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Sedgwick

Liability Claims Associate, NY/HI Licensing Preferred

Sedgwick

Liability Claims Associate analyzing lower-level general liability claims for a global leader in risk and claims administration. Provide comprehensive support and communication for claim adjudication.

Posted 6/25/2026full-timeRemote • Hawaii, New York • 🇺🇸 United StatesJuniorMid-Level💰 $24 per hourWebsite

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Applicant Tracking System Keywords

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Hard Skills
claims processingadjudicationdocumentationclaims codingreserve accuracycompensability determinationpayment processingmedical claims management
Soft Skills
communicationclient relationship managementteam supportattention to detail
Certifications & Qualifications
high school diplomaGED
Industry Keywords
general liability claimsclaims industrybest practicesstate agency compliance

About the role

Key responsibilities & impact
  • To 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

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.

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.