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

Sedgwick•Frisco, TX

3d•$65,000 - $85,000•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 ongoing adjudication within service expectations, industry best practices, and client requirements, identifies subrogation opportunities, and negotiates settlements. Candidates residing within 25 miles of a Sedgwick office are expected to work a hybrid schedule combining remote and in-office work. The role may involve travel as required.

Requirements

High school diploma or GED.
Five years of claims management experience, or an equivalent combination of education and experience.
Knowledge of multiple state jurisdictions.
Ability to think clearly and conceptually and demonstrate judgment, troubleshooting, problem-solving, analysis, and discretion.
Ability to handle work-related stress, manage multiple priorities simultaneously, and meet deadlines.
Ability to perform computer keyboarding and communicate through hearing, vision, and talking.

Nice To Haves

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

Responsibilities

Analyze and process claims using well-developed action plans to reach appropriate and timely resolutions by investigating and gathering information to determine claim exposure.
Negotiate claim settlements within designated authority.
Communicate claim activity and processing with claimants and clients.
Report claims to the excess carrier and respond to requests for directions professionally and in a timely manner.