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Claims Adjuster - LiabilityPRIMARY PURPOSE: Effective adjudication of specialized multi line general liability claims of various complexities within company standards and industry best practices.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Manage all aspects of general liability claims to include establishing coverage whether through primary or excess policies.
Complete investigation to include any statutory or contractual requirements to assess liability and exposure.
Evaluate damages and manage reserves based on recent developments of the file for most probable outcomes.
Manage any subrogation or tender opportunities.
Provide high level of quality customer service by communication with the client and the parties involved.
Ensures claim files are properly documented.
Manage litigated claims by attending virtually to any legal proceedings. Securing budgets and case evaluations.
Negotiate and settle claims within the delegated authority.
Maintains professional client relationships.
Assists with local marketing of the branch; attends professional and social events and develops new business opportunities
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
Supports the organization's quality program(s).
QUALIFICATION
Education & Licensing
Bachelor's degree or college diploma preferred.
Experience
Four (4) years of claims management experience or equivalent combination of education and experience required.
Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles
PC literate, including Microsoft Office products
Ability to meet or exceed Service Expectations
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.
We are committed to inclusive, barrier-free recruitment and selection processes. If contacted for an employment opportunity, please advise Colleague Resources if you require accommodation.
Sedgwick is an Equal Opportunity Employer.
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. Sedgwick retains the discretion to add or to change the duties of the position at any time.
Originally posted on Himalayas
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