Claims Examiner - Liability | GL & BI | Multi State Jurisdiction | Licensing: Home State Required (Hybrid)

Sedgwick Claims Management Services Ltd; Eden Prairie (MN); Hybrid; USD 65,000 - 85,000; Full time

Benefits offered by this job

Flexible work schedule

Career development

Comprehensive benefits: medical,Dental

401K on day one

Job summary

Sedgwick Claims Management Services Ltd is seeking a Claims Examiner - Liability (GL & BI) for multi-state workload with hybrid work options in the United States. The role involves analyzing complex liability claims, negotiating settlements, and ensuring proper adjudication aligned with client service requirements.

Ideal candidates bring a high school diploma (bachelor's preferred), 5 years of claims management experience, and licensing appropriate to their home state.

Qualifications

• Analytical thinking and sound judgment are required to assess complex liability claims.
• Strong problem-solving and analytical abilities to determine exposure and settlements.
• Effective communication with claimants and clients is essential for timely adjudication.

Responsibilities

• Analyze complex liability claims to determine benefits and adjudicate within client requirements.
• Negotiate settlements within designated authority.
• Communicate claim activity with claimants and clients; report to excess carriers as needed.
• Identify subrogation opportunities and support settlements with thorough investigations.

Skills

Analytical thinking

Judgment

Problem solving

Communication

Education

High school diploma or GED

Bachelor's degree preferred

Professional certification (line of business)

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 CompaniesCertified as a Great Place to WorkFortune Best Workplaces in Financial Services & InsuranceClaims Examiner - Liability | GL & BI | Multi State Jurisdiction | Licensing: Home State Required (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 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.ESSENTIAL RESPONSIBLITIES MAY INCLUDEAnalyzing 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.QUALIFICATIONSEducation & 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: Home state requiredJurisdiction Knowledge: Multi StateTAKING CARE OF YOUFlexible 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.WORK ENVIRONMENT REQUIREMENTS INCLUDEWhen 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 deadlinesPhysical: Computer keyboarding, travel as requiredAuditory/Visual: Hearing, vision and talkingAs 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 ($65k-$85k). 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. Always accepting applications. #claimsexaminer #claims #hybrid #LI-REMOTESedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.