Claims Representative – Liability
Sedgwick
full-time
Posted on:
Location Type: Hybrid
Location: Naperville • Illinois • United States
Visit company websiteExplore more
Salary
💰 $50,000 - $60,000 per year
About the role
- Processes low level general liability claims by gathering information to determine liability exposure;
- Assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.
- Develops and coordinates low level general liability claims' action plans to resolution, return-to-work efforts, and approves claim payments.
- Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract.
- Administers subrogation of claims and negotiates settlements.
- Communicates claim action with claimant and client.
- Ensures claim files are properly documented and claims coding is correct.
- May process low-level lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
- Maintains professional client relationships.
- Performs other duties as assigned.
Requirements
- Bachelor's degree from an accredited college or university preferred.
- Professional certification as applicable to line of business preferred.
- Two (2) years of claims management experience or equivalent combination of education and experience required.
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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims processingliability assessmentclaims paymentssubrogationnegotiationclaims codingmedical claims processingaction plan developmentreturn-to-work effortsdocumentation
Soft skills
communicationclient relationship management
Certifications
professional certification