Bodily Injury Claims Specialist managing a large inventory of complex claims for National Interstate Insurance. Conducting investigations and analyzing settlements for compensability and liability issues.
About the role
- Claims Examiner analyzing complex workers' compensation claims for Sedgwick, a global risk and claims administration leader. Ensuring claims adjudication meets service expectations and client requirements.
Responsibilities
- To analyze complex or technically difficult workers' compensation claims to determine benefits due.
- To work with high exposure claims involving litigation and rehabilitation.
- To ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements.
- To identify subrogation of claims and negotiate settlements.
Requirements
- Bachelor's degree from an accredited college or university preferred.
- Professional certification as applicable to line of business preferred.
- Five (5) years of claims management experience or equivalent combination of education and experience required.
- SIP required or must be obtained within one (1) year of employment; California workers compensation jurisdictional knowledge 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.
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