Jobs · Finance · California

Liability Claims Examiner

Sedgwick · Concord, CA · 2 wk ago
HybridFinance$85k–$105k/yrFull-time

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.

About the Role

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.

Responsibilities

  • Reviews/acts on reports/forms; responds to inquiries; seeks legal opinion and early resolution; and communicates resolution to appropriate parties.
  • Handles high-end cases with serious injuries and/or complex coverage scenarios.
  • Responds to decisions, agreement, and/or court order; creates action plan; determines need for examination; gains client authorization.
  • Identifies cases for settlements/redemptions.
  • Gathers/documents additional information and coordinates with client designees.
  • Requests legal/private investigation; assigns to and coordinates with local counsel; monitors local counsel performance.
  • Responds to plaintiff's counsel, union, employee, or client requests.
  • Identifies issues and formulates defense strategy.
  • Establishes/adjusts accrued liability and approves administrative expenses.
  • Identifies subrogation opportunities and manages process.
  • Attends and participates in mediations, trials, arbitrations, or hearings as needed.
  • Works with partners to affect early return-to-work.

Requirements

  • Bachelor's degree from an accredited college or university preferred.
  • Four (4) years of liability litigation claims management experience or equivalent combination of education and experience required.

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.

Benefits

  • 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.
  • Disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Pay

For the jurisdiction noted in this job posting only, the range of starting pay for this role is $85,000 - $105,000.

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