Analyze reported lower - level general liability claims for Sedgwick. Ensure ongoing adjudication of claims within company standards and industry best practices while working in a hybrid schedule.
About the role
- Claims Associate analyzing reported general liability claims determining benefits due. Working under supervision and maintaining professional relationships with clients in a hybrid role.
Responsibilities
- Analyze reported lower-level general liability claims to determine benefits due
- 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
- Perform other duties as assigned
Requirements
- 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
- medical
- dental
- vision
- 401k and matching
- PTO
- disability and life insurance
- employee assistance
- flexible spending or health savings account
- other additional voluntary benefits
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