Remote Claims Adjuster I – General Liability

Sedgwick; Salem (OR); Remote; USD 63,000 - 90,000; Full time

Job summary

Sedgwick is seeking a Claims Adjuster I Captive with PD experience for remote work. It will analyze general liability claims, determine benefits due, and manage subrogation and settlements within authority limits.

The role emphasizes meticulous documentation, client communication, and adherence to company standards. A bachelor’s degree and four years of claims experience are preferred, with opportunities for growth across a global team.

Qualifications

• Bachelor's degree preferred.
• Four years of claims management experience or equivalent.
• Knowledge of insurance principles and laws relevant to the line of business.

Responsibilities

• Manages mid-level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.
• Assesses liability and resolves claims within evaluation.
• Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
• Manages subrogation of claims and negotiates settlements.
• Communicates claim action 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 which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
• Maintains professional client relationships.

Skills

Insurance principles

Strong communication

MS Office

Analytical skills

Organizational skills

Interpersonal skills

Negotiation

Teamwork

Service orientation

Education

Bachelor's degree

Tools

Microsoft Office

Job description

Sedgwick is seeking a Claims Adjuster I Captive with PD experience for remote work. It will analyze general liability claims, determine benefits due, and manage subrogation and settlements within authority limits.

The role emphasizes meticulous documentation, client communication, and adherence to company standards. A bachelor’s degree and four years of claims experience are preferred, with opportunities for growth across a global team.