Claims Examiner – General Liability BI – Captive
Sedgwick
full-time
Posted on:
Location Type: Remote
Location: Remote • Texas • 🇺🇸 United States
Visit company websiteSalary
💰 $85,000 - $100,000 per year
Job Level
Mid-LevelSenior
About the role
- Analyze complex or technically difficult general liability claims to determine benefits due
- Work with high exposure claims involving litigation and rehabilitation
- Ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements
- Identify subrogation of claims and negotiate settlements
- Investigate and gather information to determine the exposure on the claim
- Manage claims through well-developed action plans to an appropriate and timely resolution
- Assess liability and resolve claims within evaluation
- Negotiate settlement of claims within designated authority
- Calculate and assign timely and appropriate reserves to claims
- Prepare necessary state fillings within statutory limits
- Manage the litigation process and ensure timely and cost effective claims resolution
- Coordinate vendor referrals for additional investigation and/or litigation management
- Report claims to the excess carrier and respond to requests in a professional manner
Requirements
- Bachelor's degree from an accredited college or university preferred
- Professional certification as applicable to line of business preferred
- Five (5) years of claims management experience or equivalent combination of education and experience required
- Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions
- Excellent oral and written communication, including presentation skills
- PC literate, including Microsoft Office products
- Analytical and interpretive skills
- Strong organizational skills
- Good interpersonal skills
- Excellent negotiation skills
- Ability to work in a team environment
- Ability to meet or exceed Service Expectations
Benefits
- medical
- dental
- vision
- 401k and matching
- PTO
- disability and life insurance
- employee assistance
- flexible spending or health savings account
- additional voluntary benefits
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims managementnegotiationliability assessmentsubrogationsettlement calculationstatutory compliancevendor coordinationlitigation managementaction plan developmentclaims resolution
Soft skills
oral communicationwritten communicationpresentation skillsanalytical skillsorganizational skillsinterpersonal skillsnegotiation skillsteamworkservice expectation management
Certifications
professional certification in insurance