General Liability Adjuster at Sedgwick in Remote

PRIMARY PURPOSE:  The Commercial General Liability Claims Adjuster is responsible for the investigation, evaluation, negotiation, and resolution of third‑party bodily injury and property damage claims arising under commercial general liability policies. This role requires strong knowledge of policy interpretation, liability analysis, litigation management, and risk transfer, as well as effective communication with insureds, claimants, attorneys, vendors, and clients.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Investigate and manage commercial general liability claims, including premises liability, slip and falls, product liability, construction‑related losses, and contractual liability claims.

• Analyze policy language, endorsements, exclusions, and limits to determine coverage and draft defensible coverage determinations.

• Conduct thorough liability investigations, including:

  • Reviewing incident reports, contracts, and policies

  • Obtaining and analyzing recorded statements

  • Reviewing medical records, photographs, and expert reports

• Evaluate damages, establish and manage accurate reserves, and assess overall claim exposure.

• Negotiate settlements with claimants and attorneys within assigned authority levels.

• Manage litigated claims, including coordination and direction of defense counsel, review of pleadings and discovery, and participation in settlement strategy discussions.

• Identify and pursue risk transfer opportunities, including tenders to additional insureds, contractual indemnity, and subrogation.

• Maintain timely and professional communication with insureds, clients, brokers, and internal stakeholders.

• Prepare clear, concise file documentation, status reports, and large loss reports in compliance with internal guidelines and regulatory requirements.

• Ensure compliance with state regulations, client service instructions, and quality standards.

• Participate in audits, quality reviews, and continuous improvement initiatives as required.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.

• Supports the organization's quality program(s).

• Travels as required.

QUALIFICATIONS

Education & Licensing
Bachelor's degree from an accredited college or university preferred. IIA-AIC designation required.  Appropriate state adjuster license is required.

Experience
Two (2) years of related experience or equivalent combination of education and experience required.

Skills & Knowledge

• Strong oral and written communication, including presentation skills

• PC literate, including Microsoft Office products

• Demonstrated commitment to timely reporting

• Strong customer service skills

• Strong interpersonal skills

• Attention to detail and accuracy

• Good time management and organizational skills

• Ability to work independently or in a team environment

• Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical:

• Must be able to stand and/or walk for long periods of time.

• Must be able to kneel, squat or bend.

• Must be able to work outdoors in hot and/or cold weather conditions.

• Have the ability to climb, crawl, stoop, kneel, reaching/working overhead

• Be able to lift/carry up to 50 pounds

• Be able to push/pull up to 100 pounds

• Be able to drive up to 4 hours per day.

• Must have continual use of manual dexterity.

Auditory/Visual: Hearing, vision and talking

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($88,000 - $122,000 USD annually). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.