理赔员
Adjuster
加入Sedgwick，你将参与一项真正有意义的工作。我们的33,000名同事每天都在为全球面临意外情况的人们提供帮助。我们邀请你与我们一同成长职业，体验我们的关怀文化，并享受工作与生活的平衡。在这里，你的成就没有上限。
理赔专员
主要职责 一名理赔专员负责对保险索赔进行调查、评估和量化。该职位需根据保单条款，确定并就承保范围、责任和赔偿金额提出建议。
核心职责和任务
- 管理/处理分配的索赔案件，同时满足公司标准和质量要求，包括进行彻底的调查；确定索赔的承保范围和有效性；与被保险人、索赔人和证人进行访谈和沟通；根据需要检查索赔现场，必要时指派外部供应商，提出准备金建议，准备报告并根据授权进行和解谈判。根据需要参与调解和仲裁。与指定的辩护律师合作。
- 根据公司标准和流程维护准确的记录，使用公司定制的计算机系统。需要具备在外部客户系统中工作的能力。
- 准确高效地管理分配文件的账单，在规定的时间内完成。
- 协助收取分配索赔的应收账款。
- 协助分支机构的本地营销；参加专业和社会活动，开发新的业务机会。
- 与现有客户保持良好的工作关系，进一步发展业务，并根据需要参与客户文件审查和审计。
- 需要高水平的数学和推理能力，以计算和分析数据得出逻辑结论。
- 能够应对任何时间的极端天气、环境和驾驶条件。
- 承诺持续教育，及时了解行业和立法问题及变化以及执照要求。
- 负责确保分配的索赔文件中的准备金、编码和报告保持最新。
- 协助分支机构的本地营销；参加专业和社会活动，开发新的业务机会。
附加职责和任务
- 完成其他指派的任务。
- 支持组织的质量计划
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.
Adjuster
PRIMARYPURPOSE A claims adjuster is charged with the investigation, evaluation and quantification of aninsuranceclaim. The adjuster will determine and provide recommendations with respect to coverage, liability and quantum, within the terms of the policy.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
- Manages/adjustsassigned claims while meeting company standards and quality, including conducting thorough investigations; determining coverage and validity of claims, interviewing and communicating with insured, claimants and witnesses; inspecting claims sitesas required, assigning external vendors as required,recommendations for reserves,preparing reports and negotiating settlementswithin granted authority. Participate in mediation and arbitrations as required. Work with defense counsel as assigned.
- Maintains accurate records 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
- Assists with collection of accounts receivables for assigned claims
- Assists with local marketing of the branch; attends professional and socialevents anddevelops new businessopportunities.
- Maintains an excellent working relationship with existing clients to further develop businessand will participate as required in client file reviews and audits.
- Requires a high level of 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 keep up-to-date with all industry and legislative issues and changesand licensing requirements.
- Responsible to ensure reserves, coding and reporting is up to date on claims files assigned.
- Assists with 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 or have the ability to obtain a provisional license
- Must possess a valid driver's license
- Proven adjusting and negotiating skills
- Excellent interpersonal and communication skills, and computer proficiency
Experience
- Proven adjusting and negotiating skills
- Excellent interpersonal and communication skills, and computer proficiency
Skills & Knowledge
- Strong knowledge of insurance, claims or business management
- Excellent oral and written communication
- PC literate, including Microsoft Office products and Excel
- Ability to navigate and work in client required ancillary 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. Management retains the 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. If contacted for an employment opportunity, please advise Colleague Resources if you require accommodation.
Sedgwick is an Equal Opportunity Employer
Originally posted on Himalayas