Liability Claims Associate, NY or HI Licensing Required
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Job Description
Analyze lower-level liability claims within Sedgwick’s standards. Collaborate to determine benefits due while maintaining professional client relationships.
Responsibilities:
- 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.
- 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
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.
- Jurisdictions: Nationwide Licensing: NY or HI licensing required.
Benefits:
- 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.
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