Claims Associate – Liability
Sedgwick
full-time
Posted on:
Location Type: Office
Location: Memphis • North Carolina • Tennessee • United States
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About the role
- Analyze reported lower-level workers compensation claims to determine benefits due.
- Ensure ongoing adjudication of claims within company standards and industry best practices.
- Handle lower-level liability and/or physical damage claims under close supervision.
- Support other claims representatives, examiners, and leads with larger or more complex claims as necessary.
- Process general liability claims determining compensability and benefits due; monitor reserve accuracy, and file necessary documentation with state agency.
- Communicate claim action/processing with claimant, client, and appropriate medical contact.
- Ensure 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.
- Maintain professional client relationships.
Requirements
- High school diploma or GED required
- Strong oral and written communication
- Computer literate – including Microsoft Office
- Organizational skills required
- Clerical or customer service experience or equivalent combination of education and experience preferred
Benefits
- 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.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Soft Skills
strong oral communicationstrong written communicationorganizational skillsprofessional client relationships
Certifications
high school diplomaGED