Liability Claims Associate
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Job Description
Remote liability claims associate adjudicating lower-level general liability claims for Sedgwick. Processing benefits, documentation, payments, and claimant communications.
Responsibilities:
- Analyze reported lower-level general liability claims to determine benefits due
- Ensure ongoing adjudication of claims within company standards and industry best practices
- Handle lower-level liability and/or physical damage claims under close supervision
- Support claims representatives, examiners, and leads with larger or more complex claims
- Process general liability claims, determine compensability and benefits due, monitor reserve accuracy, and file documentation with state agencies
- Communicate claim actions and processing with claimants, clients, and appropriate medical contacts
- Ensure claim files are properly documented and claims coding is correct
- Process routine payments, prescriptions, and status reports for lifetime or defined-period medical claims
- Maintain professional client relationships
Requirements:
- High school diploma or GED required
- Strong oral and written communication skills
- Computer literacy, including Microsoft Office
- Organizational skills
- Clerical or customer service experience or equivalent combination of education and experience preferred
- Medical office experience or familiarity with medical terminology
- Ability to handle heavy phone traffic
- Ability to multitask
- Time management skills
- Ability to work in a fast-paced environment
- Decision-making skills
- Licensing preferred
Benefits:
- Career development and promotional growth opportunities
- Diverse and comprehensive benefits package
- Flexible work schedule
- Referral incentive program
- Medical, dental, and vision coverage
- 401(k) on day one
- 401(k) matching
- Paid time off (PTO)
- Disability and life insurance
- Employee assistance program
- Flexible spending account or health savings account
- Additional voluntary benefits
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