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Liability Claims Associate | Remote | Dedicated Client

Role overview

Summary

This role is for analyzing reported lower-level general liability claims to determine benefits due and ensure ongoing adjudication within company standards. Sedgwick seeks candidates who can thrive in a collaborative environment while maintaining professional client relationships.

Qualifications

  • High school diploma or GED required.
  • Strong oral and written communication skills required.
  • Computer literate – including Microsoft Office.
  • Preferred: Clerical or customer service experience or equivalent combination of education and experience
  • Preferred: Familiarity with medical terminology

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 agency.
  • Communicate claim action/processing with claimant, client and appropriate medical contact.

Hard skills

Other skills

  • Non-Verbal Communication
  • Microsoft Office
  • Organizational Skills
  • Clerical Works
  • Customer Service
  • Multitasking
  • Time Management
  • Decision Making
  • Problem Solving

About the company

Sedgwick Ireland logo

Sedgwick Ireland

  • Insurance
  • Startup
  • 201–500
Sedgwick, previously operating under the OSG Vericlaim brand, is Ireland's largest and longest established Specialist Third Party Administrator and Loss Adjuster. We are a SEDGWICK Company and part of the Global Sedgwick Organisation backed by the resources of the Leading Global Provider of technology enabled risk and claims solutions we can truly offer a local market based service operating to market leading international standards. Having built on our history and heritage as Chartered Loss Adjusters, today we provide a diverse and extensive range of outsource services for the Insurance and Financial Sectors in Ireland and Internationally. A unique business model incorporating industry and market experience, the application of behavioural science, lean process management and modern technology sets Sedgwick apart from the competition in our chosen markets. Providing the service layer between our clients and their customers we have a proven pedigree and reputation for operational excellence delivering the widest range of specialist and technical services in the market. The Sedgwick difference is our People and a desire to develop our talent for the benefit of all our stakeholders. Taking Care of People "Caring Counts” is at the heart of everything we do and the guiding principal in the development of Sedgwick becoming the leading broad based service provider we are today. We are Regulated as an Insurance Intermediary with the Central Bank of Ireland, have full EU Passport status and meet all Fiduciary and Corporate Governance Standards.

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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

Liability Claims Associate | Remote | Dedicated Client


Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career? 
•    A stable and consistent work environment in an office setting 
•    Career development and promotional growth opportunities through increasing responsibilities 
•    A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs 


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.


ARE YOU AN IDEAL CANDIDATE? We are looking for an enthusiastic candidate to fill a Workers Compensation Associate position. Ideal candidates will thrive in a collaborative team environment, show motivation and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused. 


ESSENTIAL RESPONSIBILITIES 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.


Licensing: preferred


QUALIFICATIONS
•    Education & Licensing: High school diploma or GED required 
•    Skills: Strong oral and written communication, computer literate – including Microsoft Office, organizational skills required 
•    Experience:Clerical or customer service experience or equivalent combination of education and experience preferred. Medical office/familiarity with medical terminology. Heavy phone traffic. Ability to multitask, time management skills, work in a fast-paced environment, and decision making skills


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

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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.
 

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 ($21.00/hr). 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.

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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