Apply on Employer Site

Sedgwick · 3 weeks ago

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

United States

Full-time

Remote

Senior Level

5+ years exp

Sedgwick is a global industry leader dedicated to helping people facing unexpected situations. They are seeking a Claims Examiner - Liability to analyze complex general liability claims, manage litigation processes, and negotiate settlements while ensuring adherence to service expectations and best practices.

BankingInsuranceRisk 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 claims within designated authority level

Prepares necessary state fillings within statutory limits

Manages the litigation process; ensures timely and cost effective claims resolution

Performs other duties as assigned

Supports the organization's quality program(s)

Travels as required

Qualification

Liability claims managementBodily injury experienceLitigation managementBachelor's degreeClaims processingNegotiation skillsCustomer serviceEmpathyAccountabilityInclusionCollaborationGrowth mindset