Claims Associate Liability

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.

Newsweek Recognizes Sedgwick as Americas Greatest Workplaces National Top Companies

Certified as a Great Place to Work

Fortune Best Workplaces in Financial Services & Insurance

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the worlds best brands

• Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the worlds most respected organizations.
• Be a part of a rapidly growing industry-leading global company known for its excellence and customer service.
• Leverage Sedgwicks broad global network of experts to both learn from and to share your insights.
• Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
• Enjoy flexibility and autonomy in your daily work your location and your career path.
• Access diverse and comprehensive benefits to take care of your mental physical financial and professional needs.

ARE YOU AN IDEAL CANDIDATE We are looking for driven individuals that embody our caring counts model and core values that include empathy accountability collaboration growth and inclusion.

PRIMARY PURPOSE OF THE ROLE To process low level general liability claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements with general supervision.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

• Processes low level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims making claims payments as necessary and settling claims up to designated authority level.
• Develops and coordinates low level general liability claims action plans to resolution return-to-work efforts and approves claim payments.
• Approves and processes assigned claims determines benefits due and administers action plan pursuant to the claim or client contract.
• Administers subrogation of claims and negotiates settlements.
• Communicates claim action with claimant and client.
• Ensures claim files are properly documented and claims coding is correct.
• May process low-level lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
• Maintains professional client relationships.
• Performs other duties as assigned supports the organizations quality program(s) travels as required.
  
  

QUALIFICATIONS

Education & Licensing: High School Diploma or GED required. Bachelors degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.

Experience: Two (2) years of claims management experience or equivalent combination of education and experience or successful completion of Claims Representative training required.

TAKING CARE OF YOU

• Flexible work schedule.
• Referral incentive program.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical dental vision 401K on day one.

WORK ENVIRONMENT REQUIREMENTS INCLUDE

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

As required by law Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set level of experience and cost of specific location. For the jurisdiction noted in this job posting only the range of starting pay for this role is ($65k-70k). A comprehensive benefits package is offered including but not limited to medical dental vision 401k and matching PTO disability and life insurance employee assistance flexible spending or health savings account and other additional voluntary benefits.

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