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Sedgwick · 4 months ago

Complex Casualty Adjuster

United States

Full-time

Remote

Senior Level, Lead/Staff

$85K/yr - $120K/yr

8+ years exp

Sedgwick is a leading claims management services company, and they are seeking a Complex Casualty Adjuster to handle complex, technically challenging claims on automobile, homeowner, and excess liability policies. The role involves adjusting claims with complex coverage issues while providing an exceptional customer experience.

BankingInsuranceRisk Management

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

Investigates 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

Performs other duties as assigned

Travel as required

Qualification

CPCUAICARMLitigation managementAnalytical skillsNegotiation strategiesMicrosoft OfficeInterpersonal skillsOrganizational skillsCommunication skills

Required

State mandated adjusting licenses as required

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

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

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

Computer keyboarding, travel as required

Hearing, vision and talking