Claims Adjuster - Liability, PD / TL

🕒 May 20

Apply Now
Find Similar Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Logo of Sedgwick

Sedgwick

10,000+ employees

🏢 Enterprise

📋 Compliance

Insurance • Enterprise • Compliance

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

• To analyze mid-level commercial auto physical damage and total loss claims to determine scope of damages. • Assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level. • Receive and review new claims and maintain data integrity in the claims system. • Conduct claim file activities including evaluations, investigations, litigation management and resolution. • Review investigative reports, insurance policies and other pertinent records for proper coverage. • Investigate the cause and extent of the damages, obtain appropriate documentation and issue settlement. • Determine coverage of claims with proper limits and deductibles in accordance with policy information. • Prepare settlement documents and requests payment for the claim and expenses. • Work with external vendors and professionals. • Interview and correspond with claimant and witnesses regarding claims. • Estimate cost of repair, replacement or compensation. • Prepare report findings and negotiate settlements with claimants. • Recommend litigation by legal department when settlement cannot be negotiated. • Revise case reserves in assigned claims files to cover probable costs. • Assist in preparing loss experience report to help determine profitability and calculate adequate future rates.

🎯 Requirements

• Bachelor's degree from an accredited college or university preferred but not required. • Appropriate state adjuster license is required.

🏖️ Benefits

• Wonderful team culture with career development and promotional growth opportunities. • A diverse and comprehensive benefits offering including medical, dental vision, 401K and PTO. • Wellness benefits including wellness allowance and life insurance. • Competitive salary with a rewarding bonus structure. • Job security and flexibility; potential to work from home once training is completed.

Apply Now

Similar Jobs

🕒 May 20

Rentokil Pest Control North America

10,000+ employees

🤝 B2B

👥 B2C

Auto Claims Adjuster managing investigation and resolution of automobile claims for Rentokil. Ensuring fair settlements by assessing damage and determining coverage in accordance with policy terms.

🕒 May 20

Catastrophe Claims Examiner II processing property claims for insurance company. Focusing on claims ranging from $100,000 to $300,000 with independent adjusters to ensure fair settlements.

🕒 May 19

Erie Insurance Group

5001 - 10000

💸 Finance

👥 B2C

Claims Representative for Erie Insurance handling liability and property claims remotely from Cary Branch Office. Investigating claims, ensuring compliance, and resolving issues in accordance with state laws.

🕒 May 17

Imagenet LLC

1001 - 5000

⚕️ Healthcare Insurance

🛍️ eCommerce

☁️ SaaS

Experienced Claims Processor responsible for adjudicating medical claims in compliance with payer requirements. Join Imagenet, a leading healthcare technology company, to help reduce costs and increase productivity.

🕒 May 17

Catastrophe Claims Examiner III processes property insurance claims based on coverage evaluation and appraisals. Ensure fair settlements, compliance with regulations, and manage claims over $300,000.