Overview

Claims Examiner – Liability Jobs in Marlton at Sedgwick


Title: Claims Examiner – Liability

Company: Sedgwick

Location: Marlton

The ‘Apply with SEEK’ option will be utilized for International applicants, mainly Australia. If this does not apply to you please use the ‘Apply’ option.

Claims Examiner – Liability

IF YOU CARE, THERE’S A PLACE FOR YOU HERE

For a career path that is both challenging and rewarding, join Sedgwick’s talented team of 27,000 colleagues around the globe. Sedgwick is a leading provider of technology-enabled risk, benefits and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. Whether they have a workplace injury, suffer property or financial loss or damage from a natural or manmade disaster, are involved in an auto or other type of accident, or need time away from work for the birth of a child or another medical situation, we are here to provide compassionate care and expert guidance. Our clients depend on our talented colleagues to take care of their most valuable assets—their employees, their customers and their property. At Sedgwick, caring counts®. Join our team of creative and caring people of all backgrounds, and help us make a difference in the lives of others.

PRIMARY PURPOSE: To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly.

Responsible for litigation process on litigated claims.

Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims.

Reports large claims to excess carrier(s).

Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution.

Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage.

Communicates claim action/processing with insured, client, and agent or broker when appropriate.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

Performs other duties as assigned.

Supports the organization’s quality program(s).

Travels as required.

QUALIFICATIONS

Education & Licensing

Bachelor’s degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Secure and maintain the State adjusting licenses as required for the position.

Experience
Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage’s, principles, and laws.

Skills & Knowledge

In-depth knowledge of personal and commercial line auto policies, coverage’s, principles, and laws

Knowledge of medical terminology for claim evaluation and Medicare compliance

Knowledge of appropriate application for deductibles, sub-limits, SIR’s, carrier and large deductible programs.

Strong oral and written communication, including presentation skills

PC literate, including Microsoft Office products

Strong organizational skills

Strong interpersonal skills

Good negotiation skills

Ability to work in a team environm…

Upload your CV/resume or any other relevant file. Max. file size: 80 MB.


You can apply to this job and others using your online resume. Click the link below to submit your online resume and email your application to this employer.

About Sedgwick