Job Description

Complex Casualty Adjuster

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

Primary Purpose: Handles complex, technically challenging claims on automobile, homeowner, and excess liability policies. Adjusts claims with complex coverage issues involving liability, damages, evidence, or other complex legal issues, while providing an exceptional customer experience.

Essential Functions and Responsibilities:

• Adjusts claims that arise on Automobile, Homeowner and Excess Liability policies.
• Develops exposures and evaluates injury claims based on damages, the insurance contract, company policies, and applicable state laws.
• Investigaates and evaluates coverage, liability and damages in handling of claims involving serious and catastrophic injuries, coverage, and other legal issues.
• Ensures timely referral of suits to counsel and evaluates changes in exposure through the course of discovery, considering costs and strategic plan of actions to prepare for trial or determine settlement capability.
• Responsible for managing defense counsel in litigation of serious and complex claim, litigated claims as well as complex coverage scenarios; manages defense counsel in litigation of serious and complex claims.
• Formulates effective plans to bring the claims to resolution while focusing on indemnity and expense leakage.
• Evaluates coverage and drafts coverage letters to include both reservation of rights and coverage denials.
• Maintains proper reserves on all pending claims.

Additional Functions and Responsibilities:

• Performs other duties as assigned.
• Travel as required

Qualifications

Education & Licensing: Bachelor's degree from an accredited college or university preferred. State mandated adjusting licenses as required. Insurance designations such as CPCU, AIC, ARM preferred.

Experience: Eight (8) years of related experience to include experience in personal lines claims, evaluating coverage and drafting coverage letters to include both reservation of rights and coverage denials, or equivalent combination of education and experience required. Experience with commercial lines claims and litigation in multiple states preferred.

Skills & Knowledge: Exposure to and knowledge of affluent market segment; strong knowledge of tort theories, legal concepts, negotiation strategies, and litigation management; excellent oral and written communication skills, including presentation skills; PC literate, including Microsoft Office products; analytical and interpretive skills; strong organizational skills; excellent interpersonal skills; excellent negotiating skills; ability to create and complete comprehensive, accurate and constructive written reports; 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. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

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