Remote Claims Examiner - PIP/No Fault (Liability)

Sedgwick; Houston (TX); Hybrid; USD 60,000 - 75,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Agile environment

Career development

Benefits package

Job summary

Sedgwick is seeking a Claims Examiner - Liability with PIP/NO FAULT experience. The role focuses on analyzing No Fault and liability claims for multiple jurisdictions, determining benefits, and ensuring adjudication aligns with client requirements.

Remote work is available, with a flexible schedule and opportunities for career growth. Ideal candidates have 5 years of claims management experience, license prerequisites, and knowledge across FL, NY, MD, and MI.

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: FL required and Hawaii and NY 17-72 preferred
• Jurisdiction Knowledge: FL, NY, MD, MI

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

Client communication

Analytical thinking

Education

High School Diploma or GED

Bachelor’s degree preferred

Professional certification as applicable

Job description

Sedgwick is seeking a Claims Examiner - Liability with PIP/NO FAULT experience. The role focuses on analyzing No Fault and liability claims for multiple jurisdictions, determining benefits, and ensuring adjudication aligns with client requirements.

Remote work is available, with a flexible schedule and opportunities for career growth. Ideal candidates have 5 years of claims management experience, license prerequisites, and knowledge across FL, NY, MD, and MI.