[Hiring] Casualty Claims Specialist @Sedgwick

Role Description

To investigate claims against insurance or other companies for personal, casualty, or property loss or damages; attempts to effect out-of-court settlement with claimant.

Essential Functions and Responsibilities

• Examines claim forms and other records to determine insurance coverage.
• Interviews, telephones, or corresponds with claimant and witnesses; consults police and hospital records; and inspects property damage to determine extent of company's liability, varying method of investigation according to type of insurance.
• 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.

Additional Functions and Responsibilities

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

Qualifications

• High School diploma or GED required.
• Six (6) years of general office experience or equivalent combination of education and experience required. Claims industry experience preferred.
• Knowledge of professional liability claims.
• Ability to review information and ensure accuracy and applicable policy placement.
• Oral and written communication skills.
• PC literate, including Microsoft Office products.
• Attention to detail and accuracy.
• Ability to work in a team environment.
• Ability to meet or exceed Performance Competencies.

Requirements

• 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.

Benefits

• Work-life balance.
• Opportunity for career growth.
• Caring culture.