Investigates and coordinates injury benefits for automobile accident claims at SGI. Engages with clients and oversees claims, ensuring compliance with regulations and policies.
About the role
- Senior insurance adjuster investigating, evaluating, and negotiating insurance claims for Sedgwick. Managing reserves, settlements, client relationships, billing, and claim reporting remotely across Canada.
Responsibilities
- Investigate, evaluate, and quantify insurance claims
- Determine and provide recommendations regarding coverage, liability, and quantum within policy terms
- Manage and adjust assigned claims while meeting company standards and quality requirements
- Conduct thorough investigations, interview and communicate with insureds, claimants, and witnesses
- Inspect claim sites as required and assign external vendors as required
- Recommend reserves, prepare reports, and negotiate settlements within granted authority
- Participate in mediations and arbitrations as required
- Work with defense counsel as assigned
- Maintain accurate records using company custom computer systems and external client systems
- Manage billing for assigned files within specified timelines
- Assist with collection of accounts receivable for assigned claims
- Assist with local branch marketing, attend professional and social events, and develop new business opportunities
- Maintain relationships with existing clients and participate in client file reviews and audits
- Keep reserves, coding, and reporting up to date on assigned claims files
- Pursue existing-client relationships to promote Sedgwick and gain new business
- Begin developing a client following
- Join local claims organizations and participate in industry events
- Support the organization's quality programs
- Perform other duties as assigned
Requirements
- College/University Degree or equivalent
- Must possess a valid driver's license
- Proven adjusting and negotiating skills
- Excellent interpersonal and communication skills
- Computer proficiency, including Microsoft Office products and Excel
- Must have earned a full license in province and CIP or be actively pursuing CIP professional insurance designation
- Must have 2 years of experience
- Strong knowledge of insurance, claims or business management
- Ability to navigate and work in client-required ancillary systems
- Ability to work in a remote/home office environment
- Analytical and interpretive skills
- Strong organizational skills
- Excellent negotiation skills
- Ability to work in a team environment
- Ability to meet or exceed Performance Competencies
- Ability to handle full adjustment losses locally unsupervised
- Ability to cope with extreme weather, environmental and driving conditions at any time of day or night
Benefits
- Work-life balance
- Inclusive, barrier-free recruitment and selection processes
- Accommodation support during recruitment, if required
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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Support role at Sedgwick assisting with non - complex projects and learning about insurance processes. Collaborating with experts and developing skills in coverage analysis and report writing.
Adjuster investigating and adjusting property and casualty claims for Sedgwick with minimal supervision. Inspecting claims, interviewing parties, and maintaining client relationships.