Casualty Claims Examiner - Multiline (Remote in Texas) - Sedgwick Claims Management Services, Inc.

Are you looking for an impactful job where you can apply your knowledge and experience in the context of an energetic culture?

• Enjoy flexibility and autonomy in your daily work, your location, and your career path. This role is open to a work-at-home, remote, telecommuter role in the state of Texas OR open to a hybrid setting in Austin, TX (2 days in office/3 days at home).
• Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. 
• Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights. 
• Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. 

PRIMARY PURPOSE: To analyze investigate, evaluate and adjust public entity First Party Auto Damage, Third-Party Auto Liability Property Damage and Injury, General Liability, E&O Employment and Professional Liability claims to include litigation involving all lines.

ARE YOU AN IDEAL CANIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Analyzes and processes complex or technically difficult claims in lines of business noted.
• Assesses liability and resolves claims within evaluation.
• Negotiates settlement of claims
• Calculates, assigns, and monitors claims reserves
• Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.
• 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, Reinsurance recoveries and Social Security and Medicare offsets.
• Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
• Travels as required.

QUALIFICATION

Education & Licensing
Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Current Texas adjuster license required.

Experience
Five (5) years of claims management experience or equivalent combination of education and experience required. Litigation experience required.

Skills & Knowledge

• Subject matter expert of appropriate insurance principles and laws
• Excellent oral and written communication, including presentation skills
• PC literate, including Microsoft Office products
• Analytical and interpretive skills

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 talking

NOTE: 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.