Manager in Insurance & Claims managing vessel casualties and emergencies at CMA CGM. Overseeing hull and machinery claims while minimizing operational disruptions and risks.
About the role
- Claims Examiner analyzing and managing complex general liability claims at Sedgwick, a global risk and claims administration leader. Requires 5 years of claims management experience and high school diploma.
Responsibilities
- Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim.
- Manages claims through well-developed action plans to an appropriate and timely resolution.
- Assesses liability and resolves claims within evaluation.
- Negotiates settlement of claims within designated authority.
- Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
- Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority level.
- Prepares necessary state fillings within statutory limits.
- Manages the litigation process; ensures timely and cost effective claims resolution.
- Coordinates vendor referrals for additional investigation and/or litigation management.
- Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
- Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
- Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
- Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
- Ensures claim files are properly documented and claims coding is correct.
- Refers cases as appropriate to supervisor and management.
Requirements
- Education: High School Diploma or GED required.
- Bachelor's degree from an accredited college or university preferred.
- Experience: 5 years of claims management experience or equivalent combination of education and experience required.
- Jurisdiction: All states but Alaska and Hawaii.
- Licensing: General liability adjuster licensing preferred.
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
Field Claims Representative at Auto - Owners Insurance handling insurance claims in Eastern Indiana. Responsible for investigating, evaluating, and resolving property and casualty claims.
Associate Claims Examiner responsible for investigating and resolving low complexity claims for Markel Group. Collaborating with internal teams and participating in training and development programs.
Senior Claims Examiner managing complex management liability claims at Markel Group. Responsibilities include investigation, negotiation, and settlement of claims across multiple locations.
Claims Specialist managing complex general liability claims at The Hartford. Collaborating with various departments to ensure optimal outcomes for clients.
Catastrophe Field Claims Specialist handling complex claims in the field for AAA. Working hybrid with responsibilities in Michigan, Illinois, and Minnesota.
Senior Property Claims Specialist responsible for investigating and adjusting commercial lines losses. Contact with insureds and legal representatives in a leading property & casualty insurance carrier.
Claims Processor II reviewing complex healthcare claims for BlueCross BlueShield. Responsible for adjudicating claims and assisting in staff training with potential transition to remote work.
Claims Examiner at Sedgwick analyzing and processing complex workers' compensation claims. Managing claims resolution, negotiating settlements, and maintaining client relationships.
Workers Compensation Claims Adjuster handling claims investigation and resolution strategies for Rhode Island and Massachusetts workers. Support return - to - work efforts and manage compliance with regulatory guidelines.