Claims Examiner – Liability, GL, BI, Litigation Experience Required

Sedgwick

Claims Examiner analyzing complex liability claims for a leading risk and claims administration partner. Assessing liability and negotiating settlements while ensuring compliance with service expectations and best practices.

Posted 5/27/2026full-timeRemote • North Carolina • 🇺🇸 United StatesMid-LevelSenior💰 $63,404 - $90,000 per yearWebsite

About the role

Key responsibilities & impact

To analyze complex or technically difficult liability claims to determine benefits due.
To work with high exposure claims involving litigation and rehabilitation.
To ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements.
To identify subrogation of claims and negotiate settlements.
Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on the claim.
Manages claims through well-developed action plans to an appropriate and timely resolution.
Assesses liability and resolves claims within evaluation.
Negotiates settlement of claims within designated authority.
Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority level.

Requirements

What you’ll need

Bachelor's degree from an accredited college or university preferred.
Five (5) years of Liability claims management experience or equivalent combination of education and experience required.

Benefits

Comp & perks

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.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

liability claims managementclaims adjudicationsubrogationnegotiationclaims processingreserve calculationsettlement negotiationaction plan developmentclaims evaluationbenefit calculation

Soft Skills

analytical skillscommunicationproblem-solvingnegotiation skillstime managementattention to detaildecision makingorganizational skillsinterpersonal skillsconflict resolution