Adjuster TFS Job Alberta Canada,Insurance

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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Adjuster TFS

PRIMARYPURPOSE A claims adjuster is charged with the investigation,evaluationand quantification of an
insuranceclaim
.The adjuster willdetermineand provide recommendations with respect to coverage,liabilityand quantum, within the terms of the policy.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

Manages/adjustsassigned claims while meeting company standards and quality, including conducting thorough investigations;determiningcoverage and validity of claims,interviewingand communicating with insured,claimantsand witnesses; inspecting claims sitesasrequired, assigning external vendors asrequired,recommendations for reserves,preparing reports and negotiating settlementswithin granted authority. Participate in mediation andarbitrationsas required. Work with defense counsel as assigned.

Maintainsaccuraterecords based on company standards and procedures, using company custom computer systems. Will require the ability to work in external client systems.

Accurately and efficiently manages the billing for assigned files, within specified timelines

Assistswith collection of accounts receivables for assigned claims

Assistswith local marketing of the branch; attends professional and socialevents anddevelops new businessopportunities.

Maintains an excellent working relationship with existing clients to further develop businessand willparticipateasrequiredin client file reviews and audits.

Requiresa high levelof mathematical and reasoning ability to calculate and analyze data to arrive at a logical conclusion

The ability to cope with extreme weather, environmental and driving conditions at any time of day or night.

Committed to continuous education to keepup-to-datewith all industry and legislative issues and changesand licensing requirements.

Responsible to ensure reserves, coding and reportingisup to date on claims files assigned.

Assistswith local marketing of the branch; attends professional and social events and develops new business opportunities. 

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

Performs other duties as assigned.

Supports the organization's quality program(s).

QUALIFICATIONS

Education & Licensing

Post-secondary education

Has or is working toward CIP designation

Must be licensed orhave the ability toobtain a provisional license

Mustpossessa valid driver's license

Proven adjusting and negotiating skills

Excellent interpersonal and communication skills, and computerproficiency

Experience

Proven adjusting and negotiating skills

Excellent interpersonal and communication skills, and computerproficiency

Skills & Knowledge

Strong knowledge of insurance,claimsor business management

Excellent oral and written communication

PC literate, including Microsoft Office products and Excel

Ability to navigate and work in clientrequiredancillary systems

Ability to work ina remote/home office environment

Analytical and interpretive skills

Strong organizational skills

Excellent interpersonal skills

Excellent negotiation skills

Ability to work in a team environment

Ability to meet or exceed Performance Competencies

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. Managementretainsthe discretion to add or to change the duties of the position at any time.

We are committed to inclusive, barrier-free recruitment and selection processes.

Ifcontacted for an employment opportunity, pleaseadvise

Colleague Resources if you require accommodation.

Sedgwick is an Equal Opportunity Employer.

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. Sedgwick retains the discretion to add or to change the duties of the position at any time.


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