Liability Claims Examiner — Remote, Complex Claims

Sedgwick Claims Management Services Ltd; Town of Florida (NY); Hybrid; USD 60,000 - 80,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development opportunities

Comprehensive benefits package

Job summary

Sedgwick Claims Management Services Ltd seeks a Claims Examiner - Liability to analyze complex general and product liability claims, determine benefits due, and manage high-exposure cases. The role involves adjudication, negotiations, and collaboration with clients

Ideal candidate has 5+ years of claims management experience, licensure across states, and a willingness to work in a hybrid environment including NY. Attractive benefits and career growth provided.

Qualifications

• High School Diploma or GED required
• Bachelor's degree from an accredited college or university preferred
• Licensing / Jurisdiction Knowledge: All 50 states, NY, IA, FL licensing required or willing to obtain within six months of employment.

Responsibilities

• Analyze and process claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiate settlement of claims within designated authority.
• Communicate claim activity and processing with the claimant and the client.
• Report claims to the excess carrier and respond to requests of directions in a professional and timely manner.

Education

High School Diploma or GED

Bachelor's degree preferred

Licensing knowledge: All 50 states, NY, IA, FL; willing to obtain within 6 months

Job description

Sedgwick Claims Management Services Ltd seeks a Claims Examiner - Liability to analyze complex general and product liability claims, determine benefits due, and manage high-exposure cases. The role involves adjudication, negotiations, and collaboration with clients

Ideal candidate has 5+ years of claims management experience, licensure across states, and a willingness to work in a hybrid environment including NY. Attractive benefits and career growth provided.