Liability Adjuster job opportunity at Sedgwick.

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DatePosted 8 Days Ago bot
Sedgwick Liability Adjuster
Experience: General
Pattern: full-time
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loacation CAN-Telecommute-ON, Canada
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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 Liability Adjuster PRIMARY PURPOSE:   To analyze mid- and higher-level general liability claims to   determine   benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to   identify   subrogation of claims and negotiate settlements.     ESSENTIAL FUNCTIONS and RESPONSIBILITIES   Manages mid-level general liability claims by gathering information to   determine   liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.    Assesses liability and resolves claims within evaluation.   Approves and processes assigned claims,   determines   benefits due, and manages action   plan   pursuant to   the claim or client contract.   Manages subrogation of claims and negotiates settlements.   Communicates claim action with claimant and client.   Ensures claim files are properly   documented   and claims coding is correct.   May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on   appropriate treatments   recommended by   utilization   review.   Maintains professional client relationships.     ADDITIONAL FUNCTIONS and RESPONSIBILITIES   Performs other duties as assigned.   Supports the organization's quality program(s).   Travels   as   required .   QUALIFICATION   Education & Licensing   Bachelor's degree or   college diploma   preferred.    Experience   Four (4) years of claims management experience or equivalent combination of education and experience   required .      Skills & Knowledge   Subject matter expert of   appropriate insurance   principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles   Excellent oral and written communication   PC literate, including Microsoft Office products   Analytical and interpretive skills   Strong organizational skills   Good interpersonal skills   Excellent negotiation skills   Ability to work in a team environment   Ability to meet or exceed Service Expectations   Job type:   We are currently hiring for this position Compensation Information: Salary Range: $55,000 – $85,000 annually This position is full-time and compensation is salaried based Compensation is determined based on experience, qualifications, and internal equity. Sedgwick is committed to transparent and equitable pay practices. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Where applicable, Sedgwick uses artificial intelligence tools to assist in the screening, assessment, or selection of candidates. These tools are subject to periodic review. We are committed to inclusive, barrier-free recruitment and selection processes. If contacted for an employment opportunity, please advise Colleague Resources if you require accommodation. Sedgwick is an Equal Opportunity Employer   Sedgwick is an Equal Opportunity Employer. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Sedgwick retains the discretion to add or to change the duties of the position at any time.

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