Senior Auto & General Liability Claims Examiner

Sedgwick; United States; Remote; USD 70,000 - 80,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

401k with matching

PTO and disability insurance

Life insurance

Employee assistance

Job summary

Sedgwick is seeking a Claims Examiner for Auto | General Liability | Bodily Injury in New Jersey. This role investigates, evaluates, negotiates, and resolves complex general liability claims while ensuring excellent service to clients and claimants.

It manages high-exposure matters, focuses on timely resolution, cost containment, and regulatory compliance. Responsibilities include detailed investigations, liability assessment, reserve management, settlements within authority, and coordination

Qualifications

• Five (5) years of claims handling experience, or an equivalent combination of education and relevant experience.
• Experience handling complex general liability claims preferred.
• Litigation management experience strongly preferred.
• Bachelor’s degree from an accredited college or university preferred.
• Industry certifications relevant to the line of business are preferred.

Responsibilities

• Analyze and manage complex or technically challenging general liability claims from inception through resolution.
• Conduct thorough investigations to determine liability, damages, and claim exposure.
• Develop and execute strategic claim action plans to drive timely and appropriate claim outcomes.
• Assess liability and negotiate settlements within delegated authority.
• Calculate, establish, and maintain appropriate claim reserves throughout the life of the claim.
• Authorize and process claim payments and adjustments within delegated authority.
• Ensure compliance with applicable laws, regulations, and client-specific requirements.
• Prepare and submit required state filings within statutory deadlines.
• Report claims to excess carriers and respond promptly to requests for information or direction.
• Manage litigated claims through effective collaboration with defense counsel and external partners.
• Coordinate vendor referrals for investigations, medical reviews, surveillance, and litigation management services.
• Utilize cost-containment strategies and strategic vendor partnerships to help reduce overall claim costs.
• Pursue and manage claim recoveries, including subrogation and applicable offsets.
• Maintain proactive communication with claimants, clients, attorneys, and other stakeholders.
• Build and maintain strong client relationships through professional and responsive service.
• Ensure claim files are accurately documented and coded in accordance with company standards.
• Escalate complex issues and high-exposure matters to leadership as appropriate.
• Perform other duties as assigned.

Skills

General liability knowledge

Recovery/subrogation understanding

Communication skills

Analytical/problem-solving

Negotiation/settlement management

Time management

Team collaboration

MS Office/claims systems proficiency

Customer service excellence

Education

Bachelor’s degree (preferred)

Industry certifications (preferred)

Job description

Sedgwick is seeking a Claims Examiner for Auto | General Liability | Bodily Injury in New Jersey. This role investigates, evaluates, negotiates, and resolves complex general liability claims while ensuring excellent service to clients and claimants.

It manages high-exposure matters, focuses on timely resolution, cost containment, and regulatory compliance. Responsibilities include detailed investigations, liability assessment, reserve management, settlements within authority, and coordination