Claims Adjuster – Auto

🔥 20 hours ago

🇨🇦 Canada – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Sedgwick

WebsiteLinkedInAll Job Openings

10,000+ employees

🏗️ Construction

💼 Consulting

🏥 Healthcare

Construction • Consulting • Healthcare

Sedgwick is a global provider of technology-enabled risk, benefits, and integrated business solutions. They help people and organizations by managing and mitigating risk with solutions in accident, health, disability, unemployment compensation, and liability claims administration, among others. Sedgwick offers services such as claims administration, building consulting, forensic accounting, and forensic engineering. Their specialties include property restoration, brand protection, and loss prevention across several industries, including agriculture, construction, and environmental sectors. The company emphasizes diversity, equity, and inclusion (DEI) as well as environmental, social, and governance (ESG) practices.

📋 Description

• Analyze mid- and higher-level general auto claims to determine scope of damages • Ensure ongoing adjudication of claims within company standards and industry best practices • Identify subrogation of claims and negotiate settlements • Manage mid-level and higher-level auto commercial and personal lines claims by gathering information to determine exposure • Assign reserve values to claims, make claims payments as necessary, and settle claims up to designated authority level • Assess liability and resolve claims within evaluation • Approve and process assigned claims, determine benefits due, and manage action plans pursuant to the claim or client contract • Manage subrogation of claims and negotiate settlements • Communicate claim actions with claimants and clients • Ensure claim files are properly documented and claims coding is correct • Maintain professional client relationships • Travel as required • Perform other duties as assigned

🎯 Requirements

• Bachelor's degree from an accredited college or university preferred • Professional certification as applicable to line of business preferred • Secure and maintain the State adjusting licenses as required for the position • Four (4) years of claims management experience or equivalent combination of education and experience required • Subject matter expertise in appropriate insurance principles and laws for the line of business handled • Knowledge of recoveries, offsets and deductions, claim and disability duration, and cost containment principles as applicable to the line of business • Excellent oral and written communication skills, including presentation skills • PC literacy, including Microsoft Office products • Analytical and interpretive skills • Strong organizational skills • Excellent interpersonal skills • Excellent negotiating skills • Ability to create and complete comprehensive, accurate and constructive written reports • Ability to work in a team environment • Ability to meet or exceed Performance Competencies

🏖️ Benefits

• Work-life balance • Reasonable accommodations when applicable and appropriate