See all roles

Claims Associate - Liability | Remote

Work from home Full-time role Hiring

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Associate - Liability | Remote PRIMARY PURPOSE: 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. ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • 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.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

  • Performs other duties as assigned.
  • Supports the organization's quality program(s).

QUALIFICATION Education & Licensing High school diploma or GED required. Licenses as required. License: Home State Experience One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred. Skills & Knowledge

  • 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

WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $20/hr - $25/hr. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. . Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Apply To This Job

You might like

Workers’ Compensation Claims Careers – Assistant, Associate, Representative, Examiner & Team Leads

Work from home Full-time role

Accounts Payable Intern

Work from home Full-time role

Senior Loan Processor

Work from home Full-time role

Manager and Actuary (Actuarial Modeling Team)

Work from home Full-time role

Full Stack Developer

Work from home Full-time role

Qlik Developer Leader

Work from home Full-time role

Communications Intern

Work from home Full-time role

EHS Project Manager (m/f/d) – HVDC

Work from home Full-time role

Director, Alliance Management

Work from home Full-time role

Business Analyst

Work from home Full-time role

Experienced Data Entry Specialist – Remote Opportunity with arenaflex

Work from home Full-time role

Information Security Intern

Work from home Full-time role

Experienced Part-Time Data Entry Specialist – Remote Opportunity with arenaflex

Work from home Full-time role

Senior Software Engineer - Data Integration & JVM Ecosystem

Work from home Full-time role

Junior Full Stack React/Node.js Developer

Work from home Full-time role

K-8 Math and ELA Tutor (8am-11am EST)

Work from home Full-time role

Experienced Customer Service Representative - Remote in EST: Unlock a Fulfilling Career with arenaflex

Work from home Full-time role

Experienced Work-from-Home Chat Assistant – Entry-Level, No Prior Experience Needed at arenaflex

Work from home Full-time role

Senior Manager, Implementation

Work from home Full-time role

VM Graphic Designer- Hybrid Seattle, WA

Work from home Full-time role