Claim Adjuster-Auto
加入 Sedgwick,你将成为真正有意义的东西的一部分。这是我们33,000名同事每天为世界各地面临意外的事情的人做的事。我们邀请你与我们一起发展自己的职业生涯，体验我们的关心文化，并享受工作和生活平衡。在这里，你可以达到什么样的目标是无限的。索赔调整者-自主优先目的：分析中等和更高层次的一般汽车索赔以确定损害范围；确保公司标准和行业最佳实践内的持续裁决索赔；以及识别索赔的替代和谈判和解。·通过收集信息来确定对外的负债，管理中等和更高层次的汽车商业和个人线索索；将保留值分配给索赔，根据需要进行索赔支付，并解决索赔至指定权威级别。·评估责任并在评估范围内解决索赔。·批准和处理分配索赔，确定应得益，并在索赔或客户合同下管理行动计划。·管理索赔的代购和协商和解。·与索赔人和客户沟通索赔诉讼。·确保索赔文件正确记录和索赔编码是正确的。·维护专业客户关系。额外的职能和责任 · 按照所需执行其他任务。· 根据需要旅行。资格教育与许可证从认可大学或优先级学士学位。适用于商业领域的专业认证。确保并维护国家对该职位的调整执照。有四 (4) 年的索赔管理经验或相等教育和经验组合，要求技能和知识。· 专家，对业务行业的适当保险原则和法律，收益抵消和扣除，索赔和残疾持续时间，适用于业务行列的成本控制原理。· 优秀的口头和书面沟通技能，包括演示能力· PC 熟练，包括微软办公室产品·分析和解释能力 ·强大的组织技能 ·优异的人际交往技巧 ·优秀的谈判技能 · 创建和完成全面，准确和建设性的书面报告的能力 · 在团队环境中工作的能力 · 满足或超越能力
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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.
Claim Adjuster-AutoPRIMARY PURPOSE: To analyze mid- and higher-level general auto claims to determine scope of damages; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
- Manages mid-level and higher-level auto commercial and personal lines claims by gathering information to determine exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.
- Assesses liability and resolves claims within evaluation.
- Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
- Manages subrogation of claims and negotiates settlements.
- Communicates claim action with claimant and client.
- Ensures claim files are properly documented and claims coding is correct.
- Maintains professional client relationships.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
- Performs other duties as assigned.
- 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. Secure and maintain the State adjusting licenses as required for the position.
Experience
Four (4) years of claims management experience or equivalent combination of education and experience required.
Skills & Knowledge
- Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles as applicable to line-of-business.
- Excellent oral and written communication skills, including presentation skills
- PC literate, including Microsoft Office products
- Analytical and interpretive skills
- Strong organizational skills
- Excellent interpersonal skills
- Excellent 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
Job type:
We are currently hiring
Compensation Information:
Salary Range: $50,000-$70,000 CAD annually
This position is full time. Compensation is determined based on experience, qualifications, and internal equity. Sedgwick is committed to transparent and equitable pay practices.
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.
Where applicable, Sedgwick uses artificial intelligence tools to assist in the screening, assessment, or selection of candidates. These tools are subject to periodic review.
We are committed to inclusive, barrier-free recruitment and selection processes. If contacted for an employment opportunity, please advise Colleague Resources if you require accommodation.
Originally posted on Himalayas