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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To investigate, inspect and analyse insurance claims to validate and adjust payments. This role includes conducting full lifecycle analysis of claims and physical site visits.
Main duties include:
Manages assigned claims while meeting company standards and quality, including conducting thorough investigations, determining coverage and validity of claims, interviewing and communicating with insured, claimants and witnesses. Makes coverage determinations based on investigation/evaluation and communicates claim actions with claimant and client.Works directly with underwriter/client on high value and complex cases. Ensure claim files are properly documented to meet quality and production goals and to meet customer guidelines and deadlines.Review/ interpret insurance policies and other reports to determine insurance coverage.Consults police/ hospital records, and inspects damage to determine extent of company's liability and varying methods of investigation according to type of insurance. Addresses salvage and subrogation as required by the client.Prepares report of findings and negotiates settlement with client.Revises case reserves in assigned claims files to cover probable costs.Assists in preparing loss experience report to help determine profitability and calculates adequate future rates.Ensure claim details are updated into the claims operating system on time and accurately.Any such reasonable duties within the general scopeEnsure compliance with operational, CR and H&S procedures and policies, and respond appropriately when required.The role will offer the successful candidate(s) with an opportunity to join a leading international claims management company with excellent remuneration and career prospects.
Sedgwick is an Equal Opportunity Employer.
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. Sedgwick retains the discretion to add or to change the duties of the position at any time.