Claims Associate – Consumer

🔥 18 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

📋 Claims Specialist

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

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Sedgwick

WebsiteLinkedInAll Job Openings

10,000+ employees

🏗️ Construction

💼 Consulting

🏥 Healthcare

Construction • Consulting • Healthcare

Sedgwick is a global provider of technology-enabled risk, benefits, and integrated business solutions. They help people and organizations by managing and mitigating risk with solutions in accident, health, disability, unemployment compensation, and liability claims administration, among others. Sedgwick offers services such as claims administration, building consulting, forensic accounting, and forensic engineering. Their specialties include property restoration, brand protection, and loss prevention across several industries, including agriculture, construction, and environmental sectors. The company emphasizes diversity, equity, and inclusion (DEI) as well as environmental, social, and governance (ESG) practices.

📋 Description

• Process claims and determine benefits due pursuant to credit card or other financial program benefits plans • Make timely payments and adjustments for specified program claims • Provide superior customer service • Process first party property claims based on basic coverage as defined by client-specific program • Make coverage determinations based on investigation and evaluation • Adjudicate proper settlements or denials up to designated authority level • Handle high volume of claims, phone calls, and correspondence • Properly document claim files • Meet quality and production goals, customer guidelines, and deadlines • Support the organization's quality programs • Perform other duties as assigned

🎯 Requirements

• High school diploma or GED required • Licenses as required or willingness/ability to move toward obtaining appropriate licensing as required • One (1) year of general office experience or equivalent combination of education and experience required • Claims industry experience preferred • Knowledge of first party property and casualty claim adjudication as applicable to line of business • Good oral and written communication, including presentation skills • PC literate, including Microsoft Office products • Analytical and interpretive skills • Good organizational skills • Good interpersonal skills • Ability to work in a team environment • Ability to meet or exceed Performance Competencies • Credit security clearance, confirmed via a background credit check, is required

🏖️ Benefits

• Work-life balance • Equal opportunity workplace • Drug-free workplace • Reasonable accommodations considered • Diverse, equitable, and inclusive workplace

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