Claims Examiner II, Liability – PHI00273

Description

CLAIM YOUR FUTURE AS A GREAT PERFORMER!

Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Claims Management Services the place where great people can do great things for clients while maximizing their career possibilities.  We have earned a reputation for innovation, quality, for 2005 and 2006, and the first and only Third Party Administrator to receive the coveted Employer of Choice® designation.  Come be a part of our team and 'Claim Your Future.'

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; to manage subrogation of claims and to negotiate settlements.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

1. Processes general liability claims by gathering information to determine liability exposure, assigns reserve values to claims, makes claims payments as necessary and settles claims up to designated authority level.
2. Manages subrogation of claims and negotiates settlements.
3. Communicates claim action/processing with claimant and client.
4. Maintains professional client relationships.
5. Maintains a quality assurance program to support the Total Performance Management initiative and the consistent delivery of quality claims service.

• Baccalaureate degree from an accredited college or university preferred.
• Licenses as required.

Experience: Two (2) years of claims management experience required.

Skills & Knowledge:

• Knowledge of litigation regulations, offsets and deductions, liability duration, and procedures as applicable to Liability.
• Excellent oral and written communication skills, including presentation skills
• PC literate, including Microsoft Office products
• Analytical and interpretive skills
• Strong organizational skills
• Good interpersonal skills
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies