Future Medical Claims Examiner | Brea, CA

Claims Adjuster - Liability | Bodily Injury & GL | Jurisdiction: All states | Licensing: Home state/Reciprocal Required and NY preferred

$60K–$70KFull-time · US Telecommuter
✓ Verified live on the employer's own system · added 6 days ago
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Mid-level · 4+ yrs exp

Requirements

Education: High school

Experience: 4+ years

Skills & tools

ManagementTroubleshooting

Benefits — mentioned in this posting

Remote / flexibleHealth, dental & vision401(k) / retirementPaid time off
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Full job description

We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

PRIMARY PURPOSE OF THE ROLE To analyze mid- and higher-level general and bodily injury 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.

OFFICE LOCATION: Candidates who reside within 25 miles of a Sedgwick office will be expected to work a hybrid schedule, combining remote and in-office work. For candidates located more than 25 miles from a Sedgwick office, remote work arrangements may be considered based on location and business needs.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

- Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.

- Negotiating settlement of claims within designated authority.

- Communicating claim activity and processing with the claimant and the client.

- Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner .

QUALIFICATIONS

Education & Licensing: High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.

Experience : 4 years of claims management experience or equivalent combination of education and experience required.

Licensing / Jurisdiction Knowledge: All states; Home state or reciprocal license is required in addition to NY license - preferred.

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 ($60k-$70k ) .

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.

# 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.

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This posting was published by Future Medical Claims Examiner | Brea, CA on their own careers system and is shown here with a direct link to apply there. Employers: for corrections or removal, contact jobs@veritahire.com.