Job Summary The Claims Senior Representative serves as a technical expert on claims adjusting and handles injury, material damage, negligence, compensability, damage, and coverage issues. The role determines coverage and investigates, analyzes, negotiates, and settles claims not requiring outside investigation. The role delivers quality customer service in a high volume, moderate complexity work environment and mentors less experienced Adjusters on the team. Westfield Casualty Claims resolves third party liability claims involving injury, property damage, construction defect, personal & advertising injury, and environmental cleanup - both pre-suit and in litigation. This role is not eligible for visa sponsorship. Job Responsibilities - Determines whether proper coverage exists for the type of claim assigned. - Investigates thoroughly to obtain relevant facts concerning all aspects of the claim, such as coverage, liability, legal climate, potential exposure, and damages, and makes decisions on claim resolution. - Meets established goals & objectives, arranges for salvage disposition and other recovery proceedings as necessary, participates in claim file reviews and audits with customer and broker. - Determines the value of the physical damage of property, automobiles, or injuries through appropriate tools, recognizes claim file exposures and escalates appropriately. - Provides support in negotiation of settlements with insureds, claimants, vendors, attorneys, and other insurance companies. - Manages approved vendors and counsel utilized as necessary in the claim process, including approval of investigation plans and budgets. - Monitors, reviews, and issues payments to vendors and counsel in accordance with guidelines and standards. - Supports to review proper reserves for each claim based upon thorough investigation, evaluation, and experience. - Identifies and refers all claims to management for further handling and assignment instructions. - Refers claims exceeding authority to appropriate manager or complex claims specialist with recommendations. - Formulates sound recommendations for claims file handling, subsequent transactions, and renewal processing. - Requests additional information from an agent, identifies the need for referral to the field based on underwriting guidelines. - Maintains effective and ongoing communication with insureds, claimants, agents, attorneys, other insurance companies, representatives, vendors, and company personnel. - Completes appropriate reports to ensure that the claim status is clearly documented, obtains all necessary documentation to support claim evaluation. - Interprets complex and detailed documents such as contracts, legal documents, medical reports, insurance regulations and policies as needed. - Maintains knowledge of related coverage, law, and legislative environment and trends, participates in professional industry groups staying abreast of industry changes and advancements and incorporates best practices. Job Qualifications - 4+ years of Claims Handling experience. - Bachelor's degree in Business, Communication, or a related field and/or commensurate work experience. - For field roles only: Valid driver’s license and a driving record that conforms to company standards. Location Remote Licenses and Certifications - Certified Professional Claims Management (CPCM) (preferred) Behavioral Competencies - Collaborates - Communicates Effectively - Customer Focus - Decision Quality - Nimble Learning Technical Skills - Account Management - Claims Investigations - Claims Adjustment - Financial controls - Case Management - Customer Relationship Management - Project Management - Business Process Improvement - Auditing - Data Analysis and Reporting This job description describes the general nature and level of work performed in this role. It is not intended to be an exhaustive list of all duties, skills, responsibilities, knowledge, etc. These may be subject to change and additional functions may be assigned as needed by management. Founded in 1848, Westfield is a global leader in property and casualty insurance, delivering superior risk insights and innovative solutions to customers through a diverse portfolio of insurance products. Westfield underwrites commercial, personal, surety, and specialty lines of coverage through a network of leading independent agents and brokers in the United States and specialty products through Lloyd’s of London Syndicate 1200. As a mutual insurance company with more than 3,000 employees, Westfield has revenues in excess of $4 billion and more than $10 billion in assets.

At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection. Job Description A day in the life of a Large Loss Field Estimating Property Adjuster, and what it takes to do the job! As a Large Loss Field Estimating Property Adjuster, you will be dedicated to providing exceptional service to our policyholders. Your primary responsibility will involve traveling to our customers' homes to conduct on-site inspections, investigate coverage, prepare estimates, and settle claims promptly and efficiently. Additionally, you will be leveraging various platforms and software such as Xactimate and ClaimsX Video Collaboration. Your expertise will be primarily focused on fire and water losses, ensuring that our customers receive the highest level of support and resolution for these specific claims. You'll wear a few hats that will require a level of experience: - The Customer Service Expert –you’ll live into Allstate’s Claims Culture by caring, empowering, and restoring, and you will accomplish that by being compassionate, clear, and a committed partner in each claim. You lead with empathy, always.  - The Investigator – you’ll confidently and independently investigate property claims by performing detailed reviews of damage and interpreting policies to determine coverage.  - The Effective Communicator – you’ll use phone, emails and sometimes even video chat with customers to help them through a fast, fair, and easy claims process. You’ll also incorporate a specific approach to claim handling to offer the customer their preference of communication to efficiently discuss their claim needs and keep them updated on the claim progress.  - The Negotiator – You will evaluate and negotiate claims settlements with customers, vendors, third party carriers and claimants, in accordance with all legal and business standard methodologies. With negotiations, you will incorporate tactics in handling challenging and complex situations. - The Problem Solver –you’ll utilize multiple tools to get the job done in a fast-paced environment, including estimate tools, job aids, and additional settlement platforms, all while using your sharp critical thinking skills.  - The Recorder – you’ll protect the company financially by executing policies along policy agreements, and you keep a clear record of your work in a claims system that you will be trained on. You’ll accomplish this by ensuring timely and accurate documentation is completed as you work on each claim.   Preferred Qualifications: - 3+ years previous experience as an outside property adjuster is highly desired. - Experience handling claims with multiple trades and over $100,000 in losses. - Proficiency in using Xactimate and other relevant software for estimating preferred. - Strong critical thinking and technical skills to assess damages accurately and expedite claims settlements. - Excellent communication and interpersonal skills to provide exceptional customer service. - Ability to travel to customers' homes and handle virtual claims countrywide effectively. - Detail-oriented and organized, with a focus on delivering high-quality work. - Residency within the posted location is mandatory for this role. Required Qualifications: - Are willing and able to carry a 50-pound ladder and access roofs with up to a 6/12 pitch. - Valid driver's license and willingness to travel as part of the job requirements. You’re provided with comprehensive training: - Paid training: You will be required to attend approximately two weeks of training, which will take place in Wheeling, IL, or Dallas, TX. - The training program is designed to help you build a claims foundation and understand the systems and processes in your day to day work. - Ongoing training opportunities for continuous improvement happen regularly on the job. Notice of Licensing Requirement: - As a condition of employment, your office/area may require you to obtain an adjuster and/or an appraiser license which includes passing an additional background check with the Department of Labor. If applicable, you will be required to secure license(s) within 60 days of hire. - If required, the Hiring Manager will work with you along with the Centralized Licensing team to ensure that you are properly licensed. Sign On Bonus: - You may be eligible for a $1000 Licensing Sign on Bonus if you have the applicable active licenses needed for this role. This could include Home Resident Property & Casualty License, Designated Home State (DHS) Florida or Texas License, and/or applicable Appraiser License. **Current employees or candidates who have previously worked for Allstate, including its family of companies, are not eligible for this sign-on bonus. Company Vehicle Provided This position includes a company-provided vehicle for both business and personal use. In accordance with IRS guidelines, this is considered a taxable benefit, and a standard payroll deduction will apply. Additional details regarding the policy and deduction will be shared during interview and offer process. Allstate Benefits: Being a part of Allstate means you receive a benefits package from Day 1 of employment.  This includes time off, healthcare, retirement, and more.  That is why as an Allstater, you’ll enjoy a Total Rewards package that includes: - Competitive pay with needed support for continuous development and career advancement. - Flexibility in scheduling and a time off policy that helps support your work/life balance. - Initial and ongoing training to get you proficient in your new role. - Comprehensive benefits like a 401K/pension, education reimbursement, and programs to help you balance work with the rest of your life. Visit www.allstategoodlife.com to learn more. - Company-provided vehicle for business and personal use (standard payroll deduction applies per IRS guidelines) #LI-NJ1 Skills Active Listening, Communication, Critical Thinking, Customer Service, Empathy, Multitasking, Time Management, Working Independently, Xactimate Compensation Base compensation offered for this role is $82,000-$117,700 annually and is based on experience and qualifications. *** Total compensation for this role is comprised of several factors, including the base compensation outlined above, plus incentive pay (i.e. commission, bonus, etc.) as applicable for the role. The candidate(s) offered this position will be required to submit to a background investigation. Joining our team isn’t just a job — it’s an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger – a winning team making a meaningful impact. Allstate generally does not sponsor individuals for employment-based visas for this position. Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component. For jobs in San Francisco, please click “here” for information regarding the San Francisco Fair Chance Ordinance. For jobs in Los Angeles, please click “here” for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance. To view the “EEO Know Your Rights” poster click “here”. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs. To view the FMLA poster, click “here”. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint. It is the Company’s policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee’s ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.

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 Property Adjuster Trainee PRIMARY PURPOSE: Handles losses and claims valued up to $15,000 for property and casualty insurers through the thorough examination of documents, records, loss reports, and other relevant documentation. Efficiently manages a case load using technology for efficient claim processing. ESSENTIAL FUNCTIONS and RESPONSIBILITIES - Evaluates insurance policies, claims forms, policies, endorsements, carrier instructions, and other records to determine insurance coverage. - Conducts thorough investigations, gathers official reports as needed, consults police and hospital records and inspects physical damage or written estimates for damages based on a conducted inspection to determine extent of company's liability and varying methods of investigation, according to type of insurance. - Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim. - Estimates cost of repair, replacement, or compensation. - Prepares report of findings and negotiates claim settlements by adhering to carrier instructions and obtaining necessary information. Issues settlement checks, files regulatory documents, and handles salvage and subrogation as applicable. - Recommends litigation by legal department when settlement cannot be negotiated. - Attends litigation hearings and participates in depositions as necessary. - Revises case reserves in assigned claims files to cover probable costs. - Maintains an expected caseload efficiently. - Utilizes technology and automation tools for efficient claim handling. - Sends claims exceeding $15,000 gross loss amount to leadership for authority approval. ADDITIONAL FUNCTIONS and RESPONSIBILITIES - Performs other duties as assigned. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Must obtain IIA-AIC designation within 12 to 18 months in the role. Appropriate state adjuster license is required. Experience Three (3) year of related experience or equivalent combination of education and experience required. Prior experience handling property and casualty claims a plus but not required. Skills & Knowledge - Empathetic claims handling demeanor - Strong communication, analytical, organizational, and interpersonal skills - PC literate, including Microsoft Office products - Analytical and interpretive skills - 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.

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 Property Claims Assistant PRIMARY PURPOSE: To provide support to the claims staff and to perform other office tasks depending on the client program. ESSENTIAL FUNCTIONS and RESPONSIBILITIES - Sets up and enters new claims into claims management system. - Inputs and reviews notes/diaries in claims management system as instructed. - Processes payments. - Processes mail; handles filing, faxing and photocopying. - Reviews, prepares, creates, and/or sends letters, reports, and forms. - Answers and initiates telephone calls, sets up medical appointments, and may provide customer service as required. - Other activities/projects as assigned including the preparation and distribution of computer reports. ADDITIONAL FUNCTIONS and RESPONSIBILITIES - Performs other duties as assigned. - Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing High school diploma or GED required. Experience Six (6) months of clerical or customer service experience or equivalent combination of education and experience required. Skills & Knowledge - Excellent oral and written communication - PC literate, including Microsoft Office products - Strong organizational skills - 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 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.