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Liability Claims Representative, Auto Liability

🔥 1 minute ago

🏖️ New Jersey – Remote

infoinfo

đź’µ $45k - $50k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

đź“‹ Claims Specialist

🚫👨‍🎓 No degree required

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Logo of Sedgwick

Sedgwick

10,000+ employees

🏗️ Construction

đź’Ľ 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.

đź“‹ Description

• Analyze Auto Liability claims on behalf of valued clients to determine benefits due • Ensure ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements • Process low-level general liability claims by gathering information to determine liability exposure • Assign reserve values, make claims payments, and settle claims up to designated authority level • Develop and coordinate claims action plans through resolution and return-to-work efforts • Approve and process assigned claims and administer action plans pursuant to claims or client contracts • Administer subrogation of claims and negotiate settlements • Communicate claim actions with claimants and clients • Ensure claim files are properly documented and claims coding is correct • Process applicable lifetime medical or defined-period medical claims, including state and physician filings and treatment decisions • Maintain professional client relationships

🎯 Requirements

• 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 • 2 years of claims management experience or equivalent combination of education and experience required • Auto Liability claims knowledge and experience • Nationwide jurisdiction knowledge • Licensing preferred • Clear and conceptual thinking ability • Excellent judgment, troubleshooting, problem solving, analysis, and discretion • Ability to handle work-related stress • Ability to handle multiple priorities simultaneously • Ability to meet deadlines • Computer keyboarding • Hearing, vision, and talking

🏖️ Benefits

• Flexible work schedule • Referral incentive program • Career development and promotional growth opportunities • Medical, dental, and vision coverage • 401(k) and matching • Paid time off (PTO) • Disability insurance • Life insurance • Employee assistance program • Flexible spending account or health savings account • Other additional voluntary benefits • Reasonable accommodations where applicable and appropriate

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