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Liability Claims Analyst
2 months ago
At Sedgwick, we prioritize the well-being of our team members, recognizing that taking care of our colleagues is essential to our mission. A career with us means embracing a culture of compassion, where you have the flexibility to balance your professional and personal life. It’s an opportunity to engage in meaningful work that impacts lives positively each day. We provide support for your mental, physical, financial, and professional growth, while also fostering an environment that values diversity and inclusivity.
Joining Sedgwick means aligning your passion with purpose, making a difference in the communities we serve. If you are motivated to create positive change, enjoy challenges, and possess a caring nature, we welcome you to be part of our team and contribute to our vision of a great workplace.
Recognitions:
Great Place to Work
Most Loved Workplace
Forbes Best-in-State Employer
PRIMARY PURPOSE: To evaluate and manage intricate auto and commercial transportation claims by assessing coverage, conducting investigations, determining liability, and appraising the extent of damages.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES:
- Manages complex auto, commercial, and personal line claims, including bodily injury, ensuring thorough documentation and accurate coding of claim files.
- Oversees the litigation process for claims that are litigated.
- Coordinates vendor management, utilizing independent adjusters to support claim investigations.
- Reports significant claims to excess carriers.
- Develops and maintains action plans to meet state-required contact deadlines and facilitate prompt and appropriate resolutions.
- Identifies and pursues subrogation and risk transfer opportunities; manages salvage processes.
- Communicates claim actions and processing updates with insured parties, clients, and agents or brokers as necessary.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES:
- Performs other duties as assigned.
- Supports the organization's quality assurance programs.
- Travels as required.
QUALIFICATIONS:
Education & Licensing:
A bachelor's degree from an accredited institution is preferred. Professional certification relevant to the line of business is also preferred. Must secure and maintain state adjusting licenses as required for the role.
Experience:
Previous experience in Bodily Injury (both Represented and Non-Represented) is advantageous. Litigation experience is a plus but not mandatory.
Skills & Knowledge:
- Comprehensive understanding of personal and commercial auto policies, coverages, principles, and applicable laws.
- Familiarity with medical terminology for claim assessment and Medicare compliance.
- Knowledge of appropriate applications for deductibles, sub-limits, SIRs, and large deductible programs.
- Strong verbal and written communication skills, including presentation abilities.
- Proficient in PC usage, including Microsoft Office applications.
- Excellent organizational skills.
- Strong interpersonal abilities.
- Effective negotiation skills.
- Capacity to work collaboratively in a team setting.
- Ability to meet or exceed service expectations.
WORK ENVIRONMENT:
Reasonable accommodations will be considered when applicable and appropriate.
Mental: Requires clear and conceptual thinking abilities; excellent judgment, troubleshooting, problem-solving, analysis, and discretion; ability to manage work-related stress; capacity to handle multiple priorities simultaneously; and ability to meet deadlines.
Physical: Involves computer keyboarding and travel as necessary.
Auditory/Visual: Requires hearing, vision, and verbal communication.
NOTE: A credit security clearance, confirmed via a background credit check, is required for this position.
The information provided in this document is intended to outline the general nature and level of work performed by a colleague in this role. It is not intended to be an exhaustive list of functions, duties, or local variations. Management retains the discretion to modify the duties of the position at any time.
Pay Transparency:
As mandated by law, Sedgwick provides a reasonable compensation range for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by various factors, including skill set, experience level, and location costs. For the jurisdiction noted in this job posting only, the starting pay range for this role is $70,000. A comprehensive benefits package is available, including but not limited to medical, dental, vision, 401k with matching, PTO, disability and life insurance, employee assistance programs, flexible spending or health savings accounts, and other additional voluntary benefits.
Sedgwick is an Equal Opportunity Employer and maintains a Drug-Free Workplace.
If you are enthusiastic about this role but your experience does not align perfectly with every qualification in the job description, we encourage you to apply anyway. Sedgwick is committed to building a diverse, equitable, and inclusive workplace and recognizes that each individual possesses a unique combination of skills, knowledge, and experience. You may be the ideal candidate for this or other roles.
