Claims Examiner | General Liability BI | Captive | Remote
location_onChamberlain Street, Augusta, Kennebec County, Maine, 04330, United States
Job Description
About Sedgwick
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.
Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape.
Our Culture
We are proud to be recognized for our workplace excellence:
- 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
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. We are building a diverse, equitable, and inclusive workplace and recognize that each person possesses a unique combination of skills, knowledge, and experience. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! You may be just the right candidate for this or other roles.
About the Role
As a Claims Examiner at Sedgwick, you’ll have the opportunity to take on new challenges and help solve complex problems. This is a remote, work-at-home, telecommuter position, offering flexibility and autonomy in your daily work and your career path. You will be part of a rapidly growing, industry-leading global company known for its excellence and customer service.
In this role, you will analyze complex or technically difficult general liability claims to determine benefits due. You will work with high exposure claims involving litigation and rehabilitation, ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. Additionally, you will identify subrogation of claims and negotiate settlements.
We are looking for someone with expertise in Bodily Injury General Liability Claims, specifically within commercial (captive) insurance programs. If you are skilled in coverage determination, handling litigated claims, and interpreting endorsements, nature of loss, and excluded coverages, we invite you to join one of the premier teams in the industry.
Work location
Work model: Remote
Chamberlain Street, Augusta, Kennebec County, Maine, 04330, United States
Augusta, Maine
Key Responsibilities
- check_circleAnalyze complex general liability claims to determine exposure and benefits due
- check_circleAssess liability and negotiate settlements within designated authority
- check_circleCoordinate vendor referrals for investigation and litigation management
- check_circleManage claim recoveries including subrogation and offsets
- check_circleManage the litigation process for timely and cost-effective resolution
- check_circleCalculate and assign appropriate reserves throughout the claim lifecycle
- check_circleCommunicate claim activity with claimants and maintain client relationships
Requirements
- verifiedBachelor's degree from an accredited college or university preferred
- verifiedProfessional certification as applicable to line of business preferred
- verifiedFive (5) years of claims management experience or equivalent combination of education and experience required
- verifiedSubject matter expert of appropriate insurance principles and laws for line-of-business handled
- verifiedPC literate, including Microsoft Office products
Benefits & Perks
Skills, education and keywords
Skills: microsoft office.
Education: Bachelor's degree from an accredited college or university preferred.