Casualty Desk Adjuster - RGA
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What you'll do
- Develops exposures and evaluates injury claims based on damages, the insurance contract, company policies, and applicable state laws.
- Investigates and evaluates coverage, liability and damages in handling of claims involving serious and catastrophic injuries, coverage, and other legal issues.
- Ensures timely referral of suits to counsel and evaluates changes in exposure through the course of discovery, considering costs and strategic plan of actions to prepare for trial or determine settlement capability.
- Responsible for managing defense counsel in litigation of serious and complex claim, litigated claims as well as complex coverage scenarios; manages defense counsel in litigation of serious and complex claims.
- Formulates effective plans to bring the claims to resolution while focusing on indemnity and expense leakage.
- Evaluates coverage and drafts coverage letters to include both reservation of rights and coverage denials.
- Maintains proper reserves on all pending claims.
- Performs other duties as assigned.
- Travel as required
What they're looking for
- State mandated adjusting licenses as required.
- Eight (8) years of related experience to include experience in personal lines claims, evaluating coverage and drafting coverage letters to include both reservation of rights and coverage denials, or equivalent combination of education and experience required.
Nice to have
- Bachelor's degree from an accredited college or university preferred.
- Insurance designations such as CPCU, AIC, ARM preferred.
- Experience with commercial lines claims and litigation in multiple states preferred.
Summarised by NextRaise from the employer’s description, which follows in full below.
Full description from employer
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
Casualty Desk Adjuster - RGAPRIMARY PURPOSE: Candidate should have at least 5 years (prefer 10+) of Public Entity and EPL(Employment Practices Liability) and/or CSA (Childhood Sexual Assault) claims handling experience. Handles complex, technically challenging claims.. Adjusts claims with complex coverage issues involving liability, damages, evidence, or other complex legal issues, while providing an exceptional customer experience.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Develops exposures and evaluates injury claims based on damages, the insurance contract, company policies, and applicable state laws.
Investigates and evaluates coverage, liability and damages in handling of claims involving serious and catastrophic injuries, coverage, and other legal issues.
Ensures timely referral of suits to counsel and evaluates changes in exposure through the course of discovery, considering costs and strategic plan of actions to prepare for trial or determine settlement capability.
Responsible for managing defense counsel in litigation of serious and complex claim, litigated claims as well as complex coverage scenarios; manages defense counsel in litigation of serious and complex claims.
Formulates effective plans to bring the claims to resolution while focusing on indemnity and expense leakage.
Evaluates coverage and drafts coverage letters to include both reservation of rights and coverage denials.
Maintains proper reserves on all pending claims.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
Performs other duties as assigned.
Travel as required
QUALIFICATIONS
Education & Licensing
Bachelor's degree from an accredited college or university preferred. State mandated adjusting licenses as required. Insurance designations such as CPCU, AIC, ARM preferred.
Experience
Eight (8) years of related experience to include experience in personal lines claims, evaluating coverage and drafting coverage letters to include both reservation of rights and coverage denials, or equivalent combination of education and experience required. Experience with commercial lines claims and litigation in multiple states preferred.
Skills & Knowledge
Exposure to and knowledge of affluent market segment
Strong knowledge of tort theories, legal concepts, negotiation strategies, and litigation management
Excellent oral and written communication skills, including presentation skills
PC literate, including Microsoft Office products
Analytical and interpretive skills
Strong organizational skills
Excellent interpersonal skills
Excellent negotiating skills
Ability to create and complete comprehensive, accurate and constructive written reports
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.
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 ($100,000 - $120,000 USD annually). 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
Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.
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.
Company
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