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Sedgwick Claims Examiner, Pooling (Remote) in Cedar Rapids, Iowa

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

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Claims Examiner, Pooling (Remote)

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.

  • 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

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $ 75,000.00 to $80,000.00 USD/annual salary . A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

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.

#LI-REMOTE #claimsexaminer #claimsadjuster

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Taking care of people is at the heart of everything we do. Caring counts

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)

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