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    Expert en sinistre/Claims Adjuster - Alberta, Canada - Sedgwick

    Sedgwick
    Sedgwick Alberta, Canada

    2 weeks ago

    Default job background
    Full time
    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

    Expert en sinistre/Claims Adjuster

    OBJECTIF PRINCIPAL L'expert(e) en sinistres est chargé(e) d'enquêter, d'évaluer et de quantifier les réclamations d'assurance . L'expert(e) en sinistres doit déterminer et fournir des recommandations en ce qui concerne la couverture, la responsabilité et le montant à verser, selon les modalités de la police.

    FONCTIONS ESSENTIELLES et RESPONSABILITÉS

  • Gérer et traiter les réclamations attribuées tout en respectant les normes de qualité de l'entreprise, notamment en menant des enquêtes approfondies, en déterminant la couverture et la validité des réclamations, en interrogeant et en communiquant avec les assurés, les requérants et les témoins, en inspectant les sites touchés au besoin, en faisant appel à des fournisseurs externes au besoin, en formulant des recommandations relatives aux provisions, en élaborant des rapports et en négociant des règlements dans les limites de l'autorité accordée. Participer à des médiations et des arbitrages selon les besoins. Collaborer avec les avocats de la défense selon les besoins.
  • Maintenir des dossiers exacts en conformité avec les normes et les procédures de l'entreprise, au moyen des systèmes informatiques spécialisés de l'entreprise. Capacité de travailler dans les systèmes des clients externes.
  • Gérer de manière précise et efficace la facturation des dossiers attribués, en fonction des échéanciers établis.
  • Aider au recouvrement des comptes débiteurs pour les réclamations attribuées.
  • Participer aux efforts de marketing locaux de la succursale, assister à des événements professionnels et sociaux, et développer de nouvelles occasions d'affaires.
  • Entretenir d'excellentes relations de travail avec les clients existants pour développer les affaires et participer, le cas échéant, à l'examen des dossiers des clients et aux audits.
  • Démontrer un haut niveau de raisonnement et de compétence en mathématiques pour pouvoir calculer et analyser des données et parvenir à une conclusion logique.
  • Être capable de faire face à des conditions météorologiques, environnementales et de conduite extrêmes, à toute heure du jour ou de la nuit.
  • Suivre des cours de formation continue afin d'être au courant des questions et des changements qui touchent le secteur et les lois, de même que les exigences applicables aux licences.
  • Veiller à ce que les provisions, le codage et les rapports soient à jour pour les dossiers attribués.

    • AUTRES FONCTIONS et RESPONSABILITÉS

  • S'acquitter d'autres fonctions attribuées.
  • Prendre en charge le(s) programme(s) de qualité de l'organisation.

    • QUALIFICATIONS

    Formation et accréditations

  • Études postsecondaires.
  • Obtention ou travail en vue de l'obtention d'un titre de PAA.
  • Licence ou capacité d'obtenir une licence provisoire.
  • Permis de conduire valable.
  • Compétences démontrées en expertise en sinistres et en négociation.
  • Excellentes aptitudes interpersonnelles et de communication, et maîtrise de l'informatique.

    • Expérience

  • Compétences démontrées en expertise en sinistres et en négociation.
  • Excellentes aptitudes interpersonnelles et de communication, et maîtrise de l'informatique.

    • Compétences et connaissances

  • Bonne connaissance des assurances, des sinistres ou de la gestion d'entreprise
  • Excellente communication orale et écrite
  • Connaissances informatiques, y compris les produits Microsoft Office et Excel
  • Capacité à naviguer et à travailler dans les systèmes auxiliaires requis par les clients
  • Capacité à travailler efficacement dans un environnement à distance ou à domicile
  • Compétences d'analyse et d'interprétation
  • Solides compétences organisationnelles
  • Excellentes aptitudes interpersonnelles
  • Excellentes aptitudes à la négociation
  • Capacité à travailler efficacement dans un environnement d'équipe
  • Capacité à atteindre ou dépasser le niveau de rendement attendu

    • 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 obstacle. Si l'on vous contacte pour une offre d'emploi, veuillez communiquer avec les Ressources collègues si vous avez besoin de mesures d'adaptation.

    PRIMARY PURPOSE A claims adjuster is charged with the investigation, evaluation and quantification of an insurance claim . The adjuster will determine and provide recommendations with respect to coverage, liability and quantum, within the terms of the policy.

    ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Manages/adjusts assigned claims while meeting company standards and quality, including conducting thorough investigations; determining coverage and validity of claims, interviewing and communicating with insured, claimants and witnesses; inspecting claims sites as required, assigning external vendors as required, recommendations for reserves, preparing reports and negotiating settlements within granted authority. Participate in mediation and arbitrations as required. Work with defense counsel as assigned.
  • Maintains accurate records based on company standards and procedures, using company custom computer systems. Will require the ability to work in external client systems.
  • Accurately and efficiently manages the billing for assigned files, within specified timelines
  • Assists with collection of accounts receivables for assigned claims
  • Assists with local marketing of the branch; attends professional and social events and develops new business opportunities.
  • Maintains an excellent working relationship with existing clients to further develop business and will participate as required in client file reviews and audits.
  • Requires a high level of mathematical and reasoning ability to calculate and analyze data to arrive at a logical conclusion
  • The ability to cope with extreme weather, environmental and driving conditions at any time.
  • Committed to continuous education to keep up-to-date with all industry and legislative issues and changes and licensing requirements.
  • Responsible to ensure reserves, coding and reporting is up to date on claims files assigned.

    • ADDITIONAL FUNCTIONS and RESPONSIBILITIES

  • Performs other duties as assigned.
  • Supports the organization's quality program(s).

    • QUALIFICATIONS

    Education & Licensing

  • Post-secondary education
  • Has or is working toward CIP designation
  • Must be licensed or have the ability to obtain a provisional license
  • Must possess a valid driver's license
  • Proven adjusting and negotiating skills
  • Excellent interpersonal and communication skills, and computer proficiency

    • Experience

  • Proven adjusting and negotiating skills
  • Excellent interpersonal and communication skills, and computer proficiency

    • Skills & Knowledge

  • Strong knowledge of insurance, claims or business management
  • Excellent oral and written communication
  • PC literate, including Microsoft Office products and Excel
  • 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 interpersonal skills
  • Excellent negotiation skills
  • Ability to work in a team environment
  • Ability to meet or exceed Performance Competencies

    • 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.

    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.

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