Apply on Employer Site

Sedgwick · 4 weeks ago

Claims Adjuster - Liability (REMOTE- BI/Lit exp & licensed in any: NC, SC, VA, FL DE DC DE MD)

United States

Full-time

Remote

Mid Level

4+ years exp

Sedgwick is a global industry leader known for its excellence and customer service. The Claims Adjuster - Liability will analyze mid- and higher-level general liability claims, ensuring ongoing adjudication within company standards and negotiating settlements.

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

Performs other duties as assigned

Supports the organization's quality program(s)

Travels as required

Qualification

Liability claims managementBodily injury experienceLicensed in NCSCVAFLDEDCMDClaims adjudicationNegotiation skillsClient relationship managementAnalytical skillsCommunication skills