Claims Examiner - Liability (MUST RESIDE IN LA)
WFA Digital Insight
The demand for skilled claims examiners has grown significantly, with a 25% increase in job postings over the past year. As companies navigate complex liability claims, professionals with strong analytical and negotiation skills are in high demand. Sedgwick, a global industry leader, is seeking a Claims Examiner to join their team, offering a unique opportunity to work with a diverse range of clients and develop expertise in liability claims management. With the remote work arrangement, candidates can enjoy flexibility and autonomy while working with a company that values empathy, accountability, and growth. Before applying, candidates should be aware of the need for strong technical skills, attention to detail, and excellent communication abilities.
Job Description
About the Role
The Claims Examiner role at Sedgwick is a critical position that requires strong analytical and negotiation skills to manage complex liability claims. As a key member of the team, the Claims Examiner will be responsible for analyzing claims, determining benefits due, and negotiating settlements. The ideal candidate will have a strong understanding of liability claims management and be able to work effectively in a fast-paced environment.The Claims Examiner will be part of a global team that values empathy, accountability, and growth. Sedgwick is committed to providing a supportive and inclusive work environment that allows employees to thrive and develop their skills. With a strong focus on customer service, the company is seeking a candidate who can deliver innovative solutions to clients and provide excellent customer-facing support.
What You Will Do
- 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
- Calculate and assign timely and appropriate reserves to claims
- Manage reserve adequacy throughout the life of the claim
- Perform other duties as assigned
- Support the organization's quality program(s)
- Travel as required
What We Are Looking For
- Bachelor's degree from an accredited college or university preferred
- Five years of liability claims management experience or equivalent combination of education and experience required
- Strong analytical and negotiation skills
- Excellent communication and customer service skills
- Ability to work effectively in a fast-paced environment
- Strong technical skills, including proficiency in Excel
- Ability to work independently and as part of a team
- Strong attention to detail and ability to manage multiple priorities
Nice to Have
- Experience working with global clients and diverse industries
- Knowledge of industry best practices and regulatory requirements
- Certification in claims management or a related field
- Experience with claims management software and systems
Benefits and Perks
- Flexible work schedule and remote work arrangement
- Referral incentive program
- Career development and promotional growth opportunities
- Diverse and comprehensive benefits offering, including medical, dental, vision, and 401K
- Access to professional development opportunities and training programs
- Opportunity to work with a global industry leader and develop expertise in liability claims management
- Collaborative and inclusive work environment that values empathy, accountability, and growth
How to Stand Out
- Develop a strong understanding of liability claims management and industry best practices to stand out as a candidate.
- Highlight your analytical and negotiation skills, as well as your ability to work effectively in a fast-paced environment.
- Showcase your proficiency in Excel and other technical skills relevant to the role.
- Be prepared to discuss your experience working with diverse clients and industries, and your ability to deliver innovative solutions.
- Research the company culture and values, and be prepared to discuss how you align with Sedgwick's mission and values.
- Prepare examples of your experience managing complex claims and negotiating settlements, and be ready to discuss your approach to claims management.
- Consider obtaining certification in claims management or a related field to demonstrate your expertise and commitment to the field.
This is a remote position listed on WFA Digital, the platform for professionals who work from anywhere. Browse more remote jobs across all categories.