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Claims Examiner - Liability - Remote

Posted 6 days ago
Finance / Legal
Full Time
USA

Overview

This role involves analyzing complex general liability claims to determine benefits due, managing high exposure claims, and ensuring timely adjudication according to industry standards.

In Short

  • Analyze and process complex general liability claims.
  • Negotiate settlements within designated authority.
  • Calculate and assign reserves to claims.
  • Prepare necessary state filings within statutory limits.
  • Manage the litigation process for claims resolution.
  • Communicate claim activity with claimants and clients.
  • Ensure proper documentation of claim files.
  • Support the organization's quality programs.
  • Travel as required for the role.
  • Work collaboratively in a team environment.

Requirements

  • Bachelor's degree preferred.
  • Five years of claims management experience required.
  • Expertise in insurance principles and laws.
  • Excellent oral and written communication skills.
  • Strong analytical and interpretive skills.
  • Proficiency in Microsoft Office products.
  • Good organizational and interpersonal skills.
  • Ability to meet service expectations.
  • Negotiation skills are essential.
  • Ability to handle multiple priorities and deadlines.

Benefits

  • Work-life balance opportunities.
  • Professional development and growth.
  • Supportive and caring workplace culture.
  • Diverse and inclusive work environment.
  • Recognition as a top workplace in Financial Services & Insurance.

S.C.M.S

Sedgwick Claims Management Services

Sedgwick Claims Management Services Inc. is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. With a commitment to caring for people, Sedgwick prioritizes the well-being of its colleagues and clients, fostering a culture of support, flexibility, and inclusivity. The company employs over 30,000 professionals across 80 countries, who work diligently to help organizations manage claims, protect their brands, and minimize business interruptions. Sedgwick is dedicated to making a positive impact through its services, emphasizing the importance of diversity and the unique contributions of each individual within the organization.

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