Adjuster- Lifestyle Claims

Adjuster- Lifestyle Claims

PRIMARY PURPOSE : A Multi-Line claims adjuster is charged with investigation, evaluation and quantification of insurance claims . The adjuster determines and provides recommendations relative to coverage, liability and quantum, within policy terms.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES

• Manage/adjust 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; assigning external vendors as required, recommending reserves, preparing reports and negotiating settlements within granted authority.
• Maintain accurate records based on company standards and procedures, using company custom computer systems. Ability to work in external client systems is required.
• Accurately and efficiently manage the billing for assigned files, within specified timelines.
• Maintain excellent working relationships with existing clients to further develop business; participate as required in client file reviews and audits.
• Require a high level of mathematical and reasoning ability to calculate and analyze data to arrive at a logical conclusion.
• Committed to continuous education to keep up-to-date with industry and legislative issues, changes and licensing requirements.
• Responsible for ensuring reserves, coding and reporting are up to date on assigned claims files.
• Positively impact customer experience by focusing on achieving positive Net Promoter Score.
• Identify need and coordinate task assignments utilizing field adjusters.
• Review and interpret policy wording to confirm and apply coverage of losses.

ADDITIONAL FUNCTIONS & RESPONSIBILITIES

• Perform other duties as assigned.
• Support the organization's quality program(s).

QUALIFICATIONS

Education & Licensing

• Post‑secondary education.
• Has or is working toward CIP designation.
• Must be licensed or have the ability to obtain a provisional license.
• Proven adjusting and negotiating skills.
• Excellent interpersonal and communication skills, and computer proficiency.

Experience

• Proven adjusting and negotiating skills.
• Excellent interpersonal and communication skills, and computer proficiency.
• Commercial and condo claim experience is an asset.

Skills & Knowledge

• Strong knowledge of insurance, claims or business management.
• Excellent oral and written communication.
• PC literate, including Microsoft Office products and Excel.
• Ability to navigate and work in client required ancillary systems.
• Ability to work in a remote/home office environment.
• Analytical and interpretive skills.
• Strong organizational skills.
• Excellent negotiation skills.
• Ability to work in a team environment.
• Ability to meet or exceed Performance Competencies.
• Strong interpersonal skills allowing you to effectively deal with conflict and difficult situations.

Compensation

• Full‑time, salaried position.
• Salary range: $50,000 – $70,000 CAD annually, based on experience, qualifications and internal equity.

Equal Opportunity Employer

Sedgwick is an Equal Opportunity Employer.