Remote Liability Claims Examiner

Sedgwick; Atlanta (GA); Remote; USD 65,000 - 85,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development and promotional成长

Comprehensive benefits (medical,Dental

Job summary

Sedgwick is seeking a Claims Examiner - Liability with multi-state jurisdiction to analyze complex liability claims and determine benefits due. This role supports litigation and rehabilitation efforts with a focus on timely adjudication and client service.

Ideal candidates have at least 5 years of claims management experience, a high school diploma (Bachelor's preferred), NY licensing (reciprocal), and nationwide jurisdiction knowledge; remote work option and comprehensive benefits are available.

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 management

Analytical thinking

Negotiation

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is seeking a Claims Examiner - Liability with multi-state jurisdiction to analyze complex liability claims and determine benefits due. This role supports litigation and rehabilitation efforts with a focus on timely adjudication and client service.

Ideal candidates have at least 5 years of claims management experience, a high school diploma (Bachelor's preferred), NY licensing (reciprocal), and nationwide jurisdiction knowledge; remote work option and comprehensive benefits are available.