Senior General Liability Claims Examiner

Sedgwick; Providence (RI); On-site; USD 70,000 - 80,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401k

PTO

Disability & Life Insurance

Employee Assistance

FSA/HSA

Voluntary Benefits

Job summary

Sedgwick in the United States is seeking an experienced Claims Examiner for Auto general liability with bodily injury focus. You will investigate, negotiate, and resolve high-exposure claims, ensuring timely settlements and compliance with client requirements.

This role emphasizes strategic action plans, reporting, and strong client service. Excellent collaboration with defense counsel, regulators, and vendors is essential, along with accurate file documentation and use of claims systems.

Qualifications

• Five (5) years of claims handling experience or equivalent mix of education and 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 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 reduce claim costs.
• Pursue and manage claim recoveries, including subrogation and 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 company standards.

Skills

General liability claims

Negotiation skills

Analytical ability

Investigative skills

Communication skills

Prioritization

Independent & team work

Microsoft Office

Claims management systems

Education

Bachelor's degree (preferred)

Tools

Claims management systems

Microsoft Office

Job description

Sedgwick in the United States is seeking an experienced Claims Examiner for Auto general liability with bodily injury focus. You will investigate, negotiate, and resolve high-exposure claims, ensuring timely settlements and compliance with client requirements.

This role emphasizes strategic action plans, reporting, and strong client service. Excellent collaboration with defense counsel, regulators, and vendors is essential, along with accurate file documentation and use of claims systems.