Full-Time

National General Adjuster

Remote in PA or NY

Posted on 11/15/2024

Sedgwick Claims Management Services

Sedgwick Claims Management Services

10,001+ employees

Claims management and risk solutions provider

Financial Services
Healthcare

Compensation Overview

$150k - $200kAnnually

+ Bonus

Mid

Remote in USA

Must reside in Pennsylvania or New York.

Category
Legal
Risk & Compliance
Legal & Compliance
Required Skills
Customer Service
Data Analysis
Requirements
  • Bachelor's degree from an accredited college or university preferred.
  • Must have earned the IIA-AIC designation and be actively pursuing another professional insurance designation.
  • Five (5) years of related experience or equivalent combination of education and experience required.
  • Strong oral and written communication, including presentation skills.
  • PC literate, including Microsoft Office products.
  • Strong customer service skills.
  • Attention to detail and accuracy.
  • Good time management and organizational skills.
  • Ability to work independently or in a team environment.
  • Ability to meet or exceed Performance Competencies.
Responsibilities
  • Examines insurance policies, claims, and other records to determine insurance coverage.
  • Administers and reconciles complex catastrophic claims for property.
  • Interviews, telephones, or corresponds with claimant(s) and witnesses regarding claim.
  • Consults police and hospital records; and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance.
  • Estimates cost of repair, replacement, or compensation.
  • 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.
  • Prepares loss experience reports to help determine profitability and calculates adequate future rates.
  • Interacts with excess carrier to determine coverages, excess insurance levels, and potential reimbursements.
  • Performs other duties as assigned.
  • Travels as required.
Sedgwick Claims Management Services

Sedgwick Claims Management Services

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Sedgwick specializes in claims management and risk solutions for the insurance and corporate sectors. The company assists organizations in efficiently managing and resolving various types of claims, including property damage and employee injuries. Sedgwick's services include clinical case management, where they oversee the medical care of injured employees, and provide networks to improve outcomes. They charge fees for their services, which range from initial claims assessment to ongoing case management, and also offer specialized services like home inspections and property appraisals. What sets Sedgwick apart from competitors is its strong emphasis on diversity, equity, and inclusion, which is a core value that enhances its service delivery. The company's goal is to provide comprehensive solutions that help clients reduce costs and improve efficiency in the claims process while caring for people.

Company Stage

Growth Equity (Non-Venture Capital)

Total Funding

$488.1M

Headquarters

Memphis, Tennessee

Founded

N/A

Simplify Jobs

Simplify's Take

What believers are saying

  • Sedgwick's expansion into global marine and aviation claims management demonstrates its ability to adapt and grow in specialized markets.
  • The launch of AI-powered care guidance applications showcases Sedgwick's commitment to leveraging technology for improved claims outcomes.
  • The company's strong leadership and strategic appointments, such as the promotion of Ronnie Adcock and the appointment of Paul Burns, indicate a focus on experienced and capable management.

What critics are saying

  • The retirement of long-time Executive Chairman Dave North could lead to a period of strategic uncertainty and transition challenges.
  • The complex and evolving legal landscape, as highlighted in Sedgwick's liability litigation report, poses ongoing challenges for effective claims management.

What makes Sedgwick Claims Management Services unique

  • Sedgwick's comprehensive managed care and cost containment solutions, including clinical case management, set it apart from competitors who may not offer such integrated services.
  • The company's strong emphasis on diversity, equity, and inclusion (DEI) enhances its ability to serve a wide range of clients and communities effectively.
  • Sedgwick's global reach and specialized services in sectors like marine and aviation claims management provide a unique competitive edge.

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