Claims Representative role in training for workers' compensation at Sedgwick. Involves investigation and resolution of claims with ongoing professional development.
About the role
- Commercial GL & Auto Claims Specialist adjusting high complexity claims for an insurance company. Collaborating with agents and managing litigated files for resolution in a hybrid role.
Responsibilities
- Provide quality investigation and analysis to adjust claims of high complexity/severity, including litigated files, to proper resolution
- Promote the success of the organization through development of relationships with agencies, policyholders and employees
- Serve as a relationship contact for assigned agent(s) related to all claims
- Collaborate proactively with agents, policyholders and internal stakeholders on claims of high complexity/severity and provide strategic input on book of business
- Investigate losses, identify coverage, evaluate liability and damages, review and analyze documents and legal pleadings independently
- Collaborate with counsel to manage litigated claims and leverage past experience to analyze documents and legal pleadings
- Develop plan of action to proactively conclude claims, timely evaluate damages, engage other parties in negotiations and settle claims pursuant to guidelines
- Establish and maintain proper reserves for each claim to accurately reflect the financial exposure
- Determine need for, identify and engage external resources as needed to execute proper resolutions while monitoring and controlling costs
- Address contractual indemnifications and/or additional insured coverage issues
- Review and interpret commercial insurance policies and accordingly communicate coverage issues verbally and in writing
- Participate on cross functional teams to identify and resolve issues and design and implement solutions to prevent future occurrence as necessary
Requirements
- Bachelor’s degree or equivalent combination of education and experience
- 6 years of experience handling general liability and/or bodily injury claims of high level of complexity/severity
- Experience with contractual indemnification and additional insured coverages
- AIC or SLA certification preferred
- Ability to obtain appropriate state licensing as required
- Proficient computer skills required including Microsoft Office Suite
- Demonstrated successful ability to build positive relationships and partnerships within department, across the organization and with external customers
- Strong analytical skills and attention to detail
- Excellent verbal and written communication skills with the ability to interact with internal and external customers
- Ability to travel overnight up to 10%
- Ability to travel daily between locations.
Benefits
- competitive base pay
- performance-based incentive pay
- comprehensive health and welfare benefits
- 401(k) savings plan with profit sharing
- generous paid time off programs
- flexible work arrangements
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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