Claims Adjuster – Liability

Sedgwick

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

Posted 9/23/2026full-timeRemote • CanadaMid-LevelSenior💰 CA$75,000 - CA$85,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in analyzing and managing general liability claims, ensuring compliance with industry standards and effective communication with clients. Proficient in negotiation and settlement processes, with a strong focus on maintaining professional relationships and accurate documentation.

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 IdentificationClaims Payment ProcessingClaims CodingMedical Claims ProcessingCost Containment PrinciplesLiability AssessmentReserve Value AssignmentAction Plan Management

Soft Skills

Excellent CommunicationStrong Organizational SkillsInterpersonal SkillsTeam CollaborationService Expectation Management

Industry Keywords

General Liability ClaimsInsurance LawsRecoveriesOffsetsDeductionsDisability DurationQuality ProgramsClient RelationshipsClaims SettlementEvaluation Processes

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 opportunities and negotiate settlements
Gather information to determine liability exposure
Assign reserve values and make claims payments as necessary
Settle claims up to the designated authority level
Assess liability and resolve claims within evaluation
Approve and process assigned claims and manage action plans pursuant to the claim or client contract
Communicate claim actions with claimants and clients
Document claim files properly and ensure accurate claims coding
Process complex lifetime medical and/or defined-period medical claims when required
Maintain professional client relationships
Support the organization's quality programs
Perform other assigned duties

Requirements

What you’ll need

Bachelor's degree or college diploma preferred
Four (4) years of claims management experience or equivalent combination of education and experience required
Subject matter expertise in insurance principles and laws for the relevant line of business
Knowledge of 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 support during recruitment
Professional growth and career development opportunities