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Casualty Major Loss Adjuster
- Sedgwick (Erie, PA)
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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 Major Loss Adjuster
**PRIMARY PURPOSE** **:** Manages major casualty losses from inquiry through resolution, while mitigating exposure, handling complex coverage issues, and providing excellent service to internal and external stakeholders.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
+ Manages all aspects of major casualty losses from coverage inquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution.
+ Ensures mitigation of indemnity and expense exposure.
+ Responsible for large exposure litigated claims as well as complex coverage scenarios.
+ Communicates developments and outcomes as necessary to all key internal and external stakeholders.
+ Evaluates coverage and drafts coverage letters to include both reservation of rights and coverage denials.
+ Handles claims in multiple jurisdictions; state laws and statutes vary, and claims can be assigned in any state.
+ Frequently communicates with home office and staff counsel and provides research to ensure claims are handled appropriately.
+ Resolves complex coverage issues; manages claims with lawsuits and thoroughly reviews policy and file material to make a proper coverage determination.
+ Partners with senior management on all major losses with significant indemnity or expense reserves.
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
Ten (10) 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
+ Market leading specialist knowledge in high-net-worth technical claims topics
+ Comprehensive knowledge of tort theories, legal concepts, negotiation strategies, and litigation management
+ Expert policy language skills enabling accurate and consistent policy wording interpretation
+ Market leading knowledge of legal/regulatory and litigation/procedural requirements
+ 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.
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.
Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com
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