Claims Associate Consumer

By joining Sedgwick youll be part of something truly meaningful. Its what our 33000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us experience our caring culture and enjoy work-life balance. Here theres no limit to what you can achieve.

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• Processes first party property claims based on basic coverage as defined by client-specific program.
• Makes coverage determinations based on investigation/evaluation.
• Adjudicates proper settlement or denials up to designated authority level.
• Handles high volume of claims phone calls and correspondence ensuring claim files are properly documented; meets quality and production goals; and meets customer guidelines and deadlines.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.
• Supports the organizations quality program(s).

QUALIFICATIONS

Education & Licensing
High school diploma or GED required. Licenses as required or willingness/ability to move toward obtaining appropriate licensing as required.

Experience
One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred.

Skills & Knowledge

• 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

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

Mental: 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; and ability to meet deadlines

Physical: Computer keyboarding travel as required

Auditory/Visual: Hearing vision and talking

NOTE: Credit security clearance confirmed via a background credit check is required for this position.

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.

Sedgwickis an Equal Opportunity Employer and a Drug-Free Workplace.