Claims Adjuster - Liability
Company: Sedgwick
Location: Bismarck
Posted on: January 19, 2023
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Job Description:
**The 'Apply with SEEK' option will be utilized for
International applicants, mainly Australia. If this does not apply
to you please use the 'Apply' option.**Claims Adjuster -
LiabilityIF YOU CARE, THERE'S A PLACE FOR YOU HEREFor a career path
that is both challenging and rewarding, join Sedgwick's talented
team of 27,000 colleagues around the globe. Sedgwick is a leading
provider of technology-enabled risk, benefits and integrated
business solutions. Taking care of people is at the heart of
everything we do. Millions of people and organizations count on
Sedgwick each year to take care of their needs when they face a
major life event or something unexpected happens. Whether they have
a workplace injury, suffer property or financial loss or damage
from a natural or manmade disaster, are involved in an auto or
other type of accident, or need time away from work for the birth
of a child or another medical situation, we are here to provide
compassionate care and expert guidance. Our clients depend on our
talented colleagues to take care of their most valuable
assets-their employees, their customers and their property. At
Sedgwick, caring counts -. Join our team of creative and caring
people of all backgrounds, and help us make a difference in the
lives of others.With one of the largest teams of liability experts
in the world, Sedgwick supports and resolves property, general,
auto, product and professional liability claims. We help our
clients maintain brand protection in times of crisis.**PRIMARY
PURPOSE:** To analyze mid- and higher-level general liability
claims to determine benefits due; to ensure ongoing adjudication of
claims within company standards and industry best practices; and to
identify subrogation of claims and negotiate
settlements.**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**+ Manages
mid-level general liability claims by gathering information to
determine liability exposure; assigns reserve values to claims,
making claims payments as necessary, and settling claims up to
designated authority level.+ Assesses liability and resolves claims
within evaluation.+ Approves and processes assigned claims,
determines benefits due, and manages action plan pursuant to the
claim or client contract.+ Manages subrogation of claims and
negotiates settlements.+ Communicates claim action with claimant
and client.+ Ensures claim files are properly documented and claims
coding is correct.+ May 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.+ Maintains professional client
relationships.**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**+
Performs other duties as assigned.+ Supports the organization's
quality program(s).+ Travels as
required.**QUALIFICATION****Education & Licensing**Bachelor's
degree from an accredited college or university
preferred.**Experience**Four (4) years of claims management
experience or equivalent combination of education and experience
required.**Skills & Knowledge**+ Subject matter expert of
appropriate insurance principles and laws for line-of-business
handled, recoveries offsets and deductions, claim and disability
duration, cost containment principles including medical management
practices and Social Security and Medicare application procedures
as applicable to line-of-business.+ Excellent oral and written
communication, including presentation skills+ PC literate,
including Microsoft Office products+ Analytical and interpretive
skills+ Strong organizational skills+ Good interpersonal skills+
Excellent negotiation skills+ Ability to work in a team
environment+ Ability to meet or exceed Service Expectations**WORK
ENVIRONMENT**When applicable and appropriate, consideration will be
given to reasonable accommodations.**Mental:** Clear and conceptual
thinking ability; excellent judgment, troubleshooting, problem
solving, analysis, and discretion; ability to handle work-related
stress; ability to handle multiple priorities simultaneously; and
ability to meet deadlines**Physical:** Computer keyboarding, travel
as required**Auditory/Visual** : Hearing, vision and talkingNOTE:
Credit security clearance, confirmed via a background credit check,
is required for this position.The statements contained in this
document are intended to describe the general nature and level of
work being performed by a colleague assigned to this description.
They are not intended to constitute a comprehensive list of
functions, duties, or local variances. Management retains the
discretion to add or to change the duties of the position at any
time.Sedgwick is an Equal Opportunity Employer and a Drug-Free
Workplace.**Taking care of people is at the heart of everything we
do. Caring counts**Sedgwick is a leading global provider of
technology-enabled risk, benefits and integrated business
solutions. Every day, in every time zone, the most well-known and
respected organizations place their trust in us to help their
employees regain health and productivity, guide their consumers
through the claims process, protect their brand and minimize
business interruptions. Our more than 30,000 colleagues across 80
countries embrace our shared purpose and values as they demonstrate
what it means to work for an organization committed to doing the
right thing - one where caring counts. Watch this video to learn
more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)
Keywords: Sedgwick, Bismarck , Claims Adjuster - Liability, Other , Bismarck, North Dakota
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