Auto​/Property Claims Representative - Consumer

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Auto/Property Claims Representative - Consumer PRIMARY PURPOSE :
To analyze reports claims, determine benefits due and make timely payments and adjustments; to make timely payments and adjustments for specified program claims including high value and complex claims; to coordinate investigative efforts; to thoroughly review contested claims; to negotiate settlement of claims up to the designated authority level; and to provide superior customer services.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES Manages first party property, casualty and/or medical reimbursement claims based on multiple/additional coverage and/or programs as defined by client-specific program.

Makes coverage determinations based on investigation/evaluation and communicates claim actions with claimant and client.

Adjudicates proper settlement up to designated authority level.

Works directly with underwriter/client on high value and complex cases.

Handles high volume of claims, phone calls and correspondence ensuring claim files are properly documented; meets quality and production goals; and meets customer guidelines and deadlines..ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned.

Supports the organization's quality program(s).QUALIFICATIONS Licensing Requirements Candidates should possess an active Property & Casualty Adjuster License for states where licensing is required. Multiple state adjuster licenses are strongly preferred and will be considered a significant advantage.

Preferred Experience We are seeking candidates with demonstrated experience handling ongoing property claims in a structured claims environment. Candidates with a proven track record of long-term engagement in desk-adjusting or staff-adjusting roles are preferred. Experience managing claims through the full claim lifecycle, maintaining productivity standards, and working within established processes is highly desirable.

Education & Licensing Bachelor's degree from and accredited college or university preferred. Professional certification as applicable to line of business preferred.

Experience Three (3) years of claims management experience or equivalent combination of experience and education required.

Skills & Knowledge In-depth knowledge of first party property and casualty claim adjudication as applicable to line of business

Excellent oral and written communication, including presentation skillsPC literate, including Microsoft Office products

Excellent analytical and interpretive skills

Excellent organizational skills

Excellent interpersonal skills

Ability to work in a team environment

Ability to meet or exceed Performance Competencies 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

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.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors…