Liability Claims Associate, NY or HI Licensing Required

Sedgwick

Analyze lower-level liability claims within Sedgwick’s standards. Collaborate to determine benefits due while maintaining professional client relationships.

Posted 4/26/2026full-timeRemote • Hawaii, New York • 🇺🇸 United StatesJuniorMid-Level💰 $24 per hourWebsite

About the role

Key responsibilities & impact

To analyze reported lower-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

What you’ll need

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.
Jurisdictions: Nationwide Licensing: NY or HI licensing required.

Benefits

Comp & perks

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.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims processingclaims adjudicationdocumentationreserve accuracycompensability determinationpayment processing

Soft Skills

communicationclient relationship managementteam support

Certifications

high school diplomaGEDNY licensingHI licensing