Claims Associate – Liability

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

📋 Claims Specialist

🚫👨‍🎓 No degree required

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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

• Analyze reported lower-level general liability claims to determine benefits due • Ensure ongoing adjudication of claims within company standards and industry best practices • Handle lower-level liability and/or physical damage claims under close supervision • Support claims representatives, examiners, and leads with larger or more complex claims • Process general liability claims, determine compensability and benefits due, monitor reserve accuracy, and file necessary documentation with state agency • Communicate claim action and processing with claimants, clients, and appropriate medical contacts • Ensure claim files are properly documented and claims coding is correct • Process routine payments, prescriptions, and status reports for lifetime medical or defined-period medical claims when applicable • Maintain professional client relationships • Perform other assigned duties and support organizational quality programs

🎯 Requirements

• High school diploma or GED required • Licenses as required • One (1) year of general office experience or equivalent combination of education and experience required • Claims industry experience preferred • Excellent oral and written communication skills • PC literacy, including Microsoft Office products • Analytical and interpretive skills • Strong organizational skills • Good interpersonal skills • Ability to work in a team environment • Ability to meet or exceed Performance Competencies • Ability to handle multiple priorities simultaneously and meet deadlines • Computer keyboarding ability • Travel as required

🏖️ Benefits

• Work-life balance • Caring culture • Equal Opportunity Employer • Drug-Free Workplace • Reasonable accommodations considered when applicable and appropriate • Diverse, equitable, and inclusive workplace