Remote General Liability Claims Examiner — BI Specialist

Sedgwick; Denver (CO); Remote; USD 85,000 - 100,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

401K with match

PTO

Job summary

Sedgwick is seeking a Claims Examiner for General Liability BI in a remote US-wide role. The position emphasizes adjudicating complex claims within a captive program and delivering innovative solutions for clients across industries.

Ideal candidates will have experience in coverage determination, handling litigated claims and interpreting endorsements, with a focus on empathy and professional service. Sedgwick offers flexible work, a strong benefits package, and growth opportunities.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience.
• High School Diploma or GED required; Bachelor's degree preferred.
• Professional certification as applicable to line of business preferred.

Responsibilities

• Analyzing and processing claims through action plans to resolution by investigating and gathering information to determine 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 management

Coverage determination

Negotiation

Communication

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification

Job description

Sedgwick is seeking a Claims Examiner for General Liability BI in a remote US-wide role. The position emphasizes adjudicating complex claims within a captive program and delivering innovative solutions for clients across industries.

Ideal candidates will have experience in coverage determination, handling litigated claims and interpreting endorsements, with a focus on empathy and professional service. Sedgwick offers flexible work, a strong benefits package, and growth opportunities.