Claims Examiner Property
Location: Walnut Creek
Posted on: September 15, 2019
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
- Responsible for litigation process on litigated
- 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
- 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.
Education & Licensing
Bachelor's degree from an accredited college or university
preferred. Professional certification as applicable to line of
business preferred. Licenses as required.
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
- Knowledge of appropriate application of deductibles and
- Strong oral and written communication, including presentation
- 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
When applicable and appropriate, consideration will be given to
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
Property Training certificate a plus
Seeking an in-house Property Adjuster. Ability to analyze coverage,
estimates and make payment recommendations on moderate to large
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
Keywords: Sedgwick, San Francisco , Claims Examiner Property, Other , Walnut Creek, California
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