillary systems

• Ability to work ina 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

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. Managementretainsthe discretion to add or to change the duties of the position at any time.

We are committed to inclusive, barrier-free recruitment and selection processes.Ifcontacted for an employment opportunity, pleaseadviseColleague Resources if you require accommodation.

Sedgwick is an Equal Opportunity Employer