Claims Adjuster – Liability

🔥 1 hour ago

🇨🇦 Canada – Remote

💵 $65k - $75k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Sedgwick

WebsiteLinkedInAll Job Openings

10,000+ employees

🏗️ Construction

💼 Consulting

🏥 Healthcare

Construction • Consulting • Healthcare

Sedgwick is a global provider of technology-enabled risk, benefits, and integrated business solutions. They help people and organizations by managing and mitigating risk with solutions in accident, health, disability, unemployment compensation, and liability claims administration, among others. Sedgwick offers services such as claims administration, building consulting, forensic accounting, and forensic engineering. Their specialties include property restoration, brand protection, and loss prevention across several industries, including agriculture, construction, and environmental sectors. The company emphasizes diversity, equity, and inclusion (DEI) as well as environmental, social, and governance (ESG) practices.

📋 Description

• Analyze mid- and higher-level general liability claims to determine benefits due • Ensure ongoing adjudication of claims within company standards and industry best practices • Identify subrogation of claims and negotiate settlements • Gather information to determine liability exposure • Assign reserve values, make claims payments, and settle claims up to designated authority level • Assess liability and resolve claims within evaluation • Approve and process assigned claims, determine benefits due, and manage action plans pursuant to the claim or client contract • Manage subrogation of claims and negotiate settlements • Communicate claim actions with claimants and clients • Ensure claim files are properly documented and claims coding is correct • Process complex lifetime medical and/or defined period medical claims when required, including state and physician filings and treatment decisions • Maintain professional client relationships • Support the organization's quality programs • Perform other duties as assigned

🎯 Requirements

• Four (4) years of claims management experience or equivalent combination of education and experience required • Bachelor's degree or college diploma preferred • Subject matter expertise in applicable insurance principles and laws, recoveries, offsets and deductions, claim and disability duration, and cost containment principles • Excellent oral and written communication • PC literacy, including Microsoft Office products • Analytical and interpretive skills • Strong organizational skills • Good interpersonal skills • Excellent negotiation skills • Ability to work in a team environment • Ability to meet or exceed Service Expectations • Ability to travel as required

🏖️ Benefits

• Work-life balance • Inclusive, barrier-free recruitment and selection processes • Accommodation available during recruitment if required