Claims Examiner – Liability
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Job Description
Claims Examiner analyzing complex liability claims, investigating exposure, and negotiating settlements for Sedgwick’s global claims services business. Managing adjudication and client communications.
Responsibilities:
- Analyze complex or technically difficult liability claims to determine benefits due
- Work with high exposure claims involving litigation and rehabilitation
- Ensure ongoing adjudication of claims within service expectations, industry best practices, and client service requirements
- Identify subrogation opportunities and negotiate settlements
- Investigate and gather information to determine claim exposure
- Process claims through action plans toward appropriate and timely resolution
- Negotiate claim settlements within designated authority
- Communicate claim activity and processing with claimants and clients
- Report claims to the excess carrier
- Respond professionally and promptly to requests for directions
Requirements:
- High School Diploma or GED required
- Bachelor's degree from an accredited college or university preferred
- Professional certification as applicable to line of business preferred
- 5 years of claims management experience or equivalent combination of education and experience required
- Ability to analyze complex or technically difficult liability claims
- Ability to handle high exposure claims involving litigation and rehabilitation
- Knowledge of claims adjudication, subrogation, and settlement negotiation
- Ability to investigate claims and gather exposure information
- Ability to work with claimants, clients, and excess carriers
- Clear and conceptual thinking ability
- Excellent judgment, troubleshooting, problem solving, analysis, and discretion
- Ability to handle work-related stress and multiple priorities simultaneously
- Ability to meet deadlines
- Computer keyboarding ability
- Travel as required
Benefits:
- Flexible work schedule
- Referral incentive program
- Career development and promotional growth opportunities
- Medical, dental, and vision benefits
- 401K on day one
- Flexible work location and career path
- Professional development opportunities
- Work-life balance
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