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.
About the role
- Sedgwick claims adjuster managing mid- and higher-level Canadian general liability claims. Assessing liability, handling subrogation, and negotiating settlements remotely.
Responsibilities
- 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
Job title
Job type
Experience level
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Degree requirement
No Education Requirement
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