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Claims Adjuster Workers Compensation

Role overview

Qualifications

  • Bachelor's degree from an accredited college or university preferred but not required
  • 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
  • Investigate the cause and extent of the damages, obtain appropriate documentation and issue settlement
  • Prepare settlement documents and requests payment for the claim and expenses

Key facts

Other skills

  • Analytical Skills
  • Negotiation
  • Time Management
  • Problem Solving

About the company

Sedgwick Ireland logo

Sedgwick Ireland

Sedgwick, previously operating under the OSG Vericlaim brand, is Ireland's largest and longest established Specialist Third Party Administrator and Loss Adjuster. We are a SEDGWICK Company and part of the Global Sedgwick Organisation backed by the resources of the Leading Global Provider of technology enabled risk and claims solutions we can truly offer a local market based service operating to market leading international standards. Having built on our history and heritage as Chartered Loss Adjusters, today we provide a diverse and extensive range of outsource services for the Insurance and Financial Sectors in Ireland and Internationally. A unique business model incorporating industry and market experience, the application of behavioural science, lean process management and modern technology sets Sedgwick apart from the competition in our chosen markets. Providing the service layer between our clients and their customers we have a proven pedigree and reputation for operational excellence delivering the widest range of specialist and technical services in the market. The Sedgwick difference is our People and a desire to develop our talent for the benefit of all our stakeholders. Taking Care of People "Caring Counts” is at the heart of everything we do and the guiding principal in the development of Sedgwick becoming the leading broad based service provider we are today. We are Regulated as an Insurance Intermediary with the Central Bank of Ireland, have full EU Passport status and meet all Fiduciary and Corporate Governance Standards.

Company details

Company typeStartup
Industry
Company size201 - 500

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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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