Liability Claims Adjuster | Dedicated Client | Bodily Injury Experience | East Coast Jurisdiction | Licensing Preferred

Sedgwick•Marlton, NJ

6d•$65,000 - $70,000•Hybrid

About The Position

Sedgwick is hiring a Liability Claims Adjuster to analyze mid- and higher-level general liability claims, determine benefits due, adjudicate claims according to company standards and industry best practices, identify subrogation opportunities, and negotiate settlements. The role manages claim investigations and evaluations, assigns reserves, makes payments, settles claims within delegated authority, processes assigned claims, determines benefits, and maintains action plans in accordance with claim or client contracts. It also involves communicating claim actions with claimants and clients, ensuring files and coding are accurate, and maintaining professional client relationships. Some assignments may include complex lifetime or defined-period medical claims, state and physician filings, and decisions about treatments recommended by utilization review. The position serves a dedicated client and requires knowledge of East Coast jurisdictions, particularly New Jersey, Pennsylvania, and Florida. It is based in Marlton, New Jersey, with a hybrid schedule of two days in the office for those within commuting distance; remote work is available for those outside commuting distance. Sedgwick describes an agile work environment, flexible scheduling, career development opportunities, and a comprehensive benefits package.

Requirements

High school diploma or GED required.
Four years of claims management experience, or an equivalent combination of education and experience, required.
East Coast jurisdiction knowledge, specifically New Jersey, Pennsylvania, and Florida.
Ability to think clearly and conceptually and exercise judgment, troubleshooting, problem-solving, analysis, and discretion.
Ability to handle work-related stress, manage multiple priorities simultaneously, and meet deadlines.
Computer keyboarding ability.
Hearing, vision, and talking abilities.

Nice To Haves

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

Responsibilities

Gather information to determine liability exposure for mid-level general liability claims.
Assign reserve values, make claims payments as necessary, and settle claims within designated authority.
Assess liability and resolve claims within evaluation.
Approve and process assigned claims, determine benefits due, and manage action plans according to the claim or client contract.
Manage claim subrogation and negotiate settlements.
Communicate claim actions with claimants and clients.
Ensure claim files are properly documented and claims coding is correct.
When applicable, process complex lifetime or defined-period medical claims, including state and physician filings and decisions regarding treatments recommended by utilization review.
Maintain professional client relationships.