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Claims Adjuster Workers Compensation

Role overview

Qualifications

  • Bachelor's degree from an accredited college or university preferred
  • Appropriate state adjuster license is required
  • Time management skills
  • Technical skills of estimating and computer skills

Responsibilities

  • Receive and review new claims and maintain data integrity in the claims system
  • Conduct claim file activities including evaluations, investigations, litigation management and resolution
  • Review investigative reports, insurance policies and other pertinent records for proper coverage
  • Estimate cost of repair, replacement or compensation

Key facts

Other skills

  • Customer Service
  • Investigation
  • Negotiation
  • Time Management
  • Lateral Thinking

About the company

EFI Global logo

EFI Global

Construction & Civil Engineering

Over the last four decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, to becoming a recognized leader in engineering failure analysis, origin and cause investigations, environmental consulting, laboratory testing and specialty consulting. Each member of our multi-disciplinary team of more than 700 professional engineers, fire investigators, architects and scientists was selected for his or her technical proficiency, in-depth industry knowledge and commitment to professional integrity. Together, our diverse backgrounds and collective insights empower clients to make better-informed business decisions. This expertise, coupled with the extensive coverage of more than 62 national offices plus offices in Canada, the United Kingdom and Brazil to provide global work abroad capability, has earned us a reputation for delivering timely responses that consistently meets our clients’ expectations — anytime, anywhere. EFI Global currently provides engineering services in the state of North Carolina by our partner firm, EFI Global of North Carolina, P.C. We also provide engineering services in the states of New York and New Jersey by our partner firm, EFI Global Engineering of New York, P.C. EFI Global is part of the Sedgwick family of companies, a global leader in the independent insurance claims industry.

Company details

Company typeSME
IndustryConstruction & Civil Engineering
Company size501 - 1000

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Job description

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

Claims Adjuster Workers Compensation

As an adjuster at Sedgwick, you’ll have the opportunity to take on new challenges and help solve complex problems for the world’s best brands.

  • Apply your adjuster knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. 
  • Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations. 
  • Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. 
  • Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights. 
  • Take advantage of a variety of professional development opportunities that help you perform your best work, grow your career and your profile. 
  • Enjoy flexibility and autonomy in your daily work, your location, and your career path. 
  • Build a meaningful career that will take you places with the ability to travel and deploy at a moment’s notice. 
  • Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. 

PRIMARY PURPOSE OF THE ROLE

  • To provide clients with professional care handling losses or claims regionally unassisted with the ability to address most complex adjustment issues pertaining to damages and coverage and to assist on large losses with the ability to manage smaller and non-complex claims
  • To handle losses and claims for the property and casualty insurers.

ARE YOU AN IDEAL CANDIDATE? The idea candidate has a passion for helping others and understands the urgency to provide timely and quality reports to their customers. The ideal candidate also possesses the time management skills necessary to complete tasks in a timely manner, is well organized and has the technical skills of estimating and computer skills to perform the job.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

  • Receive and review new claims and maintain data integrity in the claims system.
  • Conduct claim file activities including evaluations, investigations, litigation management and resolution.
  • Review investigative reports, insurance policies and other pertinent records for proper coverage.
  • Investigate the cause and extent of the damages, obtain appropriate documentation and issue settlement.
  • Determine coverage of claims with proper limits and deductibles in accordance with policy information.
  • Prepare settlement documents and requests payment for the claim and expenses.
  • Work with external vendors and professionals.
  • Interview and correspond with claimant and witnesses regarding claims.
  • Estimate cost of repair, replacement or compensation.
  • Prepare report findings and negotiate settlements with claimants.
  • Recommend litigation by legal department when settlement cannot be negotiated.
  • Revise case reserves in assigned claims files to cover probable costs.
  • Assist in preparing loss experience report to help determine profitability and calculate adequate future rates.

QUALIFICATIONS

Bachelor's degree from an accredited college or university preferred but not required. Appropriate state adjuster license is required.

TAKING CARE OF YOU

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 $58, 331.00  - $81,664.00.  A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits

  • Wonderful team culture with career development and promotional growth opportunities.
  • A diverse and comprehensive benefits offering including medical, dental vision, 401K and PTO.
  • Wellness benefits including wellness allowance and life insurance. 
  • Competitive salary with a rewarding bonus structure.
  • Job security and flexibility; potential to work from home once training is completed.

Work environment requirements for entry-level opportunities include –

Physical: Computer keyboarding

Auditory/visual: Hearing, vision and talking

Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.

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.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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