Adjuster

Adjuster PRIMARY PURPOSE

A claims adjuster is charged with the investigation, evaluation and quantification of an insurance claim. The adjuster will determine and provide recommendations with respect to coverage, liability and quantum, within the terms of the policy.

• Manages/adjusts assigned claims while meeting company standards and quality, including conducting thorough investigations.
• Determines coverage and validity of claims, interviews and communicates with insured, claimants and witnesses.
• Inspects claim sites as required and assigns external vendors as necessary.
• Recommends reserves, prepares reports and negotiates settlements within granted authority.
• Participates in mediation and arbitrations as required and works with defense counsel as assigned.
• Maintains accurate records based on company standards and procedures, using company custom computer systems.
• Accurately and efficiently manages billing for assigned files within specified timelines.
• Assists with collection of accounts receivables for assigned claims.
• Assists with local marketing of the branch, attends professional and social events, and develops new business opportunities.
• Maintains excellent working relationships with existing clients to further develop business.
• Participates as required in client file reviews and audits.
• Ensures reserves, coding and reporting is up to date on claims files assigned.
• Requires a high level of mathematical and reasoning ability to calculate and analyze data to arrive at a logical conclusion.
• Can cope with extreme weather, environmental and driving conditions at any time of day or night.
• Committed to continuous education to keep up to date with all industry and legislative issues and changes and licensing requirements.

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

• Post‑secondary education.
• Has or is working toward CIP designation.
• Must be licensed or have the ability to obtain a provisional license.
• Must possess a valid driver’s license.

• Proven adjusting and negotiating skills.
• Excellent interpersonal and communication skills.
• Computer proficiency.

• Strong knowledge of insurance, claims or business management.
• Excellent oral and written communication.
• PC literate, including Microsoft Office products and Excel.
• Ability to navigate and work in client‑required ancillary systems.
• Ability to work in a 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.

We are committed to inclusive, barrier‑free recruitment and selection processes. If contacted for an employment opportunity, please advise Colleague Resources if you require accommodation. Sedgwick is an Equal Opportunity Employer.