Liability Claims Specialist
5 days ago
**International Applicants:** The 'Apply with SEEK' option is available for international candidates, primarily from Australia. If this does not pertain to you, please utilize the 'Apply' option.
Claims Specialist - Liability
Join Our Team at Sedgwick
At Sedgwick, we are dedicated to providing exceptional care and support to individuals and organizations during challenging times. With a global workforce of 27,000 professionals, we are a premier provider of technology-driven risk management, benefits, and integrated business solutions. Our mission is to assist millions of people each year as they navigate significant life events, whether it be workplace injuries, property losses, or other unforeseen circumstances.
Our Expertise: Sedgwick boasts one of the largest teams of liability specialists worldwide, adept at managing and resolving claims related to property, general liability, auto incidents, product liability, and professional liability. We are committed to helping our clients safeguard their brand reputation during crises.
PRIMARY OBJECTIVE: To evaluate mid- to high-level general liability claims, ascertain benefits owed, ensure claims are adjudicated in accordance with company standards and industry best practices, and identify subrogation opportunities while negotiating settlements.
KEY RESPONSIBILITIES:
- Oversee mid-level general liability claims by collecting pertinent information to assess liability exposure.
- Assign reserve values to claims, process necessary payments, and settle claims within designated authority limits.
- Evaluate liability and resolve claims based on thorough assessments.
- Approve and manage assigned claims, determining benefits owed and executing action plans in line with client contracts.
- Handle subrogation processes and negotiate settlements effectively.
- Maintain clear communication regarding claim actions with claimants and clients.
- Ensure accurate documentation of claim files and correct coding of claims.
- May involve processing complex medical claims, including state and physician filings and treatment recommendations.
- Foster and maintain professional relationships with clients.
ADDITIONAL DUTIES:
- Perform other assigned responsibilities as needed.
- Support the organization's quality initiatives.
- Travel as necessary.
QUALIFICATIONS:
Education: A bachelor's degree from an accredited institution is preferred.
Experience: A minimum of four (4) years in claims management or a comparable combination of education and experience is required.
Skills & Knowledge:
- In-depth knowledge of relevant insurance principles and regulations.
- Exceptional oral and written communication skills, including presentation capabilities.
- Proficient in Microsoft Office and other relevant software.
- Strong analytical and interpretive abilities.
- Excellent organizational and interpersonal skills.
- Proficient negotiation skills.
- Able to work collaboratively in a team environment.
- Consistently meet or exceed service expectations.
WORK ENVIRONMENT:
Consideration will be given to reasonable accommodations when applicable. The role requires clear thinking, sound judgment, and the ability to manage work-related stress while handling multiple priorities and meeting deadlines.
NOTE: A background credit check is required for this position.
Sedgwick is an Equal Opportunity Employer and maintains a Drug-Free Workplace.
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