Adjuster- Lifestyle Claims

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 CompaniesCertified as a Great Place to Work®Fortune Best Workplaces in Financial Services & InsuranceAdjuster- Lifestyle ClaimsPRIMARYPURPOSE A Multi-Linesclaims adjuster is charged with the investigation,evaluationand quantification of aninsuranceclaim. The adjuster willdetermineand provide recommendations with respect to coverage,liabilityand quantum, within the terms of the policy. ESSENTIAL FUNCTIONS and RESPONSIBILITIESManages/adjustsassigned claims while meeting company standards and quality, including conducting thorough investigations;determiningcoverage and validity of claims,interviewingand communicating with insured,claimantsandwitnesses;,assigning external vendors asrequired,recommendations for reserves,preparing reports and negotiating settlementswithin granted authority. Maintainsaccuraterecords 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 timelinesMaintains an excellent working relationship with existing clients to further develop businessand willparticipateasrequiredin client file reviews and audits. Requiresa high levelof mathematical and reasoning ability to calculate and analyze data to arrive at a logical conclusion.Committed to continuous education to keepup-to-datewith all industry and legislative issues and changesand licensing requirements. Responsiblefor ensuringreserves, coding and reportingareup to date on claims files assigned. Positivelyimpactcustomer experience by focusing on achieving positive Net Promoter ScoreIdentifiesthe need and co-ordination of task assignmentsutilizingfieldadjustersReviews and interprets policy wording to confirm and apply coverage oflossesADDITIONAL FUNCTIONS and RESPONSIBILITIESPerforms other duties as assigned.Supports the organization's quality program(s).QUALIFICATIONSEducation & LicensingPost-secondary educationHas or is working toward CIP designationMust be licensed orhave the ability toobtain a provisionallicenseProven adjusting and negotiatingskillsExcellent interpersonal and communication skills, and computerproficiencyExperienceProven adjusting and negotiating skillsExcellent interpersonal and communication skills, and computerproficiencyCommercial andcondoclaim experience is anassetSkills & KnowledgeStrong knowledge of insurance,claimsor business managementExcellent oral and written communicationPC literate, including Microsoft Office products and ExcelAbility to navigate and work in clientrequiredancillary systems Ability to work ina remote/home office environment Analytical and interpretive skillsStrong organizational skillsExcellent interpersonal skillsExcellent negotiation skillsAbility to work in a team environmentAbility to meet or exceed Performance CompetenciesStrong interpersonal skills allowing you to effectively deal with conflict anddifficultsituationsJob type:We are currently hiring for this position.Compensation Information:Salary Range: $50,000 - $70,000 CAD annuallyThis position is full time and compensation is salaried. 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. Managementretainsthe 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.Ifcontacted for an employment opportunity, pleaseadviseColleague Resources if you require accommodation.Sedgwick is an Equal Opportunity EmployerSedgwick is an Equal Opportunity Employer.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. Sedgwick retains the discretion to add or to change the duties of the position at any time.Originally posted on Himalayas