Claim Examiner - Product Liability | Multi-State Jurisdiction | Licensing Preferred (Hybrid)

Sedgwick Claims Management Services Inc.; Frisco (TX); Hybrid; USD 60,000 - 90,000; Full time

Job summary

Sedgwick is hiring a Claim Examiner focused on product liability with multi-state jurisdiction expertise. The role combines hybrid work, strong analytical skills, and experienced claim handling to adjudicate complex claims and negotiate settlements.

Ideal candidates have a minimum of 5 years in claims management, a favorable licensing background, and a commitment to caring counts. This is a hybrid, in-office/remote position supporting Sedgwick’s global client base.

Qualifications

• High School Diploma or GED required; Bachelor's degree from an accredited college or university preferred.
• 5 years of claims management experience or equivalent combination of education and experience.
• Licensing: Multi-state jurisdiction knowledge preferred.

Responsibilities

• Analyzing and processing claims through well-developed action plans to determine exposure and resolve timely.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity with claimants and clients; reporting to the excess carrier as needed.

Skills

Claims management

Multi-state handling

Education

High School Diploma

Bachelor's degree

Job description

By joining Sedgwick, you'll 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 work-life balance. Here, there’s no limit to what you can achieve.

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 Claim Examiner - Product Liability | Multi-State Jurisdiction | Licensing Preferred (Hybrid)

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? 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 OF THE ROLE

To analyze complex or technically difficult general and product liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.

OFFICE LOCATION

Candidates who reside within 25 miles of a Sedgwick office will be expected to work a hybrid schedule, combining remote and in-office work.

ESSENTIAL RESPONSIBILITIES

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

QUALIFICATIONS

Education & Licensing: High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.

• Experience: 5 years of claims management experience or equivalent combination of education and experience required.
• Licensing: Preferred Jurisdiction Knowledge: Multi state.
• Referral incentive program.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
• Flexible work schedule.

WORK ENVIRONMENT REQUIREMENTS

• 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.

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.

Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape.

#claimsexaminer #claims #hybrid #LI-REMOTE

For more, see sedgwick.com