Claims Examiner – Liability, GL & BI, Multi State Jurisdiction
Sedgwick
Posted: 10/20/2026
Claims Recovery Examiner
Health Care Service Corporation
Posted: 10/14/2026
Claims Recovery Examiner
All Care To You
Posted: 10/7/2026Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in analyzing and managing complex liability claims, ensuring timely resolution while adhering to industry best practices and client service requirements. Proficient in negotiation, communication, and problem-solving within multi-state jurisdictions.
Highest-signal resume keywords
Claims Management ExperienceNegotiation SkillsMulti State Jurisdiction KnowledgeProfessional CertificationAnalytical Thinking
About the role
Key responsibilities & impact- Analyze complex or technically difficult 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 to 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
- Respond to requests for directions professionally and timely
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
- Home state licensing required
- Multi State jurisdiction knowledge
- Clear and conceptual thinking ability
- Excellent judgment, troubleshooting, problem solving, analysis, and discretion
- Ability to handle work-related stress
- Ability to handle multiple priorities simultaneously
- Ability to meet deadlines
- Computer keyboarding
- Travel as required
Benefits
Comp & perks- Flexible work schedule
- Referral incentive program
- Career development and promotional growth opportunities
- Medical, dental, vision, 401K on day one
- 401k and matching
- PTO
- Disability and life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
- Reasonable accommodations when applicable and appropriate
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims AnalysisSettlement NegotiationSubrogation IdentificationClaims ProcessingAdjudication
Soft Skills
Excellent JudgmentProblem SolvingDiscretionAbility to Handle StressClear Thinking
Tools & Technologies
Computer Keyboarding
Certifications & Qualifications
Professional CertificationHome State Licensing
Industry Keywords
Liability ClaimsLitigationRehabilitationClient Service RequirementsAction Plans