Field Claims Representative handling property insurance claims under general supervision at Auto - Owners Insurance. Investigating, evaluating, and ensuring timely resolution of claims for agents and insureds.
SE
Hybrid Claims Examiner – General Liability, Property Damage, Bodily Injury, Employers Liability
Posted last month
About the role
- Claims Examiner analyzing and processing complex general liability claims for a global risk and claims management leader. Join Sedgwick's caring culture and contribute to customer solutions in a dynamic environment.
Responsibilities
- Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim;
- Manages claims through well-developed action plans to an appropriate and timely resolution.
- Assesses liability and resolves claims within evaluation.
- Negotiates settlement of claims within designated authority.
- Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
- Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority level.
- Prepares necessary state filings within statutory limits.
- Manages the litigation process; ensures timely and cost effective claims resolution.
- Coordinates vendor referrals for additional investigation and/or litigation management.
- Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for clients.
- Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
- Reports claims to the excess carrier; responds to requests for directions in a professional and timely manner.
- Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
- Ensures claim files are properly documented and claims coding is correct.
- Refers cases as appropriate to supervisor and management.
- Performs other duties as assigned. Supports the organization's quality program(s).
Requirements
- Bachelor's degree from an accredited college or university preferred.
- Five (5) years of claims management experience or equivalent combination of education and experience required.
- No required licensing; Jurisdiction: Colorado.
Benefits
- Flexible work schedule.
- Referral incentive program.
- Opportunity to work in an agile environment.
- Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
Bodily Injury Claims Representative evaluating insurance claims and determining coverage at Auto - Owners Insurance. Assemble facts and analyze legal liabilities while providing excellent customer service.
Bodily Injury Claims Specialist managing a variety of claims processes and providing high - level customer service at Auto - Owners Insurance. Responsible for evaluating coverage, determining loss amounts, and engaging in negotiations.
Claims Associate managing medical claims processing and ensuring timely provider payments in Asheville office. Responsible for handling paper claims and ensuring accurate adjudication.
Claims Representative II managing PIP claims for auto insurance. Investigating and settling claims while ensuring compliance with state laws and documentation of decisions.
Workers Compensation Claims Adjuster managing assignment of claim files. Reports to Claims Supervisor and involved in establishing compensability and pursuing subrogation.
Analyze and resolve complex general liability claims including litigation in a hybrid working environment. Join Sedgwick, a global leader in risk and claims administration.
Freight Claims Specialist ensuring timely filing and resolution of freight claims. Collaborating within a logistics company recognized for supply chain innovation.
Property Claims Adjuster investigating, negotiating, and resolving commercial property claims. Delivering exceptional customer service while adhering to regulatory standards in a remote capacity.
Claims Specialist managing commercial claims for CNA, ensuring quality service and compliance with protocols. Interacting with customers and resolving claims efficiently while maintaining regulatory standards.