Claims Associate Liability (Hybrid)

• 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.

• 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.

WORK LOCATIONS: Hybrid 2 days in office 3 days work from home.

PRIMARY PURPOSE OF THE ROLE To analyze reported lower-level level liability claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

• Handles lower-level liability and/or physical damage claims under close supervision.

• Supports other claims representatives examiners and leads with larger or more complex claims as necessary.

• Processes general liability claims determining compensability and benefits due; monitors reserve accuracy and files necessary documentation with state agency.

• Communicates claim action/processing with claimant client and appropriate medical contact.

• Ensures claim files are properly documented and claims coding is correct.

• May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims.

• Maintains professional client relationships.

• Performs other duties as assigned.

• Supports the organizations quality program(s).

QUALIFICATIONS

Education & Licensing: High School Diploma or GED required. Professional certification as applicable to line of business preferred.

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

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.