Junior Claims Adjuster - General Liability (Remote)

Sedgwick Claims Management Services Ltd; United States; Remote; USD 63,000 - 90,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401k with match

Paid time off

Disability insurance

Life insurance

Employee assistance program

FSA / HSA

Job summary

Sedgwick Claims Management Services Ltd is seeking a Claims Adjuster I to analyze mid- and higher-level general liability claims and determine benefits due. You will ensure adjudication aligns with company standards and industry best practices while identifying subrogation and negotiating settlements.

The role requires evaluating liability, assigning reserves, and processing claims up to authorized levels, with a focus on professional client relationships and accuracy in documentation.

Qualifications

• Education & Licensing Bachelor's degree from an accredited college or university preferred
• Four (4) years of claims management experience or equivalent combination of education and experience required

Responsibilities

• Manages mid-level general liability claims by gathering information to determine liability exposure
• Assigns reserve values to claims, makes claims payments as necessary, and settles claims up to designated authority level
• Assesses liability and resolves claims within evaluation
• Approves and processes assigned claims, determines benefits due, and manages action plans
• 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 including state and physician filings and decisions on treatments recommended by utilization review
• Maintains professional client relationships

Skills

Communication skills

Negotiation skills

Analytical thinking

Microsoft Office

Team collaboration

Claims knowledge

Education

Bachelor's degree

Job description

Sedgwick Claims Management Services Ltd is seeking a Claims Adjuster I to analyze mid- and higher-level general liability claims and determine benefits due. You will ensure adjudication aligns with company standards and industry best practices while identifying subrogation and negotiating settlements.

The role requires evaluating liability, assigning reserves, and processing claims up to authorized levels, with a focus on professional client relationships and accuracy in documentation.