Claims Associate - Liability

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 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, there's no limit to what you can achieve.

As a Claims Associate - Liability, your primary purpose will be to analyze reported lower-level general liability claims to determine benefits due, and to ensure ongoing adjudication of claims within company standards and industry best practices.

Responsibilities:

• Handle lower-level liability and/or physical damage claims under close supervision
• Support other claims representatives, examiners, and leads with larger or more complex claims as necessary
• Process general liability claims, determining compensability and benefits due; monitor reserve accuracy, and file necessary documentation with state agencies
• Communicate claim action/processing with claimant, client, and appropriate medical contact
• Ensure claim files are properly documented and claims coding is correct
• Process routine payments and prescriptions, and status reports for lifetime medical claims and/or defined period medical claims
• Maintain professional client relationships

Additional Responsibilities:

• Perform other duties as assigned
• Support the organization's quality program(s)

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 literate, 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