Claims Examiner - Liability | Bodily Injury & General Liability | Multi State Jurisdiction | Licensing: Reciprocal Required - Remote

Sedgwick • Atlanta, GA • 1h 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 Examiner - Liability | Bodily Injury & General Liability | Multi State Jurisdiction | Licensing: Reciprocal Required - 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?

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 complex or technically difficult bodily injury and 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 FUNCTIONS and RESPONSIBILITIES

Manages mid-level bodily injury and 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.

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

Jurisdiction: Multi State

Licensing: Required, NY and Hawaii preferred

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.

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical: Computer keyboarding, travel as required

Auditory/Visual : Hearing, vision and talking

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 ($66,574.00-$80,000.00 ). 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

Business Banking Relationship Manager - Atlanta

U.S. Bank • Atlanta, GA • 19min ago

Finance, Accounting & Banking

At U.S. Bank, we're on a journey to do our best. Helping the customers and businesses we serve to make better and smarter financial decisions and enabling the communities we support to grow and succeed. We believe it tak...

19min ago

Go to Apply

Financial Center Manager - Kennesaw Bank Mart

Fifth Third Bank, N.A. • Kennesaw, GA • 22min ago

Finance, Accounting & Banking

Make banking a Fifth Third better®We connect great people to great opportunities. Are you ready to take the next step? Discover a career in banking at Fifth Third Bank. GENERAL FUNCTION:The Financial Center Manager will...

22min ago

Go to Apply

Lead Finance Specialist - Insurance

GE Aerospace • Atlanta, GA • 22min ago

Finance, Accounting & Banking

Job Description Summary This role is with ERAC, Employers Reassurance Corporation and a corporate holding of GE Aerospace. We are a reinsurance company supporting the long-term care insurance, structure settlements and L...

22min ago

Go to Apply

Vice President - Capstone Investment Banking

Huntington National Bank • Atlanta, GA • 22min ago

Finance, Accounting & Banking

Description About Capstone Partners: Capstone Partners is one of the largest and most active investment banking firms in the U.S. For over 20 years, Capstone Partners has been a trusted advisor to leading middle market c...

22min ago

Go to Apply

Commercial Portfolio Manager Sr- Equipment Finance

Huntington National Bank • Atlanta, GA • 33min ago

Finance, Accounting & Banking

Description This role can be located at any Huntington corporate office. Summary: The Equipment Finance Portfolio Manager Sr analyzes, assesses, and documents the critical components of a credit decision. This role condu...

33min ago

Go to Apply

Finance Operations Revenue Intelligence Manager

PwC • Atlanta, GA • 2d ago

Finance, Accounting & Banking

Specialty/Competency: Finance Industry/Sector: Not Applicable Time Type: Full time Travel Requirements: Up to 60% At PwC, our people in finance consulting specialise in providing consulting services related to financial...

2d ago

Go to Apply

VP, Finance and Business Analytics Manager - ILD

Bank OZK • Alpharetta, GA • 2d ago

Finance, Accounting & Banking

Why Bank OZK Founded on a legacy of more than 120 years in banking, Bank OZK is much more than just a company. We're nationally recognized as an industry leader in financial services. That means we combine exceptional se...

2d ago

Go to Apply

Finance Transformation - Finance Operations Consulting - Senior Associate

PwC • Atlanta, GA • 2d ago

Finance, Accounting & Banking

Specialty/Competency: Finance Industry/Sector: Not Applicable Time Type: Full time Travel Requirements: Up to 60% A career in our Financial Operations practice, within Finance Consulting services, will provide the opport...

2d ago

Go to Apply

Accounts Receivable Coordinator

Aston Carter • Decatur, GA • 3d ago

Finance, Accounting & Banking

Job Title: Accounts Receivable Analyst Job Description We are seeking a detail-oriented Accounts Receivable Analyst responsible for managing a portfolio of complex accounts across multiple sales channels. This role invol...

3d ago

Go to Apply

Corporate Banking Group Quality Assurance Administrator

Regions Bank • Atlanta, GA • 3d ago

Finance, Accounting & Banking

Thank you for your interest in a career at Regions. At Regions, we believe associates deserve more than just a job. We believe in offering performance-driven individuals a place where they can build a career --- a place...

3d ago

Go to Apply

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