Claims Analyst investigating and resolving first - party property damage claims for Eversource Energy. Collaborating with outside counsel and representing the company in court as needed.
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Hybrid Claims Adjuster – Bodily Injury, Jurisdiction: All States, Licensing: FL, TX, GA preferred
Posted 2 months ago
About the role
- Claims Adjuster managing general liability and bodily injury claims at Sedgwick. Utilizing expertise to adjudicate claims and maintain professional client relationships while ensuring compliance.
Responsibilities
- Manage mid-level general liability claims by gathering information to determine liability exposure;
- Assign reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.
- Assess liability and resolve claims within evaluation.
- Approve and process assigned claims, determine benefits due, and manage action plan pursuant to the claim or client contract.
- Manage subrogation of claims and negotiate settlements.
- Communicate claim action with claimant and client.
- Ensure claim files are properly documented and claims coding is correct.
- 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.
- Maintain professional client relationships.
Requirements
- Bachelor's degree from an accredited college or university preferred.
- Licenses as required.
- Professional certifications as applicable to line of business preferred.
- Four (4) years of claims management experience or equivalent combination of education and experience required.
Benefits
- 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.
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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