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Sedgwick Claims Management Services

Claims management and risk solutions provider

Regional General Adjuster

Claims AdjudicationPosted on Nov 10
Full-timeCalifornia, USA

About the Job

Requirements

  • Five years of related experience, or an equivalent combination of education and experience, is required.
  • The IIA-AIC designation must be earned, and the candidate must be actively pursuing another professional insurance designation.
  • An appropriate state adjuster license is required.
  • Strong oral and written communication skills, including presentation skills, are required.
  • Proficiency with personal computers, including Microsoft Office products, is required.
  • Strong customer service skills are required.
  • Attention to detail and accuracy are required.
  • Good time management and organizational skills are required.
  • The ability to work independently or in a team environment is required.
  • The ability to meet or exceed Performance Competencies is required.
  • The role requires clear and conceptual thinking, excellent judgment and discretion, the ability to handle work-related stress and multiple priorities, and the ability to meet deadlines.
  • The role requires the ability to stand or walk for long periods, kneel, squat, bend, climb, crawl, stoop, reach or work overhead, and work outdoors in hot or cold weather.
  • The role requires the ability to lift or carry up to 50 pounds, push or pull up to 100 pounds, drive up to four hours per day, and continually use manual dexterity.
  • The role requires hearing, vision, and talking abilities.

Responsibilities

  • Handle regional losses or claims unassisted up to $10 million, including complex adjustment issues involving damages and coverage; assist with larger losses and manage smaller, non-complex National Accounts.
  • Examine claim forms and other records to determine insurance coverage.
  • Administer and reconcile complex catastrophic property claims.
  • Interview, telephone, or correspond with claimants and witnesses regarding claims.
  • Consult police and hospital records and inspect property damage to determine the extent of company liability, using investigation methods appropriate to the type of insurance.
  • Estimate repair, replacement, or compensation costs.
  • Prepare findings reports and negotiate settlements with claimants.
  • Recommend litigation by the legal department when settlement cannot be negotiated.
  • Attend litigation hearings.
  • Revise case reserves in assigned claim files to cover probable costs.
  • Prepare loss experience reports to help determine profitability and calculate adequate future rates.
  • Interact with excess carriers to determine coverage, excess insurance levels, and potential reimbursements.
  • Perform other duties as assigned.
  • Travel as required.

Desired Qualifications

  • A bachelor's degree from an accredited college or university is preferred.

About the Company

Sedgwick Claims Management Services

Claims management and risk solutions provider

Sedgwick manages claims and risk for insurers, corporations, and public entities. Its services cover the full claims lifecycle, including clinical case management, networks, and cost-containment programs, plus specialized work like home inspections and property appraisals. The company operates by charging fees for these managed services that coordinate medical care, assess losses, and support timely resolution. Sedgwick differentiates itself through its integrated, end-to-end approach to claims management and its strong emphasis on caring for people, DEI, and client outcomes. Its goal is to help clients resolve claims efficiently, restore property and brands, and reduce costs through targeted resources deployed at the right time to improve outcomes.

Company size
10,001+
Company stage
Growth Equity (Non-Venture Capital)
Total funding
$1.5B
Headquarters
Memphis, TN
Founded
1969

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