Claims Adjuster - Liability | Bodily Injury - Remote

Primary Purpose

Analyze mid- and higher-level bodily injury liability claims to determine benefits due; ensure ongoing adjudication of claims within company standards and industry best practices; and identify subrogation of claims and negotiate settlements.

• Manage mid-level general liability claims by gathering information to determine liability exposure, assign reserve values to claims, make claim payments as necessary, and settle claims up to the designated authority level.
• Assess liability and resolve claims within evaluation.
• Approve and process assigned claims, determine benefits due, and manage action plan pursuant to the claim or client contract.
• Manage subrogation of claims and negotiate settlements.
• Communicate claim action with claimant and client.
• Ensure 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.
• Maintain professional client relationships.

• Perform other duties as assigned.
• Support the organization’s quality program(s).
• Travel as required.

• Education & Licensing:
  Bachelor's degree from an accredited college or university preferred.
• Experience:
  
  Four (4) years of claims management experience or equivalent combination of education and experience required.

Flexible work schedule. Referral incentive program. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental, vision, and 401(k) on day one.

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