Auto/Property Claims Representative

🔥 0 minutes ago

🏈 Ohio – Remote

🏈 Ohio – Remote

💵 $48k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 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 claims reports, determine benefits due, and make timely payments and adjustments • Manage first-party property, casualty, and/or medical reimbursement claims based on client-specific coverage and programs • Make coverage determinations based on investigation and evaluation • Communicate claim actions with claimants and clients • Adjudicate proper settlements up to the designated authority level • Work directly with underwriters and clients on high-value and complex cases • Handle high volumes of claims, phone calls, and correspondence • Properly document claim files • Meet quality, production, customer guideline, and deadline requirements • Thoroughly review contested claims • Coordinate investigative efforts • Negotiate claim settlements up to the designated authority level • Provide superior customer service • Support the organization's quality programs • Perform other duties as assigned

🎯 Requirements

• Active Property & Casualty Adjuster License for states where licensing is required • Multiple state adjuster licenses strongly preferred • Demonstrated experience handling ongoing property claims in a structured claims environment • Proven long-term engagement in desk-adjusting or staff-adjusting roles preferred • Experience managing claims through the full claim lifecycle • Experience maintaining productivity standards and working within established processes • Bachelor's degree from an accredited college or university preferred • Professional certification as applicable to line of business preferred • Three (3) years of claims management experience or equivalent combination of experience and education required • In-depth knowledge of first party property and casualty claim adjudication • Excellent oral and written communication, including presentation skills • PC literacy, including Microsoft Office products • Excellent analytical and interpretive skills • Excellent organizational skills • Excellent interpersonal skills • Ability to work in a team environment • Ability to meet or exceed Performance Competencies

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • 401(k) and matching • Paid time off (PTO) • Disability insurance • Life insurance • Employee assistance • Flexible spending account or health savings account • Other additional voluntary benefits • Reasonable accommodations • Work-life balance