Claims Adjuster – Liability

Sedgwick

. Analyze mid- and higher-level general liability claims to determine benefits due .

Posted 10/16/2026full-timeRemote • CanadaMid-LevelSenior💰 CA$65,000 - CA$75,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in analyzing and managing general liability claims, ensuring compliance with insurance principles and laws while maintaining strong client relationships. Proficient in negotiation, documentation, and claims processing to achieve optimal outcomes.

Highest-signal resume keywords

Claims Management ExperienceInsurance Principles ExpertiseNegotiation SkillsAnalytical SkillsMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AnalysisClaims AdjudicationSubrogation ManagementClaims ProcessingLiability AssessmentClaims CodingMedical Claims ProcessingReserve ValuationCost Containment PrinciplesDocumentation Management

Soft Skills

Excellent CommunicationStrong Organizational SkillsInterpersonal SkillsTeam CollaborationService Orientation

Industry Keywords

General Liability ClaimsRecoveryOffsetsDeductionsDisability DurationQuality ProgramsClient ContractsAction PlansService ExpectationsTravel Requirements

About the role

Key responsibilities & impact

Analyze mid- and higher-level general liability claims to determine benefits due
Ensure ongoing adjudication of claims within company standards and industry best practices
Identify subrogation of claims and negotiate settlements
Gather information to determine liability exposure
Assign reserve values, make claims payments, 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 when required, including state and physician filings and treatment decisions
Maintain professional client relationships
Support the organization's quality programs
Perform other duties as assigned

Requirements

What you’ll need

Four (4) years of claims management experience or equivalent combination of education and experience required
Bachelor's degree or college diploma preferred
Subject matter expertise in applicable insurance principles and laws, recoveries, offsets and deductions, claim and disability duration, and cost containment principles
Excellent oral and written communication
PC literacy, 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
Ability to travel as required

Benefits

Comp & perks

Work-life balance
Inclusive, barrier-free recruitment and selection processes
Accommodation available during recruitment if required