Remote Claims Adjuster I General Liability PD Experience

Sedgwick; Madison (WI); Remote; USD 63,000 - 90,000; Full time

Job summary

Sedgwick is seeking a Claims Adjuster I for remote work to analyze mid- to higher-level general liability claims, determine benefits due, adjudicate claims to company standards, and identify subrogation opportunities. You will negotiate settlements and maintain professional client relationships.

The role requires strong communication, negotiation, and analytical abilities, along with experience in claims processing, reserving, and documentation.

Qualifications

• Bachelor's degree preferred.
• Four (4) years of claims management experience or equivalent.
• Excellent oral and written communication, including presentation skills.
• Analytical and interpretive skills.
• Ability to work in a team environment and meet service expectations.

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 including state and physician filings and decisions on treatments.
• Maintains professional client relationships.

Skills

Communication skills

Negotiation skills

Analytical skills

Team player

Problem solving

Documentation

Education

Bachelor's degree (preferred)

Tools

Microsoft Office

Job description

Sedgwick is seeking a Claims Adjuster I for remote work to analyze mid- to higher-level general liability claims, determine benefits due, adjudicate claims to company standards, and identify subrogation opportunities. You will negotiate settlements and maintain professional client relationships.

The role requires strong communication, negotiation, and analytical abilities, along with experience in claims processing, reserving, and documentation.