Description

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.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

Claims Adjuster - Liability | | GL & BI | Jurisdiction: South East and Eastern States | Licensing: TX/FL

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?

• Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
• Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations.
• Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
• Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights.
• Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
• Enjoy flexibility and autonomy in your daily work, your location, and your career path.
• Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

OFFICE LOCATIONS: Irving, TX office

PRIMARY PURPOSE OF THE ROLE: To analyze mid- and higher-level general liability claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

• Independently manages mid‑level general liability claims from initial evaluation through resolution, including liability assessment, reserve setting, payment authorization, and settlement negotiation within assigned authority.
• Evaluates coverage, determines benefits due, and executes claim action plans in accordance with client contracts, regulatory requirements, and internal guidelines.
• Oversees subrogation efforts by identifying recovery opportunities and negotiating favorable outcomes.
• Maintains clear, consistent communication with claimants and clients to provide status updates, explain claim decisions, and support timely resolution.
• Ensures claim files are accurately documented, properly coded, and compliant with quality and audit standards.
• May handle complex medical‑only claims involving utilization review recommendations, state and physician filings, and treatment determinations while maintaining strong professional client relationships.

QUALIFICATIONS

Education & Licensing: Four (4) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience.

• 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.

• General Liability and Bodily injury experience preferred.

Licensing: TX/FL preferred.

Jurisdiction Knowledge: 18 states within the eastern and south eastern region.

TAKING CARE OF YOU

Flexible work schedule.

Referral incentive program.

Career development and promotional growth opportunities.

A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.