Liability Claims Adjustor - Sedgwick : Job Details

Join Sedgwick and become part of a meaningful mission. Our team of 33,000 colleagues supports people around the world facing the unexpected. Grow your career within our supportive culture while enjoying a balanced work-life experience. At Sedgwick, the possibilities are limitless.

Recognized by Newsweek as America's Greatest Workplaces and certified as a Great Place to Work, Sedgwick is a leader in the industry. Are you ready to bring your insights to help top brands navigate challenges?

• Utilize your experience to effectively manage and adjudicate mid- to high-level general liability claims in a vibrant and innovative culture.
• Provide cutting-edge solutions to clients spanning diverse industries and enjoy working with some of the most respected organizations around the globe.
• Join a fast-growing, globally recognized company that values excellence in customer service.
• Engage with Sedgwick's extensive network of experts, enriching your knowledge and contributing your own expertise.
• Take advantage of professional development opportunities designed to help you excel and advance in your career.
• Experience flexibility and autonomy in your daily tasks, location, and career progression.
• Access a wide range of comprehensive benefits to support your mental, physical, financial, and professional well-being.

Ideal candidates embody our core values: empathy, accountability, collaboration, growth, and inclusion. Are you ready to contribute?

Primary Role Objective: Analyze mid- and higher-level general liability claims, determining benefits due while maintaining company standards and best practices in the industry. This includes managing subrogation of claims and negotiating settlements.

Key Responsibilities:

• Manage mid-level general liability claims by gathering information to ascertain liability exposure, assigning reserve values, and processing claims payments as necessary.
• Evaluate liability and effectively resolve claims.
• Approve and implement action plans concerning assigned claims based on client contracts.
• Oversee subrogation of claims while negotiating settlements.
• Maintain clear communication with claimants and clients regarding claim action.
• Ensure accurate documentation of claim files and correct coding.
• Handle complex medical claims, which may involve state and physician filings and reviewing treatments recommended by utilization review.
• Foster professional relationships with clients throughout the claims process.

Qualifications:

Education: Bachelor's degree from an accredited institution preferred.

Experience: Four (4) years of claims management experience or an equivalent combination of education and experience is required.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you believe you're a great fit for this role, we encourage you to apply, even if your experience isn't a perfect match. Sedgwick values diversity, equity, and inclusion and believes that unique backgrounds contribute to our success.