Claims Examiner role at Sedgwick analyzing complex general liability claims with focus on litigation and rehabilitation and ensuring service expectations are met.
About the role
- Claims Adjuster managing bodily injury claims at Vega Claims, an AI-native insurance solution. Collaborating with leadership and negotiating settlements while analyzing coverage.
Responsibilities
- Analyze coverage based on the facts of the loss
- Make informed liability decisions, including the consideration of comparative negligence
- Collaborate with claims leadership on severity losses, reserve adjustments and claim evaluations
- Evaluate settlement demands
- Negotiate settlements with first and third party claimants as well as attorneys
- Utilize data available to drive focus on claim trends
- Handle special projects or additional duties assigned related to your role as an individual contributor of the claims organization
Requirements
- 7+ years of experience in commercial auto claim adjudication, with at least 5 years handling injury severity losses.
- At least 3 years of carrier commercial claims experience
- Has experience handling claims up to $250k FDV
- Active adjusters license in home or designated home state
- New York licensing required within first 3 months of employment
- Consistently exceeds targets including, but not limited to, cycle time and recovery rates
- Strong written and oral communication skills with the ability to lead negotiations
- Bias-to-action - you’re not afraid to get your hands dirty and stretch yourself
- Owner mentality - take accountability for your actions and results
- Customer centric working style
- Strong collaborator with team members based across the country and the world
- Successfully able to work in high-growth & ambiguous start-up environments
- College degree or minimum of 10-years of claims experience
- Bonus if you also have these:
- 5+ years of carrier commercial transportation experience
- Litigation experience
- Independent adjuster licenses in New York
- Insurtech or start-up experience
Benefits
- Competitive salary
- Medical, dental & vision insurance
- 401k with company match
- Flexible PTO
- Onsite gym
- Coffee bar and snacks
- Onsite parking
- Monthly lunches
- 100% employer paid healthcare plans
- up to 4% 401k match program
- paid time off
- parental leave
- wellness reimbursement
- work-from-home stipend
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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