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Claims Associate - Liability | Property Damage | Multi State Jurisdiction | Licensing: Required - Remote

Key Facts

Remote From: 
Full time
Junior (1-2 years)
English

Other Skills

  • Communication
  • Problem Solving

Roles & Responsibilities

  • High School Diploma or GED required
  • One (1) year of general office experience or equivalent
  • Claims industry experience preferred
  • Licensing in NY, TX, FL or Home state preferred

Requirements:

  • Analyze reported lower-level general liability claims to determine benefits due
  • Handle lower-level liability and/or physical damage claims under close supervision
  • Process general liability claims determining compensability and benefits due
  • Communicate claim action/processing with claimant, client, and appropriate medical contact

Job description

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.

Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

Claims Associate - Liability | Property Damage | Multi State Jurisdiction | Licensing: Required - Remote

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 world’s best brands?   

  • Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.  

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 analyze reported lower-level level general 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.

QUALIFICATIONS 

Education & Licensing: High School Diploma or GED required.

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

 

Licensing and Jurisdiction: All states including Virgin Islands and Guam, NY, TX, FL or Home state license is 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. 

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 

Auditory/Visual: Hearing, vision and talking 

#claimsexaminer #claims #LI-REMOTE #georgiajobs

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

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