Claims Examiner – Liability

Sedgwick

. Analyze complex or technically difficult general liability claims to determine benefits due .

Posted 10/13/2026full-timeRemote • New Jersey • United StatesMid-LevelSenior💰 $60,234 - $80,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in analyzing complex general liability claims, negotiating settlements, and ensuring compliance with industry best practices. Proficient in communication and investigation skills to effectively manage claims and meet client service expectations.

Highest-signal resume keywords

Claims Management ExperienceGeneral Liability Claims AnalysisSettlement NegotiationClient CommunicationProblem Solving

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AnalysisNegotiationInvestigationClaims ProcessingSubrogation Identification

Soft Skills

JudgmentTroubleshootingDiscretionStress ManagementTime Management

Tools & Technologies

Computer Keyboarding

Certifications & Qualifications

Professional Certification

Industry Keywords

General LiabilityClaims AdjudicationLitigationRehabilitationExcess Carrier Reporting

About the role

Key responsibilities & impact

Analyze complex or technically difficult general liability claims to determine benefits due
Work with high exposure claims involving litigation and rehabilitation
Ensure ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements
Identify subrogation of claims and negotiate settlements
Analyze and process claims through action plans toward appropriate and timely resolution
Investigate and gather information to determine claim exposure
Negotiate claim settlements within designated authority
Communicate claim activity and processing with claimants and clients
Report claims to the excess carrier and respond to requests for directions

Requirements

What you’ll need

High School Diploma or GED required
Bachelor's degree from an accredited college or university preferred
Professional certification as applicable to line of business preferred
5 years of claims management experience or equivalent combination of education and experience required
Ability to investigate and gather claim information
Ability to analyze complex or technically difficult general liability claims
Ability to negotiate settlements within designated authority
Ability to communicate claim activity and processing with claimants and clients
Ability to report claims to excess carriers and respond to requests for directions
Clear and conceptual thinking ability
Excellent judgment, troubleshooting, problem solving, analysis, and discretion
Ability to handle work-related stress and multiple priorities simultaneously
Ability to meet deadlines
Computer keyboarding ability
Travel as required

Benefits

Comp & perks

Flexible work schedule
Referral incentive program
Opportunity to work in an agile environment
Career development and promotional growth opportunities
Medical, dental, and vision coverage
401(k) and matching
PTO
Disability and life insurance
Employee assistance
Flexible spending or health savings account
Other additional voluntary benefits