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.