Remote Claims Adjuster I, General Liability

Sedgwick; City of Albany (NY); À distance; USD 63 000 - 90 000; Plein temps

Résumé du poste

Sedgwick is seeking a Claims Adjuster I for remote work in the United States. The role focuses on analyzing mid- to high-level general liability claims, determining benefits due, and guiding adjudication within company standards and best practices.

You will identify subrogation opportunities and negotiate settlements while maintaining client relationships. Minimum four years of claims management experience and a bachelor's degree (preferred) are required; excellent communication and Microsoft

Qualifications

• Bachelor's degree preferred.
• Four (4) years of claims management experience required.
• Excellent oral and written communication; presentation skills.

Responsabilités

• Manages mid-level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making payments and settling claims up to designated authority.
• Assesses liability and resolves claims within evaluation.
• Approves and processes assigned claims, determines benefits due, and manages action plan per contract.
• Manages subrogation of claims and negotiates settlements.
• Communicates claim actions 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; includes state and physician filings and treatment decisions.

Connaissances

Insurance principles

Communication skills

Microsoft Office

Analytical skills

Organizational skills

Interpersonal skills

Negotiation skills

Teamwork

Service orientation

Formation

Bachelor's degree preferred

Outils

Microsoft Office

Description du poste

Sedgwick is seeking a Claims Adjuster I for remote work in the United States. The role focuses on analyzing mid- to high-level general liability claims, determining benefits due, and guiding adjudication within company standards and best practices.

You will identify subrogation opportunities and negotiate settlements while maintaining client relationships. Minimum four years of claims management experience and a bachelor's degree (preferred) are required; excellent communication and Microsoft