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Regional General Adjuster

Role overview

Summary

This role is for handling losses or claims regionally, including complex adjustment issues related to damages and coverage. Sedgwick seeks a Regional General Adjuster to manage claims up to $10M and assist with larger losses, ensuring effective resolution and customer service.

Qualifications

  • IIA-AIC designation and actively pursuing another professional insurance designation.
  • Appropriate state adjuster license is required.
  • Five (5) years of related experience or equivalent combination of education and experience required.
  • Strong oral and written communication skills, including presentation skills.
  • Preferred: Bachelor's degree from an accredited college or university

Responsibilities

  • Examine claim forms and records to determine insurance coverage.
  • Administer and reconcile complex catastrophic claims for property.
  • Interview claimants and witnesses regarding claims.
  • Prepare reports of findings and negotiate settlements with claimants.

Key facts

Hard skills

Other skills

  • Negotiation
  • Communication
  • Customer Service
  • Microsoft Office
  • Detail Oriented
  • Time Management
  • Teamwork
  • Organizational Skills

About the company

EFI Global logo

EFI Global

  • Engineering Services
  • SME
  • 501–1,000
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.

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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

Regional General Adjuster

PRIMARY PURPOSE:  To handle losses or claims regionally unassisted up to $10M, including having the ability to address most complex adjustment issues pertaining to damages and coverage; to assist on even larger losses and manage smaller and non-complex National Accounts.


ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Examines claim forms and other records to determine insurance coverage.
  • Administers and reconciles complex catastrophic claims for property.
  • Interviews, telephones, or corresponds with claimant and witnesses regarding claim.
  • Consults police and hospital records; and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance.
  • Estimates cost of repair, replacement, or compensation.
  • Prepares report of findings and negotiates settlement with claimant.
  • Recommends litigation by legal department when settlement cannot be negotiated.
  • Attends litigation hearings.
  • Revises case reserves in assigned claims files to cover probable costs.
  • Prepares loss experience reports to help determine profitability and calculates adequate future rates.
  • Interacts with excess carrier to determine coverages, excess insurance levels, and potential reimbursements.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

  • Performs other duties as assigned.
  • Travels as required.

QUALIFICATIONS


Education & Licensing

Bachelor's degree from an accredited college or university preferred. Must have earned the IIA-AIC designation and be actively pursuing another professional insurance designation.  Appropriate state adjuster license is required.


Experience
Five (5) years of related experience or equivalent combination of education and experience required.


Skills & Knowledge

  • Strong oral and written communication, including presentation skills
  • PC literate, including Microsoft Office products
  • Strong customer service skills
  • Attention to detail and accuracy
  • Good time management and organizational skills
  • Ability to work independently or 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 and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines


Physical:

  • Must be able to stand and/or walk for long periods of time.
  • Must be able to kneel, squat or bend.
  • Must be able to work outdoors in hot and/or cold weather conditions.
  • Have the ability to climb, crawl, stoop, kneel, reaching/working overhead
  • Be able to lift/carry up to 50 pounds
  • Be able to push/pull up to 100 pounds
  • Be able to drive up to 4 hours per day.
  • Must have continual use of manual dexterity

Auditory/Visual:  Hearing, vision and talking

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.


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 $75-$100k 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.  

Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.

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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