[Hiring] Claims Adjuster - Liability @Sedgwick

Role Description

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? This role involves adjudicating complex customer claims in the context of an energetic culture.

• Deliver innovative customer-facing solutions to clients who represent virtually every industry.
• 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 share insights.
• Take advantage of a variety of professional development opportunities.
• Enjoy flexibility and autonomy in your daily work, location, and career path.
• Access diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs.

Qualifications

• Bachelor's degree from an accredited college or university preferred.
• Licenses as required; professional certifications as applicable to line of business preferred.
• Five (5) years of claims management experience or equivalent combination of education and experience required.
• Jurisdiction: All States; Licensing: NY, TX, FL preferred.

Requirements

• Analyze complex or technically difficult general liability claims to determine benefits due.
• Work with high exposure claims involving litigation and rehabilitation.
• Ensure ongoing adjudication of claims within service expectations and industry best practices.
• Identify subrogation of claims and negotiate settlements.
• Manage claims through well-developed action plans to an appropriate and timely resolution.
• Assess liability and resolve claims within evaluation.
• Negotiate settlement of claims within designated authority.
• Calculate and assign timely and appropriate reserves to claims.
• Prepare necessary state filings within statutory limits.
• Manage the litigation process; ensure timely and cost-effective claims resolution.
• Coordinate vendor referrals for additional investigation and/or litigation management.
• Use appropriate cost containment techniques to reduce overall cost of claims for clients.
• Manage claim recoveries, including subrogation and Social Security offsets.
• Communicate claim activity and processing with the claimant and the client.
• Ensure claim files are properly documented and claims coding is correct.
• Refer cases as appropriate to supervisor and management.
• Perform other duties as assigned.
• Support the organization's quality program(s).
• Travel as required.

Benefits

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