责任保险理赔专员
Casualty Claims Specialist
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，你所能实现的没有界限。
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
财富最佳金融与保险行业工作场所
伤亡理赔专员
主要职责：调查针对保险公司或其他公司的个人、伤亡或财产损失或损害的索赔；尝试与索赔人达成庭外和解。
核心职责和任务
- 审查索赔表格和其他记录以确定保险覆盖范围。
- 与索赔人和证人进行面谈、电话沟通或书面联系；查阅警方和医院记录；检查财产损失以确定公司的责任范围，根据保险类型调整调查方法。
- 编写调查报告并与索赔人协商赔偿。
- 当无法达成赔偿协议时，建议法律部门提起诉讼。
- 参加诉讼听证会。
- 在指定的索赔文件中修订案件准备金以覆盖可能的成本。
- 协助准备损失经验报告，以帮助确定盈利能力并计算适当的未来费率。
其他职责和任务
- 执行分配的其他任务。
- 支持组织的质量计划。
资格要求
教育与执照
需要高中文凭或同等学历。
经验
需要6年的一般办公室工作经验或教育与经验的等效组合。保险理赔行业经验优先。
技能与知识
- 了解专业责任索赔
- 能够审查信息并确保准确性和适用政策的放置
- 口头和书面沟通能力
- 熟悉电脑操作，包括Microsoft Office产品
- 注重细节和准确性
- 能在团队环境中工作
- 能够达到或超越绩效胜任力
工作环境
在适用且适当的情况下，将考虑合理的合理调整。
心理素质：清晰和概念性思维能力；优秀的判断力、故障排除、解决问题、分析和保密能力；能够处理工作相关的压力；能够处理多项任务
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
Casualty Claims Specialist
PRIMARY PURPOSE: To investigate claims against insurance or other companies for personal, casualty, or property loss or damages; attempts to effect out-of-court settlement with claimant.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
- Examines claim forms and other records to determine insurance coverage.
- Interviews, telephones, or corresponds with claimant and witnesses; consults police and hospital records; and inspects property damage to determine extent of company's liability, varying method of investigation according to type of insurance.
- Prepares report of findings and negotiates settlement with claimant.
- Recommends litigation by legal department when settlement cannot be negotiated.
- Attends litigation hearings.
- Revises case reserves in assigned claims files to cover probably costs.
- Assists in preparing loss experience report to help determine profitability and calculates adequate future rates.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
- Performs other duties as assigned.
- Supports the organizations quality program(s).
QUALIFICATIONS
Education & Licensing
High School diploma or GED required.
Experience
Six (6) years of general office experience or equivalent combination of education and experience required. Claims industry experience preferred.
Skills & Knowledge
- Knowledge of professional liability claims
- Ability to review information and ensure accuracy and applicable policy placement
- Oral and written communication skills
- PC literate, including Microsoft Office products
- Attention to detail and accuracy
- 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