Casualty Claims Specialist
About the role
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: To investigate claims against insurance or other companies for personal, casualty, or property loss or damages; attempts to effect out-of-court settlement with claimant.
Responsibilities
- Examines claim forms and other records to determine insurance coverage.
- Interviews, telephones, or corresponds with claimant and witnesses; consults police and hospital records; and inspects property damage to determine extent of company's liability, varying method of investigation according to type of insurance.
- Prepares report of findings and negotiates settlement with claimant.
- Recommends litigation by legal department when settlement cannot be negotiated.
- Attends litigation hearings.
- Revises case reserves in assigned claims files to cover probably costs.
- Assists in preparing loss experience report to help determine profitability and calculates adequate future rates.
- Performs other duties as assigned.
- Supports the organizations quality program(s).
Qualifications
Education & Licensing: High School diploma or GED required.
Experience: Six (6) years of general office experience or equivalent combination of education and experience required. Claims industry experience preferred.
Skills
- Knowledge of professional liability claims
- Ability to review information and ensure accuracy and applicable policy placement