Auto Claims Adjuster

By joining Sedgwick, youll 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 worklife balance. Here, there’s no limit to what you can achieve.

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Auto Claims Adjuster

PRIMARY PURPOSE: To analyze mid and higherlevel 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 midlevel and higherlevel 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
    Bachelors 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 lineofbusiness handled, recoveries offsets and deductions, claim and disability duration, cost containment principles as applicable to lineofbusiness.
    • 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 workrelated stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

      Physical: Computer keyboarding, travel as required

      AuditoryVisual: Hearing, vision and talking

      As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $25.00 to $35.00 USDHR . This role is eligible for 401k.

      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.

      Always accepting applications

      Sedgwick is an Equal Opportunity Employer and a DrugFree Workplace.

      If youre excited about this role but your experience doesnt 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.