Remote Senior General Liability Claims Examiner

Sedgwick; Sioux Falls (SD); Remote; USD 90,000 - 115,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentives

Comprehensive benefits package

Job summary

Sedgewick is seeking a Remote Liability Claims Examiner to manage high-exposure General Liability claims and coordinate with clients and legal counsel. The role emphasizes developing defense strategies, achieving early resolution, and coordinating with local counsel to manage complex cases.

Required five years in General Liability claims and a bachelor’s degree is preferred. Sedgwick offers flexible schedules, comprehensive benefits, and professional development opportunities across locations in

Qualifications

• Five (5) years of General liability claims management experience.
• Bachelor's degree preferred.
• Ability to handle high-exposure claims and complex coverage scenarios.
• Strong analytical and problem-solving skills.

Responsibilities

• Reviews/acts on reports/forms; responds to inquiries; seeks legal opinion and early resolution; communicates resolution to appropriate parties.
• Handles high end cases with serious injuries and/or complex coverage scenarios.
• Responds to decisions, agreement, and/or court order; creates action plan; determines need for examination; gains client authorization.
• Identifies cases for settlements/redemptions.
• Gathers documents additional information and coordinates with client designees.
• Requests legal/private investigation; assigns to and coordinates with local counsel; monitors local counsel performance.
• Responds to plaintiff's counsel, union, employee, or client requests.
• Identifies issues and formulates defense strategy.
• Establishes/adjusts accrued liability and approves administrative expenses.
• Identifies subrogation opportunities and manages process.
• Attends and participates in mediations, trials, arbitrations or hearings as needed.
• Works with partners to affect early return-to-work.

Skills

General liability claims management

Analytical thinking

Communication

Problem solving

Education

Bachelor's degree

Job description

Sedgewick is seeking a Remote Liability Claims Examiner to manage high-exposure General Liability claims and coordinate with clients and legal counsel. The role emphasizes developing defense strategies, achieving early resolution, and coordinating with local counsel to manage complex cases.

Required five years in General Liability claims and a bachelor’s degree is preferred. Sedgwick offers flexible schedules, comprehensive benefits, and professional development opportunities across locations in