Claims Adjuster - Liability; REMOTE- Gen Liab​/Bodily Injury

Position: Claims Adjuster - Liability (REMOTE- Gen Liab/Bodily Injury & License required) Claims Adjuster – Liability (REMOTE – General Liability/Bodily Injury & License Required) Join to apply for the Claims Adjuster – Liability (REMOTE – General Liability/Bodily Injury & License Required) role at Sedgwick . 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. Primary Purpose To analyze mid- and higher-level general liability claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements. Essential Functions and Responsibilities • Manages mid-level 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. Additional Functions and Responsibilities • 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: Four (4) years of 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, 401(k) on day one. 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. 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. #J-18808-Ljbffr Apply tot his job