Auto​/Property Claims Representative - Consumer

Telecommuter OH

Full time

R76444

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.

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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 skills

• PC 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…