Claims Examiner – General Liability, Product Liability

🔥 12 hours ago

🇺🇸 United States – Remote

💵 $70k - $85k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

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Logo of Sedgwick

Sedgwick

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 complex or technically General Liability & Product 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 specific client service requirements • Identify subrogation of claims and negotiate settlements • Analyze and process claims through action plans to timely resolution • Investigate and gather information to determine claim exposure • Negotiate settlement of claims within designated authority • Communicate claim activity and processing with the claimant and client • Report claims to the excess carrier • Respond to requests for directions in a professional and timely manner

🎯 Requirements

• High School Diploma or GED required • 5 years of claims management experience or equivalent combination of education and experience required • Home state licensing required • Jurisdiction knowledge: All States • Bachelor's degree from an accredited college or university preferred • Professional certification as applicable to line of business preferred • 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 • Travel as required

🏖️ Benefits

• Flexible work schedule • Referral incentive program • Opportunity to work in an agile environment • Career development and promotional growth opportunities • Medical, dental, vision, 401K and matching • PTO • Disability and life insurance • Employee assistance • Flexible spending or health savings account • Other additional voluntary benefits

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