Claims Examiner – Auto, General Liability, Bodily Injury

Sedgwick

. Analyze and manage complex or technically challenging general liability claims from inception through resolution .

Posted 9/30/2026full-timeRemote • Rhode Island • United StatesMid-LevelSenior💰 $70,000 - $80,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing complex general liability claims, including investigations, negotiations, and compliance with regulations. Proficient in developing strategic action plans and maintaining client relationships while ensuring effective communication and problem-solving.

Highest-signal resume keywords

Claims Handling ExperienceLitigation Management ExperienceGeneral Liability Claims PracticesNegotiation and Settlement Management SkillsMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ManagementInvestigative SkillsAnalytical SkillsCost Containment StrategiesSubrogation ManagementClaim Reserve CalculationSettlement NegotiationDocumentation and CodingStatutory ComplianceVendor Coordination

Soft Skills

Excellent Communication SkillsProblem-Solving AbilitiesTeam CollaborationWorkload PrioritizationCustomer Service Commitment

Tools & Technologies

Claims Management SystemsMicrosoft Office Applications

Certifications & Qualifications

Industry Certifications

Industry Keywords

General LiabilityInsurance PrinciplesNew Jersey Claims HandlingRegulatory ComplianceClaim Exposure Assessment

About the role

Key responsibilities & impact

Analyze and manage complex or technically challenging general liability claims from inception through resolution
Conduct investigations to determine liability, damages, and claim exposure
Develop and execute strategic claim action plans
Assess liability and negotiate settlements within assigned authority limits
Calculate, establish, and maintain claim reserves
Authorize and process claim payments and adjustments within delegated authority
Ensure compliance with laws, regulations, and client-specific requirements
Prepare and submit required state filings within statutory deadlines
Report claims to excess carriers and respond to information or direction requests
Manage litigated claims in collaboration with defense counsel and external partners
Coordinate vendor referrals for investigations, medical reviews, surveillance, and litigation management
Use cost-containment strategies and vendor partnerships to reduce claim costs
Pursue and manage claim recoveries, including subrogation and applicable offsets
Communicate proactively with claimants, clients, attorneys, and stakeholders
Build and maintain client relationships through professional and responsive service
Accurately document and code claim files
Escalate complex issues and high-exposure matters to leadership
Perform other duties as assigned

Requirements

What you’ll need

Five (5) years of claims handling experience, or an equivalent combination of education and relevant experience
Experience handling complex general liability claims preferred
Litigation management experience strongly preferred
Bachelor's degree from an accredited college or university preferred
Industry certifications relevant to the line of business preferred
Strong knowledge of general liability claims practices, insurance principles, and applicable regulations
Understanding of recovery opportunities, subrogation, offsets, and cost containment strategies
Excellent verbal, written, and presentation communication skills
Strong analytical, investigative, and problem-solving abilities
Effective negotiation and settlement management skills
Ability to prioritize workload and manage multiple competing priorities
Ability to work independently and collaboratively within a team environment
Proficiency with Microsoft Office applications and claims management systems
Commitment to exceptional customer and client service
Computer keyboarding
Hearing, vision and talking
Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines
New Jersey claims handling knowledge/experience required by the role title

Benefits

Comp & perks

Medical insurance
Dental insurance
Vision insurance
401k and matching
PTO
Disability insurance
Life insurance
Employee assistance
Flexible spending or health savings account
Other additional voluntary benefits
Work-life balance
Flexible work arrangements implied by telecommuter location