General Liability Adjuster

Sedgwick

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

Posted 11/5/2026full-timeRemote • Florida • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in analyzing general liability claims, ensuring compliance with industry standards, and effectively negotiating settlements. Proficient in managing complex claims processes while maintaining strong client relationships and adhering to organizational quality programs.

Highest-signal resume keywords

Claims Management ExperienceNegotiation SkillsInsurance Principles ExpertiseAnalytical SkillsNY License

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AdjudicationLiability AssessmentClaims ProcessingMedical Management PracticesClaims CodingCost Containment PrinciplesSubrogation IdentificationReserve Value AssignmentSocial Security Application ProceduresMedicare Application Procedures

Soft Skills

Excellent CommunicationStrong Organizational SkillsInterpersonal SkillsAbility to Work in a Team EnvironmentAbility to Handle Work-Related Stress

Tools & Technologies

Microsoft Office

Certifications & Qualifications

Bachelor's DegreeNY License

Industry Keywords

General Liability ClaimsClaims ManagementInsurance PrinciplesRecovery and OffsetsDisability DurationClient RelationshipsQuality Programs

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 and manage action plans pursuant to the claim or client contract
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 applicable, including state and physician filings and treatment decisions
Maintain professional client relationships
Support organizational quality programs
Perform other assigned duties
Travel as required

Requirements

What you’ll need

Bachelor's degree from an accredited college or university preferred
NY license required
Four (4) years of claims management experience or equivalent combination of education and experience required
Subject matter expertise in applicable insurance principles and laws, recoveries, offsets and deductions, claim and disability duration, cost containment principles, medical management practices, and Social Security and Medicare application procedures as applicable
Excellent oral and written communication, including presentation skills
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 handle work-related stress, multiple priorities, and deadlines
Computer keyboarding ability
Travel as required

Benefits

Comp & perks

Work-life balance
Caring culture
Career growth opportunities
Equal Opportunity Employer
Drug-Free Workplace