3 claim examiner jobs found

- As the Healthcare Claims Examiner, you will directly handle Commercial Healthcare Claims including Medical Malpractice and Healthcare facilities across the U.S. Key Accountabilities/Deliverables: Ensure compliance with established claim handling guidelines regarding coverage, investigation, liability, damages, evaluation, and resolution.  Provide oversight on claims portfolios within the primary casualty book.  Maintain direct contact with insureds, agents, and brokers.  Provide oversight on claims portfolios handled by TPAs within the excess casualty book.  Engage in rigorous ALAE control and management, by competently selecting, instructing, and managing 3rd party vendors, as appropriate.  Gather and analyse information necessary to make an accurate evaluation of the claim by delivering effective resolution of claims, make decision within established authority levels and identifying settlement issues.  Establish reserves pursuant to established reserving protocols...

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. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner, Auto | Commercial Bodily Injury PRIMARY PURPOSE OF THE ROLE: To analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. ARE YOU AN IDEAL CANDIDATE? To analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring...

Job Description TITLE:                          Senior Property Adjuster DEPARTMENT :            EMA Loss Adjusting REPORTS TO:               Claims Manager STATUS:                       Regular, Full-Time, Exempt SUMMARY OF JOB PURPOSE :  The Senior Property Adjuster effectively determines and communicates the extent of loss or damage associated with commercial property claims in a variety of business classes. The Senior Property Adjuster is typically assigned loss or damage assessments in a moderate cost range, based on incumbent’s experience and demonstrated ability for handling larger or more complex claims. *This is a field position in the Cleveland, OH market* PRIMARY JOB RESPONSIBILITIES : Investigates insurance claims in any of a variety of settings, including, but not limited to, retail establishments, private or public office buildings, commercial habilitation, hospitality, corporate facilities, transportation sites, manufacturing sites,...