Remote Claims Adjuster I - General Liability (Captive PD)

Sedgwick; Atlanta (GA); Remote; USD 63,000 - 90,000; Full time

Job summary

Sedgwick in the United States is seeking a Claims Adjuster I for remote work. You will analyze mid- and higher-level general liability claims to determine benefits due, pursue subrogation, and negotiate settlements.

A four-year track record in claims management or an equivalent combination of education and experience is required. You will maintain professional client relationships, document claims thoroughly, and collaborate to meet service expectations.

Qualifications

• Bachelor's degree from an accredited college or university preferred.
• Four (4) years of claims management experience or equivalent combination of education and experience required.
• Insurance principles and laws pertinent to line of business; experience with recoveries, deductions, and disability duration.
• Excellent oral and written communication, including presentation skills.
• Proficient in Microsoft Office and data entry.
• Analytical and interpretive skills

Responsibilities

• Gathers information to determine liability exposure and reserves claims.
• Assesses liability and resolves claims within evaluation.
• Approves and processes assigned claims, determines benefits due, and manages action plans.
• Manages subrogation and negotiates settlements.
• Communicates claim action with claimant and client.
• Ensures files are documented and coding is correct.
• Handles complex medical claims including filings and treatment decisions.
• Maintains professional client relationships.

Skills

Communication skills

Analytical skills

Organizational skills

Interpersonal skills

Negotiation skills

Team player

Service-oriented

Education

Bachelor's degree

Tools

Microsoft Office

Job description

Sedgwick in the United States is seeking a Claims Adjuster I for remote work. You will analyze mid- and higher-level general liability claims to determine benefits due, pursue subrogation, and negotiate settlements.

A four-year track record in claims management or an equivalent combination of education and experience is required. You will maintain professional client relationships, document claims thoroughly, and collaborate to meet service expectations.