Remote General Liability Claims Adjuster - Negotiation Pro

Sedgwick; United States; Remote; USD 63,000 - 90,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401k with matching

PTO

Disability Insurance

Life Insurance

HSA/FSA

Job summary

Sedgwick is seeking a Claims Adjuster I for a remote, United States-based role. You will analyze mid- to higher-level general liability claims, determine benefits due, and manage subrogation and settlements in accordance with company standards.

The position requires a Bachelor's degree and ~4 years of claims management experience, with strong negotiation and communication skills. Sedgwick offers a comprehensive benefits package and a collaborative work environment.

Qualifications

• Bachelor's degree preferred.
• Four years of claims management experience required.
• Strong negotiation and analytical skills.
• Excellent written and verbal communication.
• Ability to work in a team and meet deadlines.

Responsibilities

• Manages mid-level general liability claims by gathering information to determine liability exposure.
• 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

Claims management

Negotiation

Communication

Microsoft Office

Analytical skills

Education

Bachelor's degree

Tools

Microsoft Office

Job description

Sedgwick is seeking a Claims Adjuster I for a remote, United States-based role. You will analyze mid- to higher-level general liability claims, determine benefits due, and manage subrogation and settlements in accordance with company standards.

The position requires a Bachelor's degree and ~4 years of claims management experience, with strong negotiation and communication skills. Sedgwick offers a comprehensive benefits package and a collaborative work environment.