Role Description
A Multi-Lines 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.
• Manages/adjusts assigned claims while meeting company standards and quality, including conducting thorough investigations.
• Determines coverage and validity of claims, interviewing and communicating with insured, claimants, and witnesses.
• Assigns external vendors as required, makes recommendations for reserves, prepares reports, and negotiates settlements within granted authority.
• Maintains accurate records based on company standards and procedures, using company custom computer systems.
• Requires the ability to work in external client systems.
• Accurately and efficiently manages the billing for assigned files, within specified timelines.
• Maintains an excellent working relationship with existing clients to further develop business and participates 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.
• Committed to continuous education to keep up-to-date with all industry and legislative issues and changes and licensing requirements.
• Responsible for ensuring reserves, coding, and reporting are up to date on claims files assigned.
• Positively impacts customer experience by focusing on achieving positive Net Promoter Score.
• Identifies the need and coordination of task assignments utilizing field adjusters.
• Reviews and interprets policy wording to confirm and apply coverage of losses.
Qualifications
• Post-secondary education.
• Has or is working toward CIP designation.
• Must be licensed or have the ability to obtain a provisional license.
• Proven adjusting and negotiating skills.
• Excellent interpersonal and communication skills, and computer proficiency.
• Commercial and condo claim experience is an asset.
Requirements
• 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.
• Strong interpersonal skills allowing you to effectively deal with conflict and difficult situations.
Benefits
• Salary Range: $50,000 - $70,000 CAD annually.
• This position is full time and compensation is salaried.
• Compensation is determined based on experience, qualifications, and internal equity.
• Sedgwick is committed to transparent and equitable pay practices.