Claims Adjuster Workers Compensation

Claims Adjuster – Workers Compensation

As an adjuster, you’ll have the opportunity to take on new challenges and help solve complex problems for the world’s best brands.

• Apply your adjuster knowledge and experience to adjudicate complex customer claims in an energetic culture.
• Deliver innovative customer‑facing solutions to clients across virtually every industry.
• Be part of a rapidly growing, industry‑leading global company known for excellence and customer service.
• Leverage Sedgwick’s global network of experts to both learn from and share your insights.
• Take advantage of professional development opportunities to perform your best work and grow your career.
• Enjoy flexibility and autonomy in daily work, location, and career path.
• Build a meaningful career that allows travel and on‑call deployment.
• Access diverse and comprehensive benefits to meet mental, physical, financial, and professional needs.

Primary Purpose of the Role

• Provide clients with professional care handling losses or claims regionally unassisted with the ability to address most complex adjustment issues pertaining to damages and coverage and to assist on large losses with the ability to manage smaller and non‑complex claims.
• Handle losses and claims for property and casualty insurers.

Are You an Ideal Candidate?

The ideal candidate has a passion for helping others and understands the urgency to provide timely and quality reports to their customers. They possess time‑management skills necessary to complete tasks in a timely manner, are well organized, and have the technical skills of estimating and computer proficiency to perform the job.

Essential Responsibilities May Include

• Receive and review new claims and maintain data integrity in the claims system.
• Conduct claim file activities including evaluations, investigations, litigation management and resolution.
• Review investigative reports, insurance policies and other pertinent records for proper coverage.
• Investigate cause and extent of damages, obtain appropriate documentation and issue settlement.
• Determine coverage of claims with proper limits and deductibles in accordance with policy information.
• Prepare settlement documents and request payment for the claim and expenses.
• Work with external vendors and professionals.
• Interview and correspond with claimants and witnesses regarding claims.
• Estimate cost of repair, replacement or compensation.
• Prepare report findings and negotiate settlements with claimants.
• Recommend litigation by legal department when settlement cannot be negotiated.
• Revise case reserves in assigned claims files to cover probable costs.
• Assist in preparing loss experience report to help determine profitability and calculate adequate future rates.

Qualifications

• Bachelor’s degree from an accredited college or university preferred but not required.

• Appropriate state adjuster license is required.

Taking Care of You

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency. The starting pay range for this role is $58,331.00 – $81,664.00. A comprehensive benefits package is offered including medical, dental, vision, 401(k) and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other voluntary benefits.

• Wonderful team culture with career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental, vision, 401(k) and PTO.
• Wellness benefits including wellness allowance and life insurance.
• Competitive salary with a rewarding bonus structure.
• Job security and flexibility; potential to work from home once training is completed.

Work Environment Requirements

For entry‑level opportunities include –

Physical: Computer keyboarding

Auditory/visual: Hearing, vision and talking

Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.

Sedgwickis 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.