Claims Adjuster - Liability (REMOTE- Southeast State exp)

Sedgwick • Orlando, FL • 16h ago

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

Claims Adjuster - Liability (REMOTE- Southeast State exp)

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?

Apply your knowledge and experience to adjudicate complex customer claims in the @context of an energetic culture.

Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations.

Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.

Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights.

Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.

Enjoy flexibility and autonomy in your daily work, your location, and your career path.

Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

PRIMARY PURPOSE : To analyze mid- and higher-level general liability claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements..

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

Manages mid-level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.

Assesses liability and resolves claims within evaluation.

Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.

Manages subrogation of claims and negotiates settlements.

Communicates claim action with claimant and client.

Ensures claim files are properly documented and claims coding is correct.

May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.

Maintains professional client relationships.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

Performs other duties as assigned.

Supports the organization's quality program(s).

Travels as required.

QUALIFICATIONS

Education & Licensing

Bachelor's degree from an accredited college or university preferred.

Experience :

4 years of Liability claims management experience or equivalent combination of education and experience required.

TAKING CARE OF YOU

Flexible work schedule.

Referral incentive program.

Career development and promotional growth opportunities.

A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com

Similar Jobs

Claims Representative - Workers Compensation | Jurisdiction: Multi State | TX/FL/OK/LA License preferred (Remote/Hybrid)

Sedgwick • Orlando, FL • 16h ago

Finance, Accounting & Banking

16h ago

Go to Apply

Claims Representative - Workers Compensation | Jurisdiction: Multi State | TX/FL/OK/LA License preferred (Remote/Hybrid) (Open)

Sedgwick • Orlando, FL • 16h ago

Finance, Accounting & Banking

16h ago

Go to Apply

Claims Examiner - Workers Compensation (REMOTE- Home State License required)

Sedgwick • Orlando, FL • 16h ago

Finance, Accounting & Banking

16h ago

Go to Apply

Claims Examiner - Workers Compensation (REMOTE- Southeast State Experience)

Sedgwick • Orlando, FL • 16h ago

Finance, Accounting & Banking

16h ago

Go to Apply

Tax Services Senior Analyst - FSO - State & Local Tax EDGE, Income Tax

EY • Orlando, FL • 1d ago

Finance, Accounting & Banking

Location: Anywhere in Country At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY...

1d ago

Go to Apply

GPS - Financial Accounting Advisory Services - State and Local - Senior Manager

EY • Orlando, FL • 1d ago

Finance, Accounting & Banking

At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better wor...

1d ago

Go to Apply

Accountant II

Alaka'ina Foundation Family of Companies • Orlando, FL • 1d ago

Finance, Accounting & Banking

Accountant II Location FL - Orlando Job Code 13570 of openings 1 Apply Now ( https://phg.tbe.taleo.net/phg04/ats/careers/v2/applyRequisition?org=AKIMEKATECH&cws=43&rid=13570 ) The Alaka`ina Foundation Family of C...

1d ago

Go to Apply

Data Integration Sr Analyst - Consumer Banking Strategic Initiatives

First Horizon Bank • Orlando, FL • 2d ago

Finance, Accounting & Banking

Description Location: On site in Memphis, TN, Charlotte, NC, Raleigh, NC, Orlando, FL, Miami, FL, Lafayette, LA, New Orleans, LA, Dallas, TX. Reports To: Head of Strategic Initiatives, Consumer Banking About the Role As...

2d ago

Go to Apply

Data Integration Analyst - Consumer Banking Strategic Initiatives

First Horizon Bank • Orlando, FL • 2d ago

Finance, Accounting & Banking

2d ago

Go to Apply

Accounts Receivable Specialist

Robert Half • Orlando, FL • 2d ago

Finance, Accounting & Banking

Description Our team is seeking an experienced Accounts Receivable (AR) Specialist with hands-on expertise using QuickBooks. The AR Specialist is responsible for managing all aspects of the accounts receivable process, i...

2d ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.