索赔专员
Claims Assistant
加入Sedgwick，你将参与真正有意义的事业。我们的33,000名同事每天为全球面临意外的人们提供帮助。我们邀请你与我们共同成长，体验我们的关怀文化，并享受工作与生活的平衡。在这里，你的成就没有界限。
Newsweek 将 Sedgwick 评为美国最佳工作场所全国顶级公司
获得 Great Place to Work® 认证
财富杂志金融服务业及保险业最佳工作场所
理赔助理
主要职责：通过仔细审查文件、记录、损失报告和其他相关文档，处理价值高达15,000美元的财产和责任保险公司损失和索赔。使用技术高效管理案件数量，实现高效的索赔处理。
核心职责和责任
- 评估保险政策、索赔表单、政策、附加条款、承保人指示和其他记录，以确定保险保障。
- 进行彻底调查，根据需要收集官方报告，查阅警方和医院记录，并根据进行的检查对实物损坏或书面估损进行检查，以确定公司的责任范围和不同类型的调查方法。
- 与索赔人和证人进行访谈、电话沟通和/或书面联系，以了解索赔情况。
- 估算维修、更换或赔偿的成本。
- 根据承保人的指示准备调查报告并协商索赔结算，获取必要的信息。开具结算支票，归档监管文件，并处理残值和代位追偿，如适用。
- 当无法协商达成赔偿时，向法律部门推荐提起诉讼。
- 参加诉讼听证会并根据需要参与取证。
- 在指定的索赔文件中修订案件储备金，以覆盖可能的成本。
- 高效地维持预期的案件数量。
- 使用技术和自动化工具进行高效的索赔处理。
- 将总损失金额超过15,000美元的索赔发送给管理层以获得授权批准。
其他职责和责任
· 执行其他指派的任务。
资格要求
教育与执照
优先考虑来自认证大学或学院的学士学位。在任职期间需在12至18个月内获得IIA-AIC资格。需要适当的州级理赔员执照。
经验
三年相关工作经验或等同经验。
查看英文原文
By joining Sedgwick, you'll be part of something truly meaningful. It’s 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, there’s no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
Claims AssistantPRIMARY 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 company's 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
Bachelor's 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 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.
Originally posted on Himalayas