Analyze and resolve complex general liability claims including litigation in a hybrid working environment. Join Sedgwick, a global leader in risk and claims administration.
About the role
- Claims Examiner analyzing complex general liability claims for Sedgwick, a global risk and claims administration partner. Responsibilities include investigation, negotiation, and claims management.
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 clams within designated authority level.
- Prepares necessary state fillings 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 our 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 of 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.
Requirements
- High School Diploma or GED required.
- Bachelor's degree from an accredited college or university preferred.
- 5 years of claims management experience or equivalent combination of education and experience required.
- General liability adjuster licensing preferred.
Benefits
- Flexible work schedule.
- Referral incentive program.
- 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
Not specified
Degree requirement
Location requirements
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.
Claims Specialist resolving customer claims related to pricing, quality, and transport issues. Joining Newell Brands for a dynamic hybrid role in Prague.
Senior Complex Claims Specialist managing high - severity professional liability claims for Hiscox. Collaborating with business leaders and providing technical support in a hybrid role.
Claims Adjuster responsible for managing US Casualty and Property reinsurance claims. Working collaboratively with internal and external stakeholders in a remote role with occasional office travel.
Claims Coordinator providing operational support for processing incident reports and insurance claims. Serving as a liaison between operations, insurance carriers, and stakeholders to ensure compliance and accurate documentation.
Field Claims Representative managing insurance claims in assigned Indiana counties for Auto - Owners. Requires field claims handling experience and familiarity with property claims and legalities.
Analyzing and processing complex workers' compensation claims for Sedgwick, a global industry leader. Delivering customer - facing solutions in a caring culture with professional development opportunities.