Liability Claims Examiner — Hybrid/Remote & Growth

Sedgwick; Orlando (FL); Hybrid; USD 85,000 - 90,000; Full time

Job summary

Sedgwick is seeking a Liability Claims Examiner for general liability, premise liability and litigation experience with East Coast jurisdictions. The role supports a hybrid schedule in Marlton, NJ with remote options if not within commuting distance.

You will analyze complex claims, negotiate settlements, manage reserves, and coordinate with vendors while upholding Sedgwick’s standards of service, quality, and client relationships. A strong claims background and licensing are preferred.

Qualifications

• Bachelor's degree from an accredited college or university preferred.
• Five (5) years of claims management experience or equivalent combination of education and experience required.
• Licensing: Home State preferred.

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.

Education

Bachelor's degree

Job description

Sedgwick is seeking a Liability Claims Examiner for general liability, premise liability and litigation experience with East Coast jurisdictions. The role supports a hybrid schedule in Marlton, NJ with remote options if not within commuting distance.

You will analyze complex claims, negotiate settlements, manage reserves, and coordinate with vendors while upholding Sedgwick’s standards of service, quality, and client relationships. A strong claims background and licensing are preferred.