Claim Examiner - Product Liability | Multi-State Jurisdiction | Licensing Preferred (Hybrid)

Sedgwick • Frisco, TX

1d • Hybrid

About The Position

The Claim Examiner analyzes complex or technically difficult general and product liability claims to determine benefits due. The role handles high-exposure claims involving litigation and rehabilitation, ensures claims are adjudicated within service expectations, industry best practices, and client service requirements, and identifies subrogation opportunities and negotiates settlements.

Candidates who reside within 25 miles of a Sedgwick office are expected to work a hybrid schedule combining remote and in-office work. The position involves analyzing and processing claims through action plans, investigating and gathering information to determine claim exposure, negotiating settlements within designated authority, communicating claim activity to claimants and clients, and reporting claims to excess carriers while responding professionally and promptly to requests for direction.

Requirements

• High school diploma or GED required.
• Five years of claims management experience, or an equivalent combination of education and experience, required.
• Ability to analyze complex or technically difficult general and product liability claims.
• Ability to handle high-exposure claims involving litigation and rehabilitation.
• Ability to manage multiple priorities, meet deadlines, and exercise judgment, problem-solving, analysis, and discretion.
• Multi-state jurisdiction knowledge.

Nice To Haves

• Bachelor's degree from an accredited college or university.
• Professional certification applicable to the line of business.
• Licensing.

Responsibilities

• Analyze and process claims through well-developed action plans to achieve appropriate and timely resolution.
• Investigate claims and gather information to determine exposure.
• Negotiate claim settlements within designated authority.
• Communicate claim activity and processing with claimants and clients.
• Report claims to excess carriers and respond to requests for direction professionally and promptly.
• Identify subrogation opportunities and negotiate settlements.

Benefits

• Flexible work schedule.
• Referral incentive program.
• Career development and promotional growth opportunities.
• Medical, dental, and vision benefits.
• 401(k) and matching.
• Paid time off.
• Disability and life insurance.
• Employee assistance.
• Flexible spending or health savings account.
• Additional voluntary benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED