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

Sedgwick • Trenton, NJ • 5h 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

Payroll Clerk

Interstate Solutions LLC • Horsham, PA • 1h ago

Finance, Accounting & Banking

Interstate is a fast-growing, family-owned company specializing in janitorial services with operations throughout North America. We hire dedicated employees who are committed to making a difference. Every day we create o...

1h ago

Go to Apply

Claims Processor

Highmark Health • Trenton, NJ • 2h ago

Finance, Accounting & Banking

Company : United Concordia Dental Job Description : JOB SUMMARY This job is responsible for screening, reviewing, evaluating online entry, correcting errors and/or performing quality control review and final adjudication...

2h ago

Go to Apply

Sr. Accountant

Robert Half • Ewing, NJ • 4h ago

Finance, Accounting & Banking

Description A rapidly expanding manufacturing company is adding a newly created Senior Accountant position to support its continued growth. This is an excellent opportunity for an accounting candidate who wants tolearn g...

4h ago

Go to Apply

Accountant

CAI • Trenton, NJ • 4h ago

Finance, Accounting & Banking

Accountant Req number: R7708 Employment @type: Full time Worksite flexibility: Remote Who we are CAI is a global services firm with over 9,000 associates worldwide and a yearly revenue of $1.3 billion+. We have over 40 y...

4h ago

Go to Apply

Accounting Associate

Robert Half • Princeton, NJ • 4h ago

Finance, Accounting & Banking

Description We are partnering with a respected healthcare/non-profit organization seeking an Accounting detail oriented to support the finance team with cash posting, reconciliations, and accounts payable functions. This...

4h ago

Go to Apply

Lead Finance Specialist - Insurance

GE Aerospace • Trevose, PA • 4h 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...

4h ago

Go to Apply

Lead Finance Specialist - Insurance

GE Aerospace • Trenton, NJ • 4h ago

Finance, Accounting & Banking

4h ago

Go to Apply

Quantitative Finance Analyst

Bank of America • Pennington, NJ • 4h ago

Finance, Accounting & Banking

Quantitative Finance Analyst Jersey City, New Jersey;Chicago, Illinois; Pennington, New Jersey To proceed with your application, you must be at least 18 years of age. Acknowledge ( https://ghr.wd1.myworkdayjobs.com/Later...

4h ago

Go to Apply

Accounting Clerk

The Bank of Princeton • Princeton, NJ • 4h ago

Finance, Accounting & Banking

The Bank of Princeton has exciting career opportunities! Our goal to hire and retain talented cooperative people with engaging personalities and strong work ethics. We believe in recognizing and rewarding employees who c...

4h ago

Go to Apply

Oracle Services - NetSuite Finance/SCM Senior - Tech Consulting - Open Location

EY • New Brunswick, NJ • 2d 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...

2d ago

Go to Apply

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