- Examines insurance policies and other records to determine insurance coverage.
- Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim.
- Consults police and hospital records and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance.
- Estimates cost of repair, replacement, or compensation.
- Prepares report of findings and negotiates settlement with claimant.
- Recommends litigation by legal department when settlement cannot be negotiated.
- Attends litigation hearings.
- Revises case reserves in assigned claims files to cover probable costs.
- Assists in preparing loss experience report to help determine profitability and calculates adequate future rates.
- Performs other duties as assigned.
- Supports the organization's quality program(s).
- Travels as required.
- 1 to 2 year experience
- Proven adjusting, negotiating skills and analytical skills
- Excellent interpersonal and communication skills
- Advanced computer skills including office, outlook and web based applications
- Strong oral and written communication, including presentation skills
- PC literate, including Microsoft Office products
- Demonstrated commitment to timely reporting
- Strong customer service skills
- Strong interpersonal skills
- Attention to detail and accuracy
- Good time management and organizational skills
- Ability to work independently or in a team environment
- Ability to meet or exceed Performance Competencies
- Examiner les polices d'assurance et autres documents pour déterminer la couverture d'assurance.
- Interviewer, téléphoner et/ou correspondre avec le requérant et les témoins concernant la réclamation.
- Consulter les dossiers de la police et des hôpitaux et inspecter les dommages matériels pour déterminer l'étendue de la responsabilité de la compagnie et les différentes méthodes d'enquête selon le type d'assurance.
- Estimer le coût de la réparation, du remplacement ou de l'indemnisation.
- Élaborer un rapport présentant les conclusions et négocier un règlement avec le requérant.
- Recommander l'introduction d'un litige par le service juridique lorsqu'un règlement ne peut être négocié.
- Assister aux audiences sur le litige.
- Réviser les provisions du dossier pour les réclamations attribuées, afin de couvrir les coûts probables.
- Aider à l'élaboration du rapport d'expérience de perte afin de déterminer la rentabilité et de calculer les taux futurs correspondants.
- S'acquitter d'autres fonctions attribuées.
- Prendre en charge le(s) programme(s) de qualité de l'organisation.
- Voyager vers d'autres régions selon les besoins.
- 1 à 2 ans d'expérience
- Compétences avérées en matière d'expertise en sinistres, de négociation et d'analyse
- Excellentes compétences interpersonnelles et de communication
- Compétences informatiques avancées, y compris avec Office, Outlook et les applications Web
- Communication orale et écrite efficace, avec des compétences de présentation
- Connaissances informatiques, y compris les produits Microsoft Office
- Engagement manifeste à produire des rapports en temps voulu
- Solides compétences en matière de service à la clientèle
- Solides aptitudes interpersonnelles
- Souci du détail et précision
- Gestion du temps efficace et sens de l'organisation
- Capacité à travailler de manière indépendante ou dans un environnement d'équipe
- Capacité à atteindre ou dépasser le niveau de rendement attendu
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Claims Adjuster - Saint John, Canada - Sedgwick
Description
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.
A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.
Great Place to Work
Top 100 Most Loved Workplace
Forbes Best-in-State Employer
PRIMARY PURPOSE : To handle losses and claims for property and casualty insurers.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
QUALIFICATIONS
Education & Licensing
Bachelor's degree from an accredited college or university preferred. Obtain IIA-AIC designation within 12 to 18 months. Appropriate province adjuster license is required.
Experience
Skills & Knowledge
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
We are committed to inclusive, barrier-free recruitment and selection processes. If contacted for an employment opportunity, please advise Colleague Resources if you require accommodation.
OBJECTIF PRINCIPAL : Traiter les pertes et les réclamations pour les assureurs de biens et de risques divers.
FONCTIONS ESSENTIELLES et RESPONSABILITÉS
AUTRES FONCTIONS et RESPONSABILITÉS
QUALIFICATIONS
Formation et accréditations
Préférence pour les titulaires d'un baccalauréat obtenu auprès d'un collège ou d'une université accrédité Obtention de la désignation IIA-AIC dans un délai de 12 à 18 mois. Licence d'expert(e) en sinistres provinciale requise.
Expérience
Compétences et connaissances
Les déclarations contenues dans ce document sont destinées à décrire la nature générale et le niveau du travail effectué par un(e) collègue affecté(e) à ce poste. Elles ne constituent pas une liste exhaustive de fonctions, de devoirs ou de variantes locales. La direction se réserve le droit d'ajouter ou de modifier à sa discrétion les fonctions du poste en tout temps.
Nous nous sommes engagés à mettre en place des processus de recrutement et de sélection inclusifs et sans obstacles. Si l'on vous contacte pour une offre d'emploi, veuillez communiquer avec les Ressources collègues si vous avez besoin de mesures d'adaptation.
Sedgwick is an Equal Opportunity Employer.
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Sedgwick retains the discretion to add or to change the duties of the position at any time.
