Liability Claims Examiner | General Liability, Premise Liability & Litigation Experience | Jurisdictions: East Coast | Licensing: Preferred
Sedgwick · CT, US
19 days agoImpress employers and recruiters.
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About the Role
Sedgwick is seeking driven individuals to join their team, embodying a caring model and core values. This role involves adjudicating complex customer claims for a global industry leader, contributing to innovative solutions for respected organizations. The position offers opportunities for professional development, flexibility, and autonomy within a rapidly growing company known for excellence and customer service.
Responsibilities
- Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim.
- Manages claims through well-developed action plans to an appropriate and timely resolution.
- Assesses liability and resolves claims within evaluation.
- Negotiates settlement of claims within designated authority.
- Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
- Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority level.
- Prepares necessary state filings within statutory limits.
- Manages the litigation process; ensures timely and cost-effective claims resolution.
- Coordinates vendor referrals for additional investigation and/or litigation management.
- Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
- Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
- Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
- Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
- Ensures claim files are properly documented and claims coding is correct.
- Refers cases as appropriate to supervisor and management.
- Performs other duties as assigned.
- Supports the organization's quality program(s).
- Travels as required.
Requirements
- Five (5) years of claims management experience or equivalent combination of education and experience required.
- Jurisdiction Knowledge: East Coast States - NJ, PA & FL
- Licensing: Home State 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
- Hearing, vision and talking
Skills
- General Liability
- Premise Liability
- Litigation Experience
- Claims Management
- Subrogation
- Negotiation
Location
- Marlton, NJ
Work Type
- Hybrid
- Remote
Experience Level
- 5 years of claims management experience
Education Level
- Bachelor's degree from an accredited college or university preferred
- Professional certification as applicable to line of business preferred
Salary/Compensations
- $85,000 - $90,000
Benefits
- Flexible work schedule
- Referral incentive program
- Career development and promotional growth opportunities
- Medical
- Dental
- Vision
- 401K on day one
- 401k and matching
- PTO
- Disability and life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
About the Company
- Sedgwick is a global industry leader known for its excellence and customer service.
- Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies
- Certified as a Great Place to Work®
- Fortune Best Workplaces in Financial Services & Insurance
Equal Opportunity
- Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
- Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.