Liability Claims Examiner – General Liability, Premise Liability, Litigation Experience
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 managing complex general liability claims, including assessment, negotiation, and resolution, while maintaining compliance with state regulations and ensuring effective communication with clients and stakeholders.
Highest-signal resume keywords
Claims Management ExperienceGeneral Liability Claims AnalysisNegotiation SkillsEast Coast Jurisdiction KnowledgeProfessional Certification
About the role
Key responsibilities & impact- Analyze and process complex or technically difficult general liability claims by investigating and gathering information to determine exposure
- Manage claims through action plans to timely and appropriate resolution
- Assess liability and resolve claims within evaluation
- Negotiate claim settlements within designated authority
- Calculate and assign reserves and manage reserve adequacy throughout the claim lifecycle
- Calculate and pay benefits, approve claim payments and adjustments, and settle claims within authority
- Prepare necessary state filings within statutory limits
- Manage litigation processes for timely and cost-effective resolution
- Coordinate vendor referrals for investigation and litigation management
- Use cost-containment techniques and vendor partnerships to reduce claim costs
- Manage recoveries including subrogation, Second Injury Fund excess recoveries, and Social Security and Medicare offsets
- Report claims to excess carriers and respond to requests for direction
- Communicate claim activity with claimants and clients and maintain professional client relationships
- Document claim files and ensure accurate claims coding
- Refer cases to supervisors and management as appropriate
- Support organizational quality programs
- Perform other assigned duties
Requirements
What you’ll need- Five (5) years of claims management experience or equivalent combination of education and experience required
- Experience analyzing complex or technically difficult general liability, premise liability, and litigated claims
- East Coast jurisdiction knowledge, specifically NJ, PA, and FL
- Home State licensing preferred
- Bachelor's degree from an accredited college or university preferred
- Professional certification as applicable to line of business preferred
- 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
- Hearing, vision, and talking abilities
- Ability to travel as required
Benefits
Comp & perks- Flexible work schedule
- Referral incentive program
- Career development and promotional growth opportunities
- Medical, dental, vision, 401K and matching
- PTO
- Disability and life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
- Hybrid/remote work flexibility based on commuting distance
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 ProcessingLiability AssessmentReserve CalculationClaims CodingCost-Containment TechniquesLitigation ManagementSubrogation ManagementStatutory FilingsVendor CoordinationBenefit Calculation
Soft Skills
Excellent JudgmentProblem SolvingClear ThinkingAbility to Handle StressTime Management
Tools & Technologies
Claims Management Software
Certifications & Qualifications
Professional CertificationHome State Licensing
Industry Keywords
General LiabilityPremise LiabilityLitigated ClaimsEast Coast JurisdictionClaim Settlements