Auto Claims Adjuster managing commercial and personal claims for Sedgwick, a global claims services company. Evaluating liability, reserves, settlements, subrogation, and client communications.
Responsibilities
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
Expert en sinistres automobile télétravail au Québec chez Sedgwick, qui gère des réclamations d’assurance. Enquête sur les sinistres, analyse la couverture et négocie les règlements.
Claims Coordinator managing health insurance claims for Alberta Blue Cross in Edmonton. Entering, adjudicating, and resolving claims and member inquiries in a temporary 12 - month role.
Residential Claims Specialist managing complex, high - risk claims for TD Insurance, a Canadian home and auto insurer. Handling litigation, fraud, settlements, compliance, and customer outcomes.
Direction d’un département de sinistres et développement commercial pour un cabinet québécois d’assurance immobilière. Gestion des dossiers, prospection et négociation avec clients, fournisseurs et assureurs.
Claims Administrator supporting Securian Canada’s insurance claims operations through document management, intake, correspondence, and payment processing. Hybrid Toronto role serving Canadians and their families.
Liability and casualty claims adjuster managing claims for ClaimsPro, Canada’s nationwide claims management services provider. Investigating files, supporting customers, and maximizing business development opportunities.
External claims adjuster investigating complex property and bodily injury claims for Beneva, a Canadian insurance and financial services organization. Serving Montreal’s South Shore and representing the insurer in settlement conferences.
Part - time Claims Specialist investigating damaged or lost freight for Logistics Alliance. Managing carrier negotiations, documentation, deadlines, and payment recovery.