Remote General Liability Claims Examiner

Sedgwick; Dover (DE); Ibrido; USD 85.000 - 90.000; Tempo pieno

Vantaggi offerti da questo lavoro

Flexible work schedule

Referral incentive program

Career development and promotional 성장

Descrizione del lavoro

Sedgwick in Marlton, NJ is seeking a Liability Claims Examiner to adjudicate complex general liability, premise liability, and litigated claims. You will evaluate liability, negotiate settlements, and manage reserves and payments within authority.

The role offers a hybrid schedule (2 days in office) if within commutable distance, with remote options if outside distance, plus growth opportunities and a comprehensive benefits package.

Competenze

• Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.

Mansioni

• Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
• Assesses liability and resolves claims within evaluation.
• Negotiates settlement of claims within designated authority.
• Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
• Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority level.
• Prepares necessary state filings within statutory limits.
• Manages the litigation process; ensures timely and cost effective claims resolution.
• Coordinates vendor referrals for additional investigation and/or litigation management.
• Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
• Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
• Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
• Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
• Ensures claim files are properly documented and claims coding is correct.
• Refers cases as appropriate to supervisor and management.
• Performs other duties as assigned.
• Supports the organization's quality program(s).
• Travels as required.

Formazione

Bachelor's degree from an accredited college or university preferred

Professional certification as applicable to line of business preferred

Descrizione del lavoro

Sedgwick in Marlton, NJ is seeking a Liability Claims Examiner to adjudicate complex general liability, premise liability, and litigated claims. You will evaluate liability, negotiate settlements, and manage reserves and payments within authority.

The role offers a hybrid schedule (2 days in office) if within commutable distance, with remote options if outside distance, plus growth opportunities and a comprehensive benefits package.