Liability Claims Associate | Remote | Dedicated Client

Sedgwick Claims Management Services Inc. • Full-time • Telecommuter OH, United States of America • 1d ago

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

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.

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