ARE YOU AN IDEAL CANDIDATE? You bring expertise in large-loss property claims, strong investigative and negotiation skills, and the ability to confidently manage multimillion-dollar exposures from initial investigation through final resolution.
WORK LOCATIONS
This role requires availability during Pacific Time Zone business hours. See posting for eligible locations.
PRIMARY PURPOSE: To handle losses or claims regardless of size, including having the ability to address any complex adjustment issue and any medium sized and relatively complex account.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Examines insurance policies, claims, and other records to determine insurance coverage.
Administers and reconciles complex catastrophic claims for property.
Interviews, telephones, or corresponds with claimant(s) 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 probably 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: High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
Experience: Five (5) years of related experience or equivalent combination of education and experience required.
TAKING CARE OF YOU
Flexible work schedule.
Referral incentive program.
Opportunity to work in a remote environment.
Career development and promotional growth opportunities.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
WORK ENVIRONMENT REQUIREMENTS INCLUDE
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 work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
NOTE
Employment may be contingent upon successful completion of a motor vehicle record (MVR) check, where job-related.
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 $120,000 - $140,000. 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.
#Claims #GeneralAdjuster #LI-REMOTE
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.