Claims Examiner – Liability, Multi State Jurisdiction, Auto, BI, PD, GL

🔥 0 minutes ago

🌽 Illinois, Texas – Remote

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💵 $65k - $85k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

🦅 H1B Visa Sponsor

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👻 Ghost score 0%

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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 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 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 claim settlements within designated authority • Communicate claim activity and processing with claimants and clients • Report claims to the excess carrier • Respond to requests for directions professionally and promptly

🎯 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 • NY license preferred • Reciprocal license required • Nationwide jurisdiction knowledge • Ability to think clearly and conceptually • 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 • Travel as required • Hearing, vision, and talking abilities

🏖️ Benefits

• Flexible work schedule • Referral incentive program • Career development and promotional growth opportunities • Medical, dental, and vision benefits on day one • 401(k) and matching on day one • Paid time off (PTO) • Disability and life insurance • Employee assistance program • Flexible spending account or health savings account • Other additional voluntary benefits • Reasonable accommodations when applicable and appropriate

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