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.

PRIMARY PURPOSE:   To handle losses and claims for property and casualty insurers. 

ESSENTIAL FUNCTIONS and RESPONSIBILITIES 

• Examines insurance policies and other records to determine insurance coverage. 

• Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim. 

• Consults police and hospital records and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance. 

• Estimates cost of repair, replacement, or compensation. 

• Prepares report of findings and negotiates settlement with claimant. 

• Recommends litigation by legal department when settlement cannot be negotiated. 

• Attends litigation hearings. 

• Revises case reserves in assigned claims files to cover probable costs. 

• Manages comprehensive desktop investigation of assigned claims while meeting company standards and quality, including obtaining all required loss details and relevant information; determining coverage and validity of claims, and communicating with insured and claimants; preparing reports and negotiating settlements 

• Maintains accurate records based on company standards and procedures, using company custom computer systems 

• Identifies the need and co-ordination of task assignments utilizing field adjusters 

• Reviews and interprets policy wording to confirm and apply coverage of losses 

• Accurately and efficiently manages the billing for assigned files, within specified timelines 

• Maintains an excellent working relationship with existing clients to further develop business 

• Committed to continuous education to keep up to date with all industry and legislative issues and changes 

• Assists in preparing loss experience report to help determine profitability and calculates adequate future rates. 

• Ability to handle losses under the general supervision of a TPA Team Lead 

ADDITIONAL FUNCTIONS and RESPONSIBILITIES: 

• Performs other duties as assigned. 

Education & Licensing 

• Enrolled in CIP program or completed CIP designation  

• Obtain license in local province or other provinces combination within 6 months of hire date 

• 4-Year college degree or equivalent or relative claim experience or 2-year Associates Degree in related field 

• Success as Sedgwick trainee or prior TPA/Field and/or carrier experience  

• Licensed in local province  

Experience 

• 1-3 years claims handling experience. 

• Proven adjusting, negotiating skills and analytical skills 

• Excellent interpersonal and communication skills 

• Advanced computer skills including office, outlook and web-based applications 

Skills & Knowledge 

• Strong oral and written communication, including presentation skills 

• PC literate, including Microsoft Office products 

• Demonstrated commitment to timely reporting 

• Strong customer service skills 

• Strong interpersonal skills 

• Attention to detail and accuracy 

• Good time management and organizational skills 

• Ability to work independently or in a team environment 

• Ability to meet or exceed Performance Competencies 

• Must constantly demonstrate a commitment to timely reporting and professional communication skills, good Client service, and can meet or exceed required production level. 

• Must be familiar with reviewing coverage analysis. 

•  Strong communication skills and understanding of customer expectations. 

• History of satisfactory dealings with client carriers, brokers and assisting in business development 

 Job type:

We are currently hiring for this position

Compensation Information:

Salary Range: $65,000 - $75,000 CAD Annual

This position is full-time, and compensation is salaried.

Compensation is determined based on experience, qualifications, and internal equity. Sedgwick is committed to transparent and equitable pay practices.

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. 

Where applicable, Sedgwick uses artificial intelligence tools to assist in the screening, assessment, or selection of candidates. These tools are subject to periodic review. 

We are committed to inclusive, barrier-free recruitment and selection processes. If contacted for an employment opportunity, please advise Colleague Resources if you require accommodation.