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Sedgwick Claims Management Services
Frisco, Texas, United States
(on-site)
Posted
12 hours ago
Sedgwick Claims Management Services
Frisco, Texas, United States
(on-site)
Job Type
Full-Time
Claim Examiner - General Liability and Product Liability | Jurisdiction: Mutli State | Licensing: Required - Hybrid
The insights provided are generated by AI and may contain inaccuracies. Please independently verify any critical information before relying on it.
Claim Examiner - General Liability and Product Liability | Jurisdiction: Mutli State | Licensing: Required - Hybrid
The insights provided are generated by AI and may contain inaccuracies. Please independently verify any critical information before relying on it.
Description
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
Claim Examiner - General Liability and Product Liability | Jurisdiction: Mutli State | Licensing: Required - Hybrid
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?
- Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
ARE YOU AN IDEAL CANDIDATE? To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
WORK LOCATION: Hybrid to any Sedgwick Office Nation Wide
PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
ESSENTIAL RESPONSIBLITIES MAY INCLUDE
- Responsible for end-to-end management of complex general liability claims, from investigation through resolution, ensuring accurate liability assessment and timely outcomes
- Oversees reserve strategy, settlement negotiations, payments, and statutory filings while maintaining compliance with authority levels and regulatory requirements
- Manages litigation, vendor partnerships, excess carrier reporting, and recovery efforts to drive cost-effective claim resolution
- Serves as a primary point of contact for claimants and clients, maintaining clear communication, strong relationships, and well-documented claim files
- Collaborates with leadership to escalate complex matters appropriately and support strategic claim handling decisions
- Ensures adherence to internal quality standards, regulatory compliance, and best practices while contributing to continuous improvement initiatives
QUALIFICATIONS
Education and Licensing
Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred.
Experience
Five (5) years of claims management experience or equivalent combination of education and experience required.
TAKING CARE OF YOU
Flexible work schedule.
Referral incentive program.
Career development and promotional growth opportunities.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
WORK ENVIRONMENT REQUIREMENTS INCLUDE
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($65,000.00 - 85,000.00 USD Annual ). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Always accepting applications.
#claimsexaminer #claims #hybrid #LI-REMOTE
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
Requisition #: R75199
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Job ID: 84879029

Sedgwick Claims Management Services
Insurance
Tennessee
,
United States
Sedgwick Claims Management Services, Inc. (Sedgwick CMS) is the leader in innovative claims and productivity management solutions to major employers. Sedgwick CMS provides cost-effective claims administration, managed care, program management and related services through the expertise of 6,400 colleagues in more than one hundred and fifty offices and service locations in the U.S. and Canada.
View Full Profile
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