Claim Examiner l Liability l Jurisdication Northeast States l Eden Prairie, MN preferred OR Remote

Sedgwick • Jefferson City, MO • 10h 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

Claim Examiner l Liability l Jurisdication Northeast States l Eden Prairie, MN preferred OR Remote

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?

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 OF THE ROLE : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.

ESSENTIAL RESPONSIBILITIES MAY INCLUDE:

Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.

Assesses liability and resolves claims within evaluation.

Negotiates settlement of claims within designated authority.

Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.

Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.

Prepares necessary state fillings within statutory limits.

Manages the litigation process; ensures timely and cost effective claims resolution.

Coordinates vendor referrals for additional investigation and/or litigation management.

Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.

Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.

Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.

Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.

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

Refers cases as appropriate to supervisor and management.

Performs other duties as assigned.

Supports the organization's quality program(s).

Travels as required.

QUALIFICATIONS & LICENSING

Education & Experience

Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.

Experience

Five (5) years of claims management experience or equivalent combination of education and experience required.

TAKING CARE OF YOU

Flexible Work Schedule

Referral Incentive Program

Opportunity to work from home

Career development and promotional growth opportunities

A diverse and comprehensive benefits offering including medical, dental vision, 401K on day 1

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($66,000 - $85,000). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

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

Principal, Digital Marketing

Pearson • Jefferson City, MO • 1h ago

Sales & Marketing

Job title: Principal, Digital Marketing Description: also known as Director, Performance Marketing / Director, Growth Marketing About the Role Pearson Virtual Schools is seeking a senior performance marketing leader to d...

1h ago

Go to Apply

Senior Principal AI Architect

Oracle • Jefferson City, MO • 1h ago

Job Description As a Principal Data Scientist, you will play a key role in designing, building, and maintaining the data infrastructure that powers statistical analyses and machine learning initiatives for the Network Re...

1h ago

Go to Apply

Field Marketing Specialist

Oracle • Jefferson City, MO • 1h ago

Sales & Marketing

Job Description Oracle Academy, Oracle's global, philanthropic educational program, is open to academic institutions and their educators to help advance student technology education, skills, innovation, and inclusion. We...

1h ago

Go to Apply

MDM Engineering & Operations Manager

Eliassen Group • Jefferson City, MO • 2h ago

Management & Administrative

MDM Engineering & Operations Manager Anywhere Type: Contract-to-Hire Category: Development Industry: Financial Services Workplace Type: Remote Reference ID: JN -022026-105372 Date Posted: 02/04/2026 Shortcut: http://...

2h ago

Go to Apply

Retrieval Operations Manager

Datavant • Jefferson City, MO • 2h ago

Management & Administrative

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the...

2h ago

Go to Apply

Advanced Specialist, UX Designer

Pearson • Jefferson City, MO • 8h ago

IT & Engineering

Advanced Specialist, UX Designer This role aligns to industry-level titles such as "UX Designer III" or "Sr UX Designer" Reports to: Group Visual Design Manager, Design Systems About Pearson Pearson is an ed tech company...

8h ago

Go to Apply

Advanced Inside Sales Representative

Wolters Kluwer • Jefferson City, MO • 8h ago

Sales & Marketing

Job Posting Permanent remote role, candidate can be located anywhere in the U.S. Due to recent market success, CT is expanding our Inside Sales team and seeking high-energy, career-oriented individuals ready to grow thei...

8h ago

Go to Apply

Supervisor Telecom Construction Underground

Ervin Cable • Jefferson City, MO • 13h ago

Trucking & Construction

Discover a more connected career A successful Supervisor Telecom Construction Underground shall be responsible for oversight of one or more underground telecommunication construction crews; responsible for ensuring that...

13h ago

Go to Apply

Principal Data Center Construction Manager

Oracle • Jefferson City, MO • 14h ago

Trucking & Construction

Job Description The Data Center Infrastructure Construction team at Oracle Cloud Infrastructure is a dynamic group of professionals dedicated to delivering state-of-the-art data center facilities at scale and at pace. Th...

14h ago

Go to Apply

Supply Chain Manager - East Coast - Final Mile Engineering

HD Supply • Jefferson City, MO • 17h ago

Management & Administrative

Job Summary Responsible for the overall strategy and execution of facilities functions, as well as the planning and directing of activities and operations of supply chain development. Build partnerships with transportati...

17h 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.