Claims Examiner

How to use this kit

Ground every answer in facts on this page and the original listing. We never invent Glassdoor-style reviews or salaries that are not in our data.

Occupation tasks (O*NET)

Public-domain labor data — prepare examples for 2–3 of these.

• Examine claims forms and other records to determine insurance coverage.
• Analyze information gathered by investigation and report findings and recommendations.
• Pay and process claims within designated authority level.
• Investigate, evaluate, and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.
• Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures.
• Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.
• Investigate and assess damage to property and create or review property damage estimates.
• Interview or correspond with agents and claimants to correct errors or omissions and to investigate questionable claims.

O*NET source

Company facts (cached)

Website: sedgwick.com

Sedgwick is a city in Harvey and Sedgwick counties in the U.S. state of Kansas. As of the 2020 census, the population of the city was 1,603.

Public cache only — not an employee review.

Role overview (listing rewrite)

Sedgwick is hiring a Claims Examiner | No Fault- PIP | Lit Required | New York to join its team in Five Points, Wake County, where you will manage complex Personal Injury Protection (PIP) claims with a litigation component from start to resolution. About the Role This full-time, on-site Claims Examiner position centers on No Fault / PIP claims that require litigation experience. Based in Five Points, Wake County, you will investigate, evaluate, and resolve assigned files while delivering the kind of attentive, people-first service that defines Sedgwick. It is an opportunity to apply specialized claims expertise and advance your career within a global organization. Key Responsibilities Handle a caseload of No Fault and PIP claims through every stage of the lifecycle. Review coverage, determine compensability, and reach fair, well-documented decisions. Coordinate litigated matters, working closely with defense counsel and other parties. Maintain accurate, timely file documentation and reserves in line with company standards. Communicate clearly with claimants, providers, and stakeholders to move claims toward resolution. Qualifications Demonstrated experience examining No Fault / PIP claims. Litigation handling experience, as required for this role. Strong analytical, negotiation, and decision-making skills. Excellent written and verbal communication. Ability to work on-site full-time in Five Points, Wake County (this role is not remote). About Sedgwick Sedgwick supports people around the world when they face the unexpected, backed by a community of 33,000 colleagues. Joining the team means becoming part of work that genuinely matters, supported by a caring culture and a commitment to work-life balance. Sedgwick has been recognized by Newsweek as one of America's Greatest Workplaces, reflecting an environment where there is no ceiling on what you can accomplish. How to Apply Ready to take the next step as a Claims Examiner with Sedgwick in Five Points, Wake County? View the full listing and apply via Adzuna to be considered for this opportunity.

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Questions to ask them

• What does success look like in the first 90 days for this role?
• How is the team structured, and who would I work with most?
• What tools and systems does this role use daily?
• Is the work primarily based in Five Points, Wake County, hybrid, or fully remote?