Sedgwick

Liability Claims Associate

Sedgwick

full-time

Posted on:

Location Type: Hybrid

Location: Blue Ash • Ohio • United States

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About the role

  • 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.
  • 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.

Requirements

  • One (1) year of customer service experience or equivalent combination of education and experience required.
  • High school diploma or GED required.
  • Claims industry experience preferred.
  • Medical Background a plus.
  • Excellent oral and written communication skills
  • PC literate, including Microsoft Office products
  • Analytical and interpretive skills
  • Strong organizational skills
  • Good interpersonal skills
  • Ability to work in a team environment
  • Ability to meet or exceed Performance Competencies
Benefits
  • Hybrid schedule - 2 days in-office/3 work from home after 60-day training period
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
claims processingclaims adjudicationreserve accuracy monitoringdocumentation filingclaims codingcustomer serviceanalytical skillsinterpretive skills
Soft Skills
oral communicationwritten communicationorganizational skillsinterpersonal skillsteamworkperformance competency
Certifications
high school diplomaGED