Claims Associate – Liability
Sedgwick
full-time
Posted on:
Location Type: Hybrid
Location: Plano • Texas • United States
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About the role
- To analyze reported lower-level level general liability claims to determine benefits due
- Ensures ongoing adjudication of claims within company standards and industry best practices
- 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)
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
Benefits
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Applicant Tracking System Keywords
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Soft Skills
communicationclient relationship managementadjudicationdocumentationsupporting team members
Certifications
high school diplomaGED