Claims Adjuster - Liability - Naperville, IL - Hybrid jobs in United States
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Sedgwick · 2 months ago

Claims Adjuster - Liability - Naperville, IL - Hybrid

Sedgwick is a global industry leader in claims management, seeking a Claims Adjuster to analyze mid- and higher-level general liability claims. The role involves adjudicating claims, negotiating settlements, and ensuring compliance with company standards.

BankingInsuranceRisk Management

Responsibilities

Manages mid-level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level
Assesses liability and resolves claims within evaluation
Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract
Manages subrogation of claims and negotiates settlements
Communicates claim action with claimant and client
Ensures claim files are properly documented, and claims coding is correct
May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review
Maintains professional client relationships

Qualification

Claims management experienceBachelor's degreeNegotiation skillsEmpathyAccountabilityInclusionCollaborationGrowth

Required

Four (4) years of claims management experience or equivalent combination of education and experience

Preferred

Bachelor's degree from an accredited college or university

Benefits

Medical
Dental
Vision
401k and matching
PTO
Disability and life insurance
Employee assistance
Flexible spending or health savings account
Other additional voluntary benefits

Company

Sedgwick

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Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected.

Funding

Current Stage
Late Stage
Total Funding
$1.5B
Key Investors
Altas PartnersLa Caisse
2024-09-12Private Equity· $1B
2018-12-01Private Equity
2018-09-12Acquired

Leadership Team

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Michael Arbour
Chairman & Chief Executive Officer
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Kalani Reelitz
Global Chief Financial Officer
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Company data provided by crunchbase