Workers Compensation Claims Examiner adjudicating complex customer claims at Sedgwick. Delivering solutions in a hybrid work environment to meet client expectations.
About the role
- Claims Specialist handling commercial property claims with a focus on subscription policies at Swiss Re. Collaborating with stakeholders to ensure accurate and fair claims resolution.
Responsibilities
- Evaluate and process commercial property claims (with a focus on subscription policies)
- Investigate claim circumstances by gathering and analyzing relevant information from policyholders, witnesses, and other sources
- Engage and direct independent adjusters, appraisers, experts and coverage/defense counsel
- Determine coverage by interpreting policy language and applying appropriate guidelines and regulations
- Negotiate settlements with policyholders, claimants, and other insurers while maintaining fairness and company standards
- Collaborate with underwriters to provide insights on risk assessment and policy improvements based on claims experience
- Maintain detailed records of all claims activities, decisions, and communications in compliance with company standards and regulatory requirements
- Develop relationships with brokers, clients, and other stakeholders to ensure smooth claims processing
- Stay current with industry trends, legal developments, and best practices in claims handling
- Travel up to 10% of the time to attend client/broker meetings, mediations, trials, etc.
Requirements
- 1 to 3 years of proven experience handling property claims, with particular emphasis on subscription policies
- Demonstrated knowledge of insurance principles, policy interpretation, and claims procedures
- Strong analytical and investigative skills with attention to detail
- Excellent written and verbal communication abilities
- University degree or equivalent
Benefits
- Hybrid work model with in-office expectations
- Total compensation approach including base pay, short-and long-term incentives, and benefits
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