Talent.com
Claims Adjuster - Liability (Remote- Needs Home State Lic and Must obtain NY lic)
Claims Adjuster - Liability (Remote- Needs Home State Lic and Must obtain NY lic)Sedgwick • Durham, NC, US
No longer accepting applications
Claims Adjuster - Liability (Remote- Needs Home State Lic and Must obtain NY lic)

Claims Adjuster - Liability (Remote- Needs Home State Lic and Must obtain NY lic)

Sedgwick • Durham, NC, US
22 days ago
Job type
  • Full-time
  • Remote
Job description

Claims Adjuster - Liability

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

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.
  • Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations.
  • Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
  • Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights.
  • Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
  • Enjoy flexibility and autonomy in your daily work, your location, and your career path.
  • Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

Are you an ideal candidate? 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 : 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.
  • 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.

    Experience : Four (4) 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.
  • 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.

    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.

    Create a job alert for this search

    Liability Adjuster • Durham, NC, US

    Related jobs
    Travel Med / Surg Telemetry RN - $1,881 per week

    Travel Med / Surg Telemetry RN - $1,881 per week

    Anders Group • Roxboro, NC, United States
    Full-time
    Anders Group is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Roxboro, North Carolina.Job Description & Requirements. Pay package is based on 12 hour shifts and 36 hours...Show more
    Last updated: 8 hours ago • Promoted • New!
    Hiring Now - Work from Home - No Experience

    Hiring Now - Work from Home - No Experience

    OCPA • Rougemont, North Carolina, us
    Remote
    Part-time +1
    Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of bet...Show more
    Last updated: 30+ days ago • Promoted
    Flexible Remote Work – Get Paid to Share Your Opinions on Top Brands

    Flexible Remote Work – Get Paid to Share Your Opinions on Top Brands

    OCPA • Fearrington Village, North Carolina, us
    Remote
    Part-time +1
    Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of bet...Show more
    Last updated: 30+ days ago • Promoted
    Get Paid to Test Products at Home – Flexible Hours, Weekly Pay

    Get Paid to Test Products at Home – Flexible Hours, Weekly Pay

    OCPA • Rougemont, North Carolina, us
    Part-time +1
    Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of bet...Show more
    Last updated: 30+ days ago • Promoted
    Claims and Litigations Manager

    Claims and Litigations Manager

    UNC Health Care • Chapel Hill, NC, United States
    Full-time
    Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Reporting to the Director of Claims & L...Show more
    Last updated: 7 days ago • Promoted
    Travel Med / Surg Telemetry RN - $1,670 per week

    Travel Med / Surg Telemetry RN - $1,670 per week

    Uniti Med • Roxboro, NC, United States
    Full-time
    Uniti Med is seeking a travel nurse RN Med Surg for a travel nursing job in Roxboro, North Carolina.Job Description & Requirements. Cigna medical, MetLife dental and vision insurance .License reimbu...Show more
    Last updated: 8 days ago • Promoted
    Test Products from Home – $25-$45 / hr + Freebies

    Test Products from Home – $25-$45 / hr + Freebies

    OCPA • Roxboro, North Carolina, us
    Part-time +1
    Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of bet...Show more
    Last updated: 30+ days ago • Promoted
    Travel Med / Surg Telemetry RN - $1,968 per week

    Travel Med / Surg Telemetry RN - $1,968 per week

    GLC On-The-Go • Roxboro, NC, United States
    Full-time
    GLC On-The-Go is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Roxboro, North Carolina.Job Description & Requirements. RN Med Surg, Telemetry - Roxboro, NC - 13-week con...Show more
    Last updated: 9 days ago • Promoted
    Remote Licensed Property & Casualty Insurance Agent

    Remote Licensed Property & Casualty Insurance Agent

    MCI • Durham, NC, US
    Remote
    Full-time
    REMOTE REPRESENTATIVE : Work-From-Home, Paid Training, Paid Time Off, Medical, Dental, Vision, Life Insurance, Retirement, Flexible Schedules, Company Laptop, Daily Contests, Prizes, Casual Dress Co...Show more
    Last updated: 21 days ago • Promoted
    Liability Insurance Manager

    Liability Insurance Manager

    Duke Clinical Research Institute • Durham, NC, United States
    Full-time
    At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and disc...Show more
    Last updated: 7 days ago • Promoted
    Travel Med / Surg Telemetry RN - $1,863 per week

    Travel Med / Surg Telemetry RN - $1,863 per week

    Core Staffing • Roxboro, NC, United States
    Full-time
    Core Staffing is seeking a travel nurse RN Med Surg for a travel nursing job in Roxboro, North Carolina.Job Description & Requirements. Orientation is weekly, on Mondays.Person Memorial Hospital in ...Show more
    Last updated: 10 days ago • Promoted
    Travel Med / Surg Telemetry RN - $2,121 per week

    Travel Med / Surg Telemetry RN - $2,121 per week

    LeaderStat • Roxboro, NC, United States
    Full-time +1
    LeaderStat is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Roxboro, North Carolina.Job Description & Requirements. The above pay package is an estimate, please contact ...Show more
    Last updated: 8 hours ago • Promoted • New!
    Licensed Mental Health Therapist (Remote Position)- Full Time

    Licensed Mental Health Therapist (Remote Position)- Full Time

    Healthy Minds Healthy Hearts, LLC • N / A, NC, United States
    Remote
    Full-time +1
    Healthy Minds Healthy Hearts (HMHH) is a burgeoning Private Practice seeking a licensed therapist to augment our virtual team. In this pivotal role, you'll assess and address diverse mental, behavio...Show more
    Last updated: 30+ days ago • Promoted
    Travel Med / Surg Telemetry RN - $2,058 per week

    Travel Med / Surg Telemetry RN - $2,058 per week

    IDR Healthcare • Roxboro, NC, United States
    Full-time
    IDR Healthcare is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Roxboro, North Carolina.Job Description & Requirements. IDR Healthcare is an awarding winning staffing fi...Show more
    Last updated: 8 hours ago • Promoted • New!
    Travel Med / Surg Telemetry RN - $1,886 per week

    Travel Med / Surg Telemetry RN - $1,886 per week

    Aequor Healthcare • Roxboro, NC, United States
    Full-time
    Aequor Healthcare is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Roxboro, North Carolina.Job Description & Requirements. All positions require at least two proven year...Show more
    Last updated: 10 days ago • Promoted
    Travel Med / Surg Telemetry RN - $1,958 per week

    Travel Med / Surg Telemetry RN - $1,958 per week

    Planet Healthcare • Roxboro, NC, United States
    Full-time
    Planet Healthcare is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Roxboro, North Carolina.Job Description & Requirements. Planet Healthcare Job ID #74109523.Pay package...Show more
    Last updated: 10 days ago • Promoted
    General Liability Adjuster

    General Liability Adjuster

    Intercare Insurance • Durham, NC, US
    Full-time
    General Liability Claims Adjuster.MUST Reside in California & MUST have California General Liability Claims Experience.General Liability Claims Adjuster - Assist a Dynamic Team!.We're seeking an ex...Show more
    Last updated: 22 days ago • Promoted
    Travel Emergency Department RN - $1,578 per week

    Travel Emergency Department RN - $1,578 per week

    GetMed Staffing, Inc. • Roxboro, NC, United States
    Full-time
    RN ED - Emergency Department for a travel nursing job in Roxboro, North Carolina.Job Description & Requirements.GetMed Staffing is searching for a strong ER RN to assist our traveler-friendly clien...Show more
    Last updated: 30+ days ago • Promoted