Sedgwick is a global industry leader known for its excellence in customer service. The Claims Associate role involves analyzing lower-level general liability claims to determine benefits due and ensuring ongoing adjudication of claims within company standards and industry best practices.
Responsibilities
- 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
- Performs other duties as assigned
- Supports the organization's quality program(s)
Skills
- 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
Benefits
- Flexible Work Schedule
- Referral Incentive Program
- Opportunity to work from home
- Career development and promotional growth opportunities
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day 1
- Medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits
Company Overview
Apply Now