General Liability Adjuster

Sedgwick; United States; Remote; USD 65,000 - 85,000; Full time

Job summary

Sedgwick is seeking a General Liability Adjuster to analyze mid- to higher-level liability claims while working remotely in Florida. You will determine benefits, assign reserves, settle claims within authority, and coordinate subrogation with clients and claimants. Strong negotiation and documentation skills are essential.

The role emphasizes accurate claim coding, professional client relationships, and adherence to company standards, with travel as needed and a focus on quality service.

Qualifications

• Bachelor's degree preferred.
• NY license required.

Responsibilities

• Analyze mid- to higher-level general liability claims to determine benefits due.
• Assign reserve values and process payments within authority.
• Resolve claims within evaluation and negotiate settlements.
• Manage subrogation and communicate with claimants and clients.
• Ensure proper documentation and coding of claims.

Skills

Communication

Analytical skills

Organization

Interpersonal skills

Negotiation

Teamwork

Service orientation

Education

Bachelor's degree

State license (NY)

Tools

Microsoft Office

Job description

## General Liability AdjusterApply: Telecommuter FL: Full time: Posted Today: R79848By 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 & InsuranceGeneral Liability Adjuster**PRIMARY PURPOSE:** To analyze mid- and higher-level general liability claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.**ESSENTIAL FUNCTIONS and RESPONSIBILITIES*** Manages mid-level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.* Assesses liability and resolves claims within evaluation.* Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.* Manages subrogation of claims and negotiates settlements.* Communicates claim action with claimant and client.* Ensures claim files are properly documented and claims coding is correct.* May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.* Maintains professional client relationships.**ADDITIONAL FUNCTIONS and RESPONSIBILITIES*** Performs other duties as assigned.* Supports the organization's quality program(s).* Travels as required.**QUALIFICATIONS****Education & Licensing** Bachelor's degree from an accredited college or university preferred.NY license required.**Experience** Four (4) years of claims management experience or equivalent combination of education and experience required.**Skills & Knowledge*** Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.* Excellent oral and written communication, including presentation skills* PC literate, including Microsoft Office products* Analytical and interpretive skills* Strong organizational skills* Good interpersonal skills* Excellent negotiation skills* Ability to work in a team environment* Ability to meet or exceed Service Expectations**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 talkingThe statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.Sedgwick 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.