Desk Adjuster

Sedgwick Claims Management Services, Inc.

TX

JOB DETAILS
SKILLS
Analysis Skills, Auditory, Automation, Claims Processing, Communication Skills, Computer Skills, Consulting, Cost Estimates, Documentation, Financial Services, Hospital, Identify Issues, Institute of Internal Auditors (IIA), Insurance, Insurance Claims, Interpersonal Skills, Leadership, Licensing, Litigation, Litigation Settlement, Microsoft Office, Microsoft Product Family, Multitasking, Negotiation Skills, Organizational Skills, Police Records, Policy Evaluation, Problem Solving Skills, Regulations, Reporting Skills, Subrogation, Team Player, Time Management, Willing to Travel
LOCATION
TX
POSTED
30+ days ago

By joining Sedgwick, youll be part of something truly meaningful. Its 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, theres no limit to what you can achieve.

Newsweek Recognizes Sedgwick as Americas Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance

Desk Adjuster

PRIMARY PURPOSE: Handles losses and claims valued up to $15,000 for property and casualty insurers through the thorough examination of documents, records, loss reports, and other relevant documentation. Efficiently manages a case load using technology for efficient claim processing.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Evaluates insurance policies, claims forms, policies, endorsements, carrier instructions, and other records to determine insurance coverage.
  • Conducts thorough investigations, gathers official reports as needed, consults police and hospital records and inspects physical damage or written estimates for damages based on a conducted inspection to determine extent of companys liability and varying methods of investigation, according to type of insurance.
  • Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim.
  • Estimates cost of repair, replacement, or compensation.
  • Prepares report of findings and negotiates claim settlements by adhering to carrier instructions and obtaining necessary information. Issues settlement checks, files regulatory documents, and handles salvage and subrogation as applicable.
  • Recommends litigation by legal department when settlement cannot be negotiated.
  • Attends litigation hearings and participates in depositions as necessary.
  • Revises case reserves in assigned claims files to cover probable costs.
  • Maintains an expected caseload efficiently.
  • Utilizes technology and automation tools for efficient claim handling.
  • Sends claims exceeding $15,000 gross loss amount to leadership for authority approval.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

  • Performs other duties as assigned.

QUALIFICATIONS

Education & Licensing

  • Bachelors degree from an accredited college or university preferred.
  • Must obtain IIA-AIC designation within 12 to 18 months in the role.
  • Appropriate state adjuster license is required.

Experience

  • Three (3) year of related experience or equivalent combination of education and experience required.
  • Prior experience handling property and casualty claims a plus but not required.

Skills & Knowledge

  • Empathetic claims handling demeanor
  • Strong communication, analytical, organizational, and interpersonal skills
  • PC literate, including Microsoft Office products
  • Analytical and interpretive skills
  • Negotiating skills
  • Ability to create and complete comprehensive, accurate and constructive written reports
  • 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 youre excited about this role but your experience doesnt 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.

About the Company

S

Sedgwick Claims Management Services, Inc.

Sedgwick Claims Management Services, Inc., is a leading global provider of technology-enabled risk and benefits solutions. At Sedgwick, caring countsSM; the company takes care of people and organizations by delivering cost-effective claims, productivity, managed care, risk consulting and other services through the dedication and expertise of nearly 15,000 colleagues in some 275 offices located in the U.S., Canada, the U.K and Ireland. Sedgwick facilitates financial and personal health and helps customers and consumers navigate complexity by designing and implementing customized programs based on proven practices and advanced technology that exceed expectations. Sedgwick’s majority shareholder is KKR; Stone Point Capital LLC, La Caisse de dépôt et placement du Québec (CDPQ) and other management investors are minority shareholders.

COMPANY SIZE
10,000 employees or more
INDUSTRY
Management Consulting Services
EMPLOYEE BENEFITS
Paid Sick Days, Performance Bonus, Professional Development, 401K, Employee Referral Program, Retirement / Pension Plans, Tuition Reimbursement, Work From Home, Life Insurance, Military Leave
FOUNDED
1969
WEBSITE
https://www.sedgwick.com/Pages/default.aspx