Claims Adjuster – Bodily Injury, Jurisdiction: All States, Licensing: FL, TX, GA preferred
Sedgwick
full-time
Posted on:
Location Type: Hybrid
Location: Irving • Texas • United States
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About the role
- Manage mid-level general liability claims by gathering information to determine liability exposure;
- Assign reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.
- Assess liability and resolve claims within evaluation.
- Approve and process assigned claims, determine benefits due, and manage action plan pursuant to the claim or client contract.
- Manage subrogation of claims and negotiate settlements.
- Communicate claim action with claimant and client.
- Ensure claim files are properly documented and claims coding is correct.
- 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.
- Maintain professional client relationships.
Requirements
- Bachelor's degree from an accredited college or university preferred.
- Licenses as required.
- Professional certifications as applicable to line of business preferred.
- Four (4) years of claims management experience or equivalent combination of education and experience required.
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.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims managementliability assessmentclaims processingnegotiationsubrogationclaims codingmedical claims processingaction plan managementreserve valuationclient contract management
Soft skills
communicationrelationship management
Certifications
professional certifications