Liability Claims Examiner – General Liability Exp. Required
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Job Description
Remote Liability Claims Examiner handling high-exposure General Liability claims for Sedgwick, a global claims-management services company. Developing defense strategies and driving litigated cases toward resolution.
Responsibilities:
- Adjudicate complex customer claims for a dedicated client
- Handle high-end General Liability cases involving serious injuries, complex coverage scenarios, and legal inquiries or disputes
- Review and act on reports and forms; respond to inquiries
- Seek legal opinion and early resolution; communicate resolutions to appropriate parties
- Respond to decisions, agreements, and court orders; create action plans; determine examination needs; obtain client authorization
- Identify settlement/redemption cases
- Gather and document additional information and coordinate with client designees
- Request legal/private investigations; assign and coordinate with local counsel; monitor local counsel performance
- Respond to plaintiff's counsel, union, employee, or client requests
- Identify issues and formulate defense strategies
- Establish or adjust accrued liability and approve administrative expenses
- Identify subrogation opportunities and manage the process
- Attend and participate in mediations, trials, arbitrations, or hearings as needed
- Work with partners to facilitate early return-to-work
- Develop strategies to bring cases to satisfactory resolution
Requirements:
- General Liability claims management experience required
- Five (5) years of General Liability claims management experience or equivalent combination of education and experience required
- Bachelor's degree from an accredited college or university preferred
- Experience handling high-exposure claims involving serious injuries, complex coverage scenarios, and litigation
- Ability to develop claim and defense strategies
- Ability to partner with clients and legal counsel
- Ability to identify settlement opportunities and drive complex claims toward resolution
- Clear and conceptual thinking ability
- Excellent judgment, troubleshooting, problem solving, analysis, and discretion
- Ability to handle work-related stress
- Ability to handle multiple priorities simultaneously
- Ability to meet deadlines
- Computer keyboarding
- Ability to travel as required
Benefits:
- Flexibility and autonomy in daily work, location, and career path
- Professional development opportunities
- Flexible work schedule
- Referral incentive program
- Career development and promotional growth opportunities
- Medical, dental, and vision benefits
- 401K on day one
- 401k matching
- PTO
- Disability and life insurance
- Employee assistance
- Flexible spending or health savings account
- Additional voluntary benefits
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