Claims Adjuster – Liability

🔥 33 minutes ago

🇨🇦 Canada – Remote

💵 $75k - $85k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

👻 Ghost score 0%

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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 liability claims to determine benefits due • Ensure ongoing adjudication of claims within company standards and industry best practices • Identify subrogation opportunities and negotiate settlements • Gather information to determine liability exposure • Assign reserve values and make claims payments as necessary • Settle claims up to the designated authority level • Assess liability and resolve claims within evaluation • Approve and process assigned claims and manage action plans pursuant to the claim or client contract • Communicate claim actions with claimants and clients • Document claim files properly and ensure accurate claims coding • Process complex lifetime medical and/or defined-period medical claims when required • Maintain professional client relationships • Support the organization's quality programs • Perform other assigned duties

🎯 Requirements

• Bachelor's degree or college diploma preferred • Four (4) years of claims management experience or equivalent combination of education and experience required • Subject matter expertise in insurance principles and laws for the relevant line of business • Knowledge of recoveries, offsets and deductions, claim and disability duration, and cost containment principles • Excellent oral and written communication • PC literacy, including Microsoft Office products • Analytical and interpretive skills • Strong organizational skills • Good interpersonal skills • Excellent negotiation skills • Ability to work in a team environment • Ability to meet or exceed Service Expectations • Ability to travel as required

🏖️ Benefits

• Work-life balance • Inclusive, barrier-free recruitment and selection processes • Accommodation support during recruitment • Professional growth and career development opportunities