Claims Examiner - Property

About the role

Join Sedgwick, a company dedicated to helping people face unexpected challenges. As a Claims Examiner - Property, you'll contribute to a caring culture and enjoy work-life balance.

Primary Purpose

To analyze and process complex or technically difficult personal and commercial line property claims by scoping damages and completing an estimate or by obtaining a contractor's estimate for review.

Essential Functions and Responsibilities

• Processes complex commercial and personal line property claims and ensures claim files are properly documented and coded correctly.
• Responsible for litigation process on litigated claims.
• Captivates vendor management, including the use of independent adjusters to assist the investigation of claims.
• Reports large claims to excess carriers.
• Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution.
• Identifies and pursues subrogation opportunities; secures and disposes of salvage.
• Communicates claim action/processing with insured, client, and agent or broker when appropriate.

Additional Functions and Responsibilities

• Supports the organization's quality program(s).
• Travels as required.

Qualifications

• Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.
• Licenses as required.
• Five (5) years of claims management experience or equivalent combination of education and experience required, including knowledge of construction basics, property estimating software experience, and in-depth knowledge of personal and commercial lines property policies, coverages, principles, and laws.

Skills & Knowledge

• In-depth knowledge of personal and commercial line property policies, coverages, principles, and laws.
• Knowledge of construction basics and property estimating software.
• Knowledge of appropriate application of deductibles and sub-limits.
• Strong oral and written communication, including presentation skills.
• PC literate, including Microsoft Office products.
• Strong organizational skills.
• Strong interpersonal skills.
• Good negotiation skills.
• Ability to work in a team environment.
• Ability to meet or exceed Performance Competencies.

Work Environment

• 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 speaking.