Sedgwick is seeking a Claims Examiner, General Liability to join our team. In this remote role, you will analyze mid- and higher-level general liability claims to determine benefits due, ensure proper adjudication, and identify opportunities for subrogation and settlement negotiation.
What You'll Do
- Manage mid-level general liability claims by gathering information to determine liability exposure, assigning reserve values, and settling claims up to your designated authority.
- Assess liability, resolve claims within evaluation, and approve/process assigned claims.
- Determine benefits due and manage the action plan according to the claim or client contract.
- Manage subrogation of claims and negotiate settlements.
- Communicate claim actions clearly with claimants and clients.
- Ensure claim files are properly documented and claims coding is correct.
- Maintain professional client relationships.
- Support the organization's quality programs.
- Travel as required.
What We're Looking For
- Four (4) years of claims management experience or an equivalent combination of education and experience.
- Subject matter expertise in insurance principles, laws, recoveries, and cost containment for the relevant line-of-business.
- Excellent oral and written communication skills, including presentation abilities.
- Strong proficiency with PC and Microsoft Office products.
- Analytical, interpretive, organizational, interpersonal, and negotiation skills.
- Ability to work effectively in a team environment, meet service expectations, and manage multiple priorities under deadlines.
- Clear conceptual thinking, excellent judgment, problem-solving skills, and discretion.
Nice to Have
- A Bachelor's degree from an accredited college or university.
Technical Stack
- Microsoft Office suite
Benefits & Compensation
- Compensation range: $75,000 to $80,000
- Medical, dental, vision, and life insurance
- 401k plan with company matching
- Paid time off (PTO)
- Disability insurance and employee assistance program
- Flexible spending or health savings accounts
- Additional voluntary benefits
Work Mode
This is a fully remote position.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
