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Sedgwick · 1 day ago

Claims Adjuster - Bodily Injury | Jurisdiction: All States | Licensing: FL, TX, GA preferred (Irving, TX - Hybrid)

Irving, TX

Full-time

Hybrid

Mid Level

4+ years exp

Sedgwick is a global industry leader dedicated to providing meaningful solutions to clients facing unexpected challenges. The Claims Adjuster - Bodily Injury role involves adjudicating complex customer claims, managing general liability claims, and negotiating settlements while ensuring compliance with company standards and best practices.

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 experienceBodily injury claimsGeneral liability claimsNegotiation skillsProfessional certificationsBachelor's degreeEmpathyAccountabilityInclusionCollaborationGrowth