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Claims Examiner Property

Company: Sedgwick
Location: Walnut Creek
Posted on: September 15, 2019

Job Description:

Claims Examiner - Property

IF YOU CARE, THERE'S A PLACE FOR YOU HERE

For a career path that is both challenging and rewarding, join Sedgwick's talented team of 21,000 colleagues around the globe. Sedgwick is a leading provider of technology-enabled risk, benefits and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. Whether they have a workplace injury, suffer property or financial loss or damage from a natural or manmade disaster, are involved in an auto or other type of accident, or need time away from work for the birth of a child or another medical situation, we are here to provide compassionate care and expert guidance. Our clients depend on our talented colleagues to take care of their most valuable assets -- their employees, their customers and their property. At Sedgwick, caring counts--. Join our team of creative and caring people of all backgrounds, and help us make a difference in the lives of others.

For nearly 50 years, Sedgwick has been helping employers answer virtually every question there is about workers' compensation. We have experience in nearly every type of industry, in every region, providing the broadest range of programs and services.

PRIMARY PURPOSE: To analyze and process complex or technically difficult (up to $100,000) personal and commercial line property claims by scoping damages and completing an estimte or by obtaining a contrator's estimate for review.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES


  • Processes complex commercial and personal line property claims and ensures claim files are properly documented and coded correctly.
  • Responsible for litigation process on litigated claims.
  • Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims
  • Reports large claims to excess carrier(s).
  • Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution.
  • Identifies and pursues subrogation opportunities; secures and disposes of salvage.
  • Communicates claim action/processing with insured, client, and agent or broker when appropriate.

    ADDITIONAL FUNCTIONS and RESPONSIBILITIES


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

      QUALIFICATION

      Education & Licensing

      Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Licenses as required.

      Experience

      Five (5) years of claims management experience or equivalent combination of education and experience required to include knowledge of construction basics, property estimating software experience, and in-depth knowledge of personal and commercial line property policies, coverages, principles, and laws.

      Skills & Knowledge


      • In-depth knowledge of personal and commmercial line property policies, coverages, principles, and laws
      • Knowledge of construction basics and property estimating software
      • Knowledge of appropriate application of deductibles and sub-limits
      • Strong oral and written communication, including presentation skills
      • PC literate, including Microsoft Office products
      • Strong organizational skills
      • Strong interpersonal skills
      • Good negotiation skills
      • Ability to work in a team environment
      • Ability to meet or exceed Service Expectations

        WORK ENVIRONMENT

        When applicable and appropriate, consideration will be given to reasonable accommodations.

        Mental:Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

        Physical: Computer keyboarding, travel as required

        Auditory/Visual: Hearing, vision and talking

        NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.

        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.

        Sedgwick is an Equal Opportunity Employer

        and a

        Drug-Free Workplace

        #LI-TS

        #monster
        Property Training certificate a plus

        Seeking an in-house Property Adjuster. Ability to analyze coverage, review

        estimates and make payment recommendations on moderate to large losses.

        Must be able to review claim specific facts in relation to a commercial General Liability policy and make coverage recommendations. Should be able to draft moderate to complex coverage letters.

Keywords: Sedgwick, San Francisco , Claims Examiner Property, Other , Walnut Creek, California

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