Remote BI Claims Examiner - General Liability Expert

Sedgwick; Raleigh (NC); Remote; USD 85,000 - 100,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive

Agile environment

Career development

Medical, dental, vision, 401K on day 1

Job summary

Sedgwick in the United States is seeking a remote Claims Examiner specialized in General Liability Bodily Injury to adjudicate complex claims within captive programs. The role offers flexible, telecommuter work and the chance to influence outcomes for diverse clients.

Ideal candidates have extensive claims management experience, strong coverage determination and negotiation skills, and are comfortable navigating endorsements, losses, and exclusions.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience required.
• High School Diploma or GED required. Bachelor’s degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.

Responsibilities

• Analyzing and processing claims to timely resolution by investigating and gathering information to determine exposure.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to directions in a professional and timely manner.

Skills

Claims management

Negotiation

Coverage interpretation

Litigation handling

Endorsements understanding

Education

High School Diploma or GED

Bachelor’s degree preferred

Professional certification preferred

Job description

Sedgwick in the United States is seeking a remote Claims Examiner specialized in General Liability Bodily Injury to adjudicate complex claims within captive programs. The role offers flexible, telecommuter work and the chance to influence outcomes for diverse clients.

Ideal candidates have extensive claims management experience, strong coverage determination and negotiation skills, and are comfortable navigating endorsements, losses, and exclusions.