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Liability Claims Analyst

2 months ago

Remote, Oregon, United States Sedgwick Full time

At Sedgwick, we prioritize the well-being of our employees, fostering a culture that values care and support. A career with us offers flexibility and the opportunity to focus on what truly matters in your life. Here, you can engage in meaningful work every day while receiving the necessary support for your mental, physical, financial, and professional growth. We are committed to helping you enhance your skills and advance your career in an environment that celebrates diversity and inclusivity.

Joining Sedgwick means being part of a mission-driven organization that aims to make a positive impact on the world through our service to individuals and businesses. If you are passionate about making a difference, enjoy tackling challenges, and genuinely care about others, you will find a fulfilling career with us.

PRIMARY PURPOSE: The primary role involves analyzing and processing intricate auto and commercial transportation claims by assessing coverage, conducting investigations, determining liability, and evaluating damage scopes.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES:

  • Manage complex auto, commercial, and personal line claims, ensuring accurate documentation and coding.
  • Oversee the litigation process for claims that are litigated.
  • Coordinate vendor management, including independent adjusters, to aid in claims investigations.
  • Report significant claims to excess carriers.
  • Develop and maintain action plans to meet state-required contact deadlines and facilitate prompt resolutions.
  • Identify and pursue subrogation and risk transfer opportunities; manage salvage processes.
  • Communicate claim actions and processing updates with insured parties, clients, and agents or brokers as necessary.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES:

  • Perform other assigned duties.
  • Support the organization's quality initiatives.
  • Travel as necessary.

QUALIFICATIONS:

Education & Licensing:

A bachelor's degree from an accredited institution is preferred. Professional certification relevant to the line of business is also preferred. Candidates must secure and maintain the necessary state adjusting licenses.

Experience:

Previous experience in bodily injury claims (both represented and non-represented) is beneficial. Litigation experience is a plus but not mandatory.

Skills & Knowledge:

  • Comprehensive understanding of personal and commercial auto policies, coverage, principles, and regulations.
  • Familiarity with medical terminology relevant to claim evaluations and Medicare compliance.
  • Knowledge of appropriate applications for deductibles, sub-limits, SIRs, and large deductible programs.
  • Excellent oral and written communication skills, including presentation abilities.
  • Proficient in PC usage, particularly Microsoft Office applications.
  • Strong organizational and interpersonal skills.
  • Effective negotiation capabilities.
  • Ability to thrive in a team-oriented environment.
  • Capacity to meet or exceed service expectations.

WORK ENVIRONMENT:

Sedgwick is committed to providing reasonable accommodations when applicable.

Mental: Strong analytical thinking, excellent judgment, problem-solving skills, and the ability to manage work-related stress while handling multiple priorities and meeting deadlines.

Physical: Proficient in computer keyboarding and travel as required.

Auditory/Visual: Ability to hear, see, and communicate effectively.

NOTE: A background credit check is required for this position.

Sedgwick is an Equal Opportunity Employer and maintains a drug-free workplace.

Pay Transparency: Sedgwick provides a reasonable compensation range for roles in jurisdictions requiring pay transparency. Actual compensation is influenced by various factors, including skill set, experience level, and location-specific costs.

If you are enthusiastic about this role but feel your experience does not align perfectly with every qualification, we encourage you to apply. Sedgwick values diversity and recognizes that each individual brings a unique combination of skills, knowledge, and experience.