# Claims Adjuster-Liability

**Company**: Sedgwick
**Experience**: mid
**Job type**: full-time
**Salary**: $65,000 - $75,000 CAD annually
**Category**: Insurance
**Industry**: Insurance

**Apply**: https://sedgwick.wd1.myworkdayjobs.com/en-US/Sedgwick/job/CAN-Telecommute-AB/Claims-Adjuster-Liability_R79399-1?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_05339959-895

## Description

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

As a Claims Adjuster-Liability, your primary purpose will be to analyse mid- and higher-level general liability claims to determine benefits due, ensure ongoing adjudication of claims within company standards and industry best practices, and identify subrogation of claims and negotiate settlements.

**Responsibilities**

- Manage mid-level general liability claims by gathering information to determine liability exposure, assign reserve values to claims, make claims payments as necessary, and settle claims up to designated authority level.

- Assess liability and resolve claims within evaluation.

- Approve and process assigned claims, determine benefits due, and manage action plans pursuant to the claim or client contract.

- Manage subrogation of claims and negotiate settlements.

- Communicate claim actions with claimants and clients.

- 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 utilisation review.

- Maintain professional client relationships.

**Additional Responsibilities**

- Perform other duties as assigned.

- Support the organisation's quality program(s).

- Travel as required.

**Qualifications**

- Bachelor's degree or college diploma preferred.

- Four (4) years of claims management experience or equivalent combination of education and experience required.

**Skills and 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.

- Excellent oral and written communication.

- PC literate, including Microsoft Office products.

- Analytical and interpretive skills.

- Strong organisational skills.

- Good interpersonal skills.

- Excellent negotiation skills.

- Ability to work in a team environment.

- Ability to meet or exceed Service Expectations.

**Compensation Information**

- Salary Range: $65,000 - $75,000 CAD annually.

- This position is full-time, and compensation is salaried. Compensation is determined based on experience, qualifications, and internal equity. Sedgwick is committed to transparent and equitable pay practices.

## Skills

### Required
- insurance principles
- claims management
- Microsoft Office products
- analytical skills
- organisational skills
- communication skills
- negotiation skills

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Source: [Apply at sedgwick.wd1.myworkdayjobs.com](https://sedgwick.wd1.myworkdayjobs.com/en-US/Sedgwick/job/CAN-Telecommute-AB/Claims-Adjuster-Liability_R79399-1?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)