Sedgwick, a global industry leader in claims management, is looking for a Claims Representative - Liability to join our team. In this role, you will process low-level general liability claims, determine benefits due, and ensure adjudication within our high standards. You'll be part of a caring culture focused on empathy, accountability, and professional growth.

What You'll Do

Process low-level general liability claims by gathering information to determine liability exposure, assigning reserve values, making payments, and settling claims up to designated authority.
Develop and coordinate action plans for claims resolution and return-to-work efforts.
Approve and process assigned claims, determine benefits due, and administer action plans per the claim or client contract.
Administer subrogation of claims and negotiate settlements.
Communicate claim action with claimants and clients.
Ensure claim files are properly documented and claims coding is correct.
May process low-level lifetime medical and/or defined period medical claims, including state and physician filings and decisions on treatments.
Maintain professional client relationships and support the organization's quality programs.
Travel as required.

What We're Looking For

Two (2) years of claims management experience or equivalent combination of education and experience or successful completion of Claims Representative training.
Hawaii Adjuster License is required.
Experience with Bodily Injury claims.

Nice to Have

Bachelor's degree from an accredited college or university.

Benefits & Compensation

A diverse and comprehensive benefits offering including medical, dental, vision, and 401K starting on day one.
Flexible work schedule.
Referral incentive program.
Career development and promotional growth opportunities.

Work Mode

This is a remote position open to candidates who are licensed in and can work from Hawaii. You will have flexibility and autonomy in your daily work.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.