Liability Claims Examiner – General Liability, Bodily Injury, Property Damage

🔥 4 minutes ago

🏄 California, Florida, +1 more states – Remote

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💵 $80k - $90k / 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 liability claims for a dedicated client with capped caseloads to determine benefits due • Ensure ongoing adjudication of claims within service expectations, industry best practices, and client service requirements • 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 claimants and clients • Report claims to the excess carrier and respond to requests for directions • Support nationwide jurisdictions with a strong focus on CA, FL, and NY

🎯 Requirements

• 3 years of claims management experience or equivalent combination of education and experience required • High School Diploma or GED required • Professional certification as applicable to line of business preferred • Nationwide jurisdiction knowledge, specifically CA, FL & NY • License required • Ability to analyze and process liability claims • Ability to investigate and gather information to determine claim exposure • Ability to negotiate claim settlements within designated authority • Ability to communicate claim activity and processing with claimants and clients • Ability to report claims to the excess carrier and respond to requests for directions • 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 • Hearing, vision and talking

🏖️ Benefits

• Flexible work schedule • Referral incentive program • Opportunity to work in an remote 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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