Claims Representative - Liability (REMOTE - License required)

About the position 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. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Liability (REMOTE - License required) Active Adjuster License required (state-specific licensure as applicable) Demonstrated success managing fast-track claims in a high-volume, fast-paced environment Ability to effectively handle claims across multiple venues and jurisdictions Strong competency in reading, analyzing, and interpreting contracts , including indemnity and additional insured provisions Experience tendering claims to carriers and third parties and managing tender responses Excellent organizational, analytical, and time-management skills to balance competing priorities Proven experience handling General Liability products , with a strong understanding of coverage, exposure, and claims handling 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. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. PRIMARY PURPOSE : To process low level general liability claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements with general supervision.

Responsibilities

• Processes low level general liability claims by gathering information to determine liability exposure
• assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.
• Develops and coordinates low level general liability claims' action plans to resolution, return-to-work efforts, and approves claim payments.
• Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract.
• Administers subrogation of claims and negotiates settlements.
• Communicates claim action with claimant and client.
• Performs other duties as assigned.
• Supports the organization's quality program(s).
• Travels as required.

Requirements

• Active Adjuster License required (state-specific licensure as applicable)
• Demonstrated success managing fast-track claims in a high-volume, fast-paced environment
• Ability to effectively handle claims across multiple venues and jurisdictions
• Strong competency in reading, analyzing, and interpreting contracts , including indemnity and additional insured provisions
• Experience tendering claims to carriers and third parties and managing tender responses
• Excellent organizational, analytical, and time-management skills to balance competing priorities
• Proven experience handling General Liability products , with a strong understanding of coverage, exposure, and claims handling
• Bachelor's degree from an accredited college or university preferred.
• Two (2) years of claims management experience or equivalent combination of education and experience or successful completion of Claims Representative training 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.