Claims Examiner - Liability | Jurisdiction: Multi States | Licensing: IA, TX or FL (Hybrid)

Sedgwick•West Des Moines, IA

14d•$80,000 - $100,000•Hybrid

About The Position

The Claims Examiner analyzes claims on behalf of clients to determine benefits due and ensure claims are adjudicated within service expectations, industry best practices, and client requirements. The role develops action plans, investigates claims, gathers information to determine exposure, negotiates settlements within designated authority, communicates claim activity to claimants and clients, and reports claims to excess carriers while responding to their requests for direction. The position is hybrid and based in West Des Moines, Iowa, with licensing required in Iowa, Texas, or Florida.

Requirements

High school diploma or GED.
Five years of claims management experience, or an equivalent combination of education and experience.
Must be licensed in Iowa, Texas, or Florida.
Ability to think clearly and conceptually, exercise sound judgment and discretion, troubleshoot, solve problems, and analyze information.
Ability to handle work-related stress, manage multiple priorities simultaneously, and meet deadlines.
Computer keyboarding ability.
Hearing, vision, and talking ability.

Nice To Haves

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

Responsibilities

Analyze and process claims through well-developed action plans to achieve appropriate and timely resolutions.
Investigate claims and gather 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 professionally and promptly to requests for direction.