Claim Examiner - Liability | Water Damage | Multi State Jurisdiction | Licensing: Required - Remote

Sedgwick • Providence, RI • 12h 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 - Liability | Water Damage | Multi State Jurisdiction | Licensing: 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 water damage 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 water damage 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 : 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.

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

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.

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 ( $63,404.00 - $85,000.00) . 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 Analyst 5

GovCIO • Providence, RI • 4h ago

IT & Engineering

United States Suitability/Public Trust Hybrid schedule Information Technology Overview GovCIO is looking for an Organizational Business Process Analyst who can work closely with customers and business process teams to id...

4h ago

Go to Apply

Senior Dynamics Developer

GovCIO • Providence, RI • 4h ago

IT & Engineering

United States Suitability/Public Trust Fully remote Information Technology Overview GovCIO is looking for an experienced Senior CRM developer to support the continued enhancement and operations of a Microsoft Dynamics CR...

4h ago

Go to Apply

Business Analyst (Remote)

GovCIO • Providence, RI • 4h ago

IT & Engineering

United States Suitability/Public Trust Fully remote Information Technology Overview GovCIO is currently hiring for mid level Business Analyst to coordinate with technical and business teams to extract requirements for im...

4h ago

Go to Apply

Contact Center Account Manager

Teleperformance USA • Rhode Island, Rhode Island • 5h ago

Management & Administrative

Category : Customer Service/Support Application Deadline: Ongoing until positions are filled. to apply, please visit the TP Careers site at https://www.tp.com/en-us/careers **. About TP TP is a leading global provider of...

5h ago

Go to Apply

Retail Stocking Associate

Harbor Freight Tools • Fall River, MA • 7h ago

Retail & Hospitality

181419BRPosting Title:Retail Stocking AssociateJob Description: A Retail Stocking Associate (part-time) is a valued member of a high performing team who is empowered & equipped to do their job. You will know why your...

7h ago

Go to Apply

Finance Transformation Lead

Humana • Providence, RI • 7h ago

Finance, Accounting & Banking

Become a part of our caring community The Lead - Finance Strategy, Special Projects & Solution Design is responsible for leading high-impact strategic initiatives. These initiatives advance Finance priorities through...

7h ago

Go to Apply

FIRE SUPPRESSION SYSTEMS MECHANIC (WATER-BASED)

Naval Facilities Engineering Command • Rhode Island, Rhode Island • 8h ago

Manufacturing & Warehouse

Summary You will serve as a FIRE SUPPRESSION SYSTEMS MECHANIC (WATER-BASED) in the PUBLIC WORKS DIR of NAVFAC ENGINEERING CMD MID-ATLANTIC. Responsibilities You will current permanent employees of DON, DoD Military Spous...

8h ago

Go to Apply

Regional Operations Manager

Ford Motor Company • Providence, RI • 9h ago

Management & Administrative

We made history and now we work to transform the future - for our customers, our communities and our families. You'll see your work on the road every day, helping people move freely and pursue their dreams. At Ford, you...

9h ago

Go to Apply

Operations Experience Manager

Home Depot • Coventry, RI • 9h ago

Management & Administrative

Position Purpose: Operations Experience Managers (Ops XM) are members of the store leadership team responsible for executing store standards, including customer service, department readiness, and operational processes. T...

9h ago

Go to Apply

Mid Shift Warehouse Supervisor

Martignetti Companies • Taunton, MA • 9h ago

Manufacturing & Warehouse

Position Overview: The Mid-Shift Supervisor is responsible for working with management to supervise staff, monitor production for accuracy, and ensure safety measures are being followed. Hours: Monday-Friday 2:00 PM - 10...

9h ago

Go to Apply

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