Remote Claims Examiner – Liability (Multi-State)

Sedgwick; Dallas (TX); Remote; USD 65,000 - 85,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentives

Growth opportunities

Benefits package

Job summary

Sedgwick is seeking a Claims Examiner - Liability with multi-state jurisdiction experience to analyze complex liability claims and determine benefits due. The role involves handling high-exposure claims, litigation, and rehabilitation while ensuring adjudication aligns with client service requirements.

We value strong analytical skills, negotiation capabilities, and a collaborative, growth-oriented mindset. This position offers hybrid work arrangements and a comprehensive benefits package.

Qualifications

• Education & Licensing: 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.
• Experience: 5 years of claims management experience or equivalent combination of education and experience required.
• Licensing: NY preferred; reciprocal license required
• Jurisdiction Knowledge: Nationwide jurisdiction,

Responsibilities

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• 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 requests of directions in a professional and timely manner.

Skills

Claims analysis

Negotiation

Communication

Problem solving

Education

High School Diploma or GED

Bachelor's degree

Professional certification

Job description

Sedgwick is seeking a Claims Examiner - Liability with multi-state jurisdiction experience to analyze complex liability claims and determine benefits due. The role involves handling high-exposure claims, litigation, and rehabilitation while ensuring adjudication aligns with client service requirements.

We value strong analytical skills, negotiation capabilities, and a collaborative, growth-oriented mindset. This position offers hybrid work arrangements and a comprehensive benefits package.