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Sedgwick
Atlanta, GA, United States
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support
Job Source: SedgwickGallagherbassett
Atlanta, GA, United States
** Claims Adjuster Senior Liability** **** New Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going b
Job Source: GallagherbassettZurich NA
Atlanta, GA, United States
Claims Manager, General Liability 112184 Zurich North America is hiring an Team Manager - GL Technical Team to join our team! We are open to hiring talent in one of the following locations: Rancho Cordova, CA; Omaha, NE; Addison, TX; Schaumburg, IL; Overland Park, KS; Parsippany, NJ; Rocky Hill, CT; Dallas, TX; Maitland, FL; Owings Mills, MD; Rocky
Job Source: Zurich NAZurich 56 Company Ltd
Atlanta, GA, United States
Press Tab to Move to Skip to Content Link Select how often (in days) to receive an alert: Claims Manager, General Liability 112184 Zurich North America is hiring an Team Manager - GL Technical Team to join our team! We are open to hiring talent in one of the following locations: Rancho Cordova, CA; Omaha, NE; Addison, TX; Schaumburg, IL; Over
Job Source: Zurich 56 Company LtdZurich NA
Atlanta, GA, United States
Claims Manager, General Liability 112184 Zurich North America is hiring an Team Manager - GL Technical Team to join our team! We are open to hiring talent in one of the following locations: Rancho Cordova, CA; Omaha, NE; Addison, TX; Schaumburg, IL; Overland Park, KS; Parsippany, NJ; Rocky Hill, CT; Dallas, TX; Maitland, FL; Owings Mills, MD; Roc
Job Source: Zurich NAZurich NA
Atlanta
General Liability Litigation Claims Specialist 110492 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to choosing your next career move. Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct individua
Job Source: Zurich NABerkshire Hathaway GUARD Insurance Companies
Atlanta, GA, United States
Overview Professional Liability Adjuster Berkshire Hathaway GUARD offers a collaborative company culture with outstanding benefits and competitive compensation. Our organization is hiring and we’re looking for talented individuals to join our team and establish a rewarding career with us. Our success is founded on our strong reputation, and we ha
Job Source: Berkshire Hathaway GUARD Insurance CompaniesPillfast24
Marietta, GA, United States
Claims Adjuster Trainee **Job Number** : 184438 Join one of FORTUNEs 100 Best Companies to Work For! As a **claims adjuster trainee**, youll learn how to help customers get back on the road after an accident. This is not a field position which means youll be building relationships with customers over the phone. In a fast-paced environment, youll le
Job Source: Pillfast24Atlanta, GA, United States
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.
A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.
Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer
Claims Adjuster-General Liability
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 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.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
Email Alert for Claims Adjuster-General Liability jobs in Atlanta, GA, United States
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