Sedgwick

Liability Claims Examiner

Sedgwick$85K — $105K *
Finance & Insurance
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree preferred
  • 4+ years of liability litigation claims management experience
  • Proven track record in adjudicating complex claims
  • Strong judgment and problem-solving abilities
  • Excellent communication and negotiation skills

Responsibilities

  • Review reports/forms and respond to inquiries
  • Handle high-end cases with serious injuries
  • Develop action plans in response to court orders
  • Identify cases for settlements and redemptions
  • Gather and document additional information from clients
  • Coordinate with local counsel for investigations
  • Formulate defense strategies for identified issues
  • Monitor accrued liability and administrative expenses
  • Identify and manage subrogation opportunities
  • Participate in mediations, trials, or hearings as needed

Benefits

  • Flexible work schedule
  • Referral incentive program
  • Career development and promotional growth opportunities
  • Comprehensive benefits including medical, dental, vision, and 401K starting on day one
Full Job Description
Liability Claims Examiner

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 customer-facing 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, industry-leading 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 address and handle high end General Liability cases with serious injuries, complex coverage scenarios and legal inquiries or disputes; to develop a strategy to bring a case to satisfactory resolution.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Reviews/acts on reports/forms; responds to inquiries; seeks legal opinion and early resolution; and communicates resolution to appropriate parties.

  • Handles high end cases with serious injuries and/or complex coverage scenarios.

  • Responds to decisions, agreement, and/or court order; creates action plan; determines need for examination; gains client authorization.

  • Identifies cases forsettlements/redemptions.

  • Gathers/documents additional information and coordinates with client designees.

  • Requests legal/private investigation; assigns to and coordinates with local counsel; monitors local counsel performance.

  • Responds to plaintiff's counsel, union, employee, or client requests.

  • Identifies issues and formulates defense strategy.

  • Establishes/adjusts accrued liability and approves administrative expenses.

  • Identifies subrogation opportunities and manages process.

  • Attends and participates in mediations, trials, arbitrations or hearings as needed.

  • Works with partners to affect early return-to-work.

QUALIFICATIONS

Education & Licensing
Bachelor's degree from an accredited college or university preferred.

Experience
Four (4) years of liability litigation claims management experience or equivalent combination of education and experience required.

WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: 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; and ability to meet deadlines

Physical: Computer keyboarding, travel as required

Auditory/Visual: Hearing, vision and talking

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.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $85,000 - $105,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

#Claims #ClaimsExaminer #Hybrid #LI-Hybrid #LI-AM1

About Sedgwick

Sedgwick is a global provider of insurance, risk management, and related services. The company was founded in 1969 and is headquartered in Boston, Massachusetts. Sedgwick offers a range of services to clients in various industries, including property and casualty insurance, workers' compensation, and disability management. The company has a team of experienced professionals who work closely with clients to develop customized solutions that meet their specific needs. Sedgwick has a reputation for delivering high-quality service and has been recognized for its excellence in the insurance industry.
Learn more about Sedgwick
Size
10,000 employees
Industry
Founded
1969

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