Claims Examiner - Liability (MUST RESIDE IN LA)

Sedgwick•Telecommuter LA, LA

1d•Hybrid

About The Position

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies. Certified as a Great Place to Work®. Fortune Best Workplaces in Financial Services & Insurance. Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands? Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights. Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. Enjoy flexibility and autonomy in your daily work, your location, and your career path. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

Requirements

MUST RESIDE IN LA
High School Diploma or GED required.
5 years of claims management experience or equivalent combination of education and experience required.
LA Jurisdiction Knowledge

Nice To Haves

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

Responsibilities

Analyze complex or technically difficult liability claims to determine benefits due.
Work with high exposure claims involving litigation and rehabilitation.
Ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements.
Identify subrogation of claims and negotiate settlements.
Analyze and process claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
Negotiate settlement of claims within designated authority.
Communicate claim activity and processing with the claimant and the client.
Report claims to the excess carrier and respond to requests of directions in a professional and timely manner.