Remote Liability Claims Examiner | PIP/No-Fault

Sedgwick; Buffalo (NY); Hybrid; USD 60,000 - 75,000; Full time

Benefits offered by this job

Referral incentive

Flexible schedule

Career development

Comprehensive benefits

Job summary

Sedgwick is hiring for a Claims Examiner - Liability with PIP/No Fault jurisdiction coverage across FL, NY, MI, MD, and remote options. The role emphasizes analyzing claims, determining benefits, and ensuring timely adjudication within client requirements.

The ideal candidate brings experience in claims management, strong negotiation skills, and the ability to work autonomously in a hybrid or remote environment.

Qualifications

• High School Diploma or GED required.
• Bachelor's degree preferred.
• Professional certification as applicable to line of business preferred.

Responsibilities

• Analyze and process PIP/No Fault claims to determine benefits due and adjudicate per client service requirements.
• Negotiate settlements within designated authority.
• Communicate claim activity and processing with the claimant and client.
• Report claims to excess carrier and respond to directions promptly.

Skills

Claims management

Negotiation

Communication

Education

Bachelor's degree preferred

High School Diploma or GED required

Professional certification

Job description

Sedgwick is hiring for a Claims Examiner - Liability with PIP/No Fault jurisdiction coverage across FL, NY, MI, MD, and remote options. The role emphasizes analyzing claims, determining benefits, and ensuring timely adjudication within client requirements.

The ideal candidate brings experience in claims management, strong negotiation skills, and the ability to work autonomously in a hybrid or remote environment.