All Lines Claims Adjuster - Quality Assurance Specialist

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.

All Lines Claims Adjuster - Quality Assurance Specialist

PRIMARY PURPOSE

To assess, promote and confirm data quality and/or performance of investigative service partners and internal resources by performing quality audits of case files or client records to ensure optimal service delivery and compliance.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Assesses performance of internal, client or vendor case files or records at regular intervals for accuracy, consistency and compliance with service level expectations and service agreements.
• Identifies trends and areas of opportunity for increased service efficiency, education and quality.
• Works in partnership with stakeholders to ensure all required and relevant data elements, including but not limited to client demographics, client contacts, 3rd party connections, contract records, and performance guarantees are accurately and consistently captured in the client relationship management system.
• Compiles audit results and submits to manager for review.
• Provides audit results for quarterly stewardship reports.
• Monitors ongoing action items logs and project plans with appropriate stakeholders.
• Updates vendor resources to mapping program

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.
• Supports the organization's quality program(s).

QUALIFICATIONS

• Education & Licensing Bachelor's degree from an accredited college or university preferred. Full adjusting license in one or more provinces.
• Experience Minimum of Four (4) years of investigative experience or equivalent combination of education and experience required.
• Minimum 5 years of claims adjusting experience.
• Demonstrated experience handling both personal and commercial lines claims.
• Strong background in adjusting auto and property claims from initial intake through resolution.

SKILLS & KNOWLEDGE

• Oral and written communication skills
• PC literate, including Microsoft Office, Excel, PowerPoint products
• Analytical and interpretive skills
• Strong organizational skills
• Ability to work independently or in a team environment
• Ability to meet or exceed Performance Competencies

Job type: We are currently hiring for this position

COMPENSATION INFORMATION

• Salary Range: $47,116.00 - $61,251.00 - $75,386.00 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.

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