Liability Claims Examiner | Hybrid/Remote

Sedgwick; Trenton (NJ); Hybrid; USD 85,000 - 90,000; Full time

Benefits offered by this job

Benefits package

Job summary

Sedgwick is hiring a Liability Claims Examiner in Marlton, NJ to analyze general liability, premise liability, and litigated claims with an East Coast focus. The role supports an energetic culture, enabling you to adjudicate complex claims and negotiate settlements while coordinating with clients and cross‑functional teams.

The position emphasizes timely resolutions, risk assessment, and cost containment through vendor partnerships.

Qualifications

• Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.
• Five (5) years of claims management experience or equivalent combination of education and experience required.

Responsibilities

• Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
• Assesses liability and resolves claims within evaluation.
• Negotiates settlement of claims within designated authority.
• Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
• Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority level.
• Prepares necessary state filings within statutory limits.
• Manages the litigation process; ensures timely and cost effective claims resolution.
• Coordinates vendor referrals for additional investigation and/or litigation management.
• Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
• Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
• Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
• Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
• Ensures claim files are properly documented and claims coding is correct.
• Refers cases as appropriate to supervisor and management.
• Performs other duties as assigned.
• Supports the organization's quality program(s).
• Travels as required.

Skills

Claims management

Litigation awareness

Education

Bachelor's degree

Job description

Sedgwick is hiring a Liability Claims Examiner in Marlton, NJ to analyze general liability, premise liability, and litigated claims with an East Coast focus. The role supports an energetic culture, enabling you to adjudicate complex claims and negotiate settlements while coordinating with clients and cross‑functional teams.

The position emphasizes timely resolutions, risk assessment, and cost containment through vendor partnerships.