Claims Adjuster General Liability

By joining Sedgwick, youll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy worklife balance. Here, there’s no limit to what you can achieve.

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Claims Adjuster General Liability

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?

• Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
• Deliver innovative customerfacing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.
• Be a part of a rapidly growing, industryleading global company known for its excellence and customer service.
• Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.
• Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
• Enjoy flexibility and autonomy in your daily work, your location, and your career path.
• Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

• ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

  PRIMARY PURPOSE: To analyze mid and higherlevel general liability claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements..

  ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Manages midlevel general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.
  • Assesses liability and resolves claims within evaluation.
  • Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
  • Manages subrogation of claims and negotiates settlements.
  • Communicates claim action with claimant and client.
  • Ensures claim files are properly documented and claims coding is correct.
  • May process complex lifetime medical andor defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
  • Maintains professional client relationships.

  • ADDITIONAL FUNCTIONS and RESPONSIBILITIES

    • Performs other duties as assigned.
    • Supports the organizations quality program(s).
    • Travels as required.

    • QUALIFICATIONS

      Education & Licensing

      Bachelors degree from an accredited college or university preferred.

      Experience:

      4 years of Liability claims management experience or equivalent combination of education and experience required.

      TAKING CARE OF YOU

      • Flexible work schedule.
      • Referral incentive program.
      • Career development and promotional growth opportunities.
      • A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

      • Sedgwick is an Equal Opportunity Employer and a DrugFree Workplace.

        If youre excited about this role but your experience doesnt align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.