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Claims Examiner - General Liability / Litigation

at Sedgwick in Naperville, Illinois, United States

Job Description

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to Work®

Most Loved Workplace®

Forbes Best-in-State Employer

Claims Examiner – General Liability / Litigation

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.

PREFERRED GEOGRAPHIC LOCATIONS

Midwest & West Regions

Candidates outside of the preferred geographic regions listed above may still be considered based on level of experience.

PRIMARY PURPOSE OF THE ROLE: To address and handle high end cases with serious injuries, complex coverage scenarios and legal inquiries or disputes; to develop a strategy to bring a case to satisfactory resolution.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

+ Reviews/acts on reports/forms; responds to inquiries; seeks legal opinion and early resolution; and communicates resolution to appropriate parties.

+ Handles high end cases with serious injuries and/or complex coverage scenarios.

+ Responds to decisions, agreement, and/or court order; creates action plan; determines need for examination; gains client authorization.

+ Identifies cases for settlements/redemptions.

+ Gathers/documents additional information and coordinates with client designees.

+ Requests legal/private investigation; assigns to and coordinates with local counsel; monitors local counsel performance.

+ Responds to plaintiff’s counsel, union, employee, or client requests.

+ Identifies issues and formulates defense strategy.

+ Establishes/adjusts accrued liability and approves administrative expenses.

+ Identifies subrogation opportunities and manages process.

+ Attends and participates in mediations, trials, arbitrations or hearings as needed.

QUALIFICATIONS

Education & Licensing: 5+ years of claims management experience or equivalent combination of education and experience required.

+ 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 handling litigation required.

Licensing / Jurisdiction Knowledge: Active NY license highly 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.

\#claimsexaminer #claims

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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Job Posting: JC258292290

Posted On: Apr 13, 2024

Updated On: Apr 27, 2024

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