Jobs · Finance

Claims Examiner - Liability (MUST RESIDE IN LA)

Sedgwick · Louisiana, United States · 2 mo ago
RemoteRemoteFinanceFull-time

About the Role

Join Sedgwick, a global industry leader, and be part of something meaningful. With 33,000 colleagues worldwide, you’ll help people facing the unexpected while growing your career, experiencing a caring culture, and enjoying work-life balance. This role offers flexibility, autonomy, and opportunities for professional development.

Responsibilities

  • Analyze complex or technically difficult liability claims to determine benefits due, focusing on high-exposure claims involving litigation and rehabilitation.
  • Ensure ongoing adjudication of claims within service expectations, industry best practices, and client service requirements.
  • Develop and execute action plans to investigate and resolve claims appropriately and timely.
  • Negotiate settlements within designated authority.
  • Communicate claim activity and processing with claimants and clients.
  • Report claims to excess carriers and respond to their requests professionally and promptly.
  • Identify subrogation opportunities and negotiate settlements.

Requirements

  • 5 years of claims management experience or an equivalent combination of education and experience.
  • High School Diploma or GED required; Bachelor’s degree from an accredited college or university preferred.
  • Professional certification applicable to the line of business preferred.
  • Knowledge of Louisiana licensing and jurisdiction requirements.

Skills

  • Clear and conceptual thinking with excellent judgment, troubleshooting, and problem-solving abilities.
  • Strong analytical skills and discretion in handling sensitive information.
  • Ability to manage work-related stress, multiple priorities, and meet deadlines.
  • Proficient in computer keyboarding and basic office software.
  • Effective communication skills, including hearing, vision, and talking.

Benefits

  • Flexible work schedule.
  • Referral incentive program.
  • Agile work environment.
  • Career development and promotional growth opportunities.
  • Comprehensive benefits package, including medical, dental, vision, and 401K (available on day one).

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. Candidates with diverse skills, knowledge, and experience are encouraged to apply, even if their background doesn’t perfectly align with every qualification.

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