Claims Examiner - Property (Commercial, Public Entity Claims)

This role is open to a remote, telecommute, work-at-home setting. This is a claims professional adjuster position for our pooling division. Public entity or commercial property claims handling experience a plus!

This is a desk adjuster role, the position will be responsible for investigating, documenting, review coverages, provisions, obtaining details, determining if there is coverage, submitting coverage analysis for review by the regional office, retaining counsel when necessary, entering payments, drafting denial letters, pursuing subrogation actions.

Are you looking for an impactful job where you can apply your knowledge and experience in the context of an energetic culture?

• Enjoy flexibility and autonomy in your daily work, your location, and your career path. This role is open to a work-at-home, remote setting in Iowa.

• Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. 

• Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights. 

• Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. 

ARE YOU AN IDEAL CANIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.

PRIMARY PURPOSE:  To analyze investigate, evaluate and adjust personal, commercial line and/or public entity property and injury claims. Will also handle commercial property claims as needed (obtaining a independent adjuster 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.

• Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims.

• Reports large claims to excess carrier(s),

• 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.

• Travels as required

QUALIFICATIONS

Education & Licensing
Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Licenses as required.

Experience
Five (5) years of claims management experience or equivalent combination of education and experience required to include 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

• 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

When applicable and appropriate, consideration will be given to reasonable accommodations.

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 talking

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.