layiq
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Sedgwick
Telecommuter TX; Telecommuter NC; Telecommuter FL; Telecommuter AZ
Source: Sedgwick careers · View original posting
From Sedgwick's posting. “We” and “our” refer to the employer.
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.
PRIMARY PURPOSE : Handles complex, technically challenging claims on automobile, homeowner, and excess liability policies. Adjusts claims with complex coverage issues involving liability, damages, evidence, or other complex legal issues, while providing an exceptional customer experience.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Adjusts claims that arise on Automobile, Homeowner and Excess Liability policies.
Develops exposures and evaluates injury claims based on damages, the insurance contract, company policies, and applicable state laws.
Investigates and evaluates coverage, liability and damages in handling of claims involving serious and catastrophic injuries, coverage, and other legal issues.
Ensures timely referral of suits to counsel and evaluates changes in exposure through the course of discovery, considering costs and strategic plan of actions to prepare for trial or determine settlement capability.
Responsible for managing defense counsel in litigation of serious and complex claim , litigated claims as well as complex coverage scenarios; manages defense counsel in litigation of serious and complex claims.
Formulates effective plans to bring the claims to resolution while focusing on indemnity and expense leakage.
Evaluates coverage and drafts coverage letters to include both reservation of rights and coverage denials.
Maintains proper reserves on all pending claims.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
Performs other duties as assigned.
Travel as required
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