Hybrid Claims Representative – Liability, Bodily Injury

at Sedgwick

• Job title: Claims Representative – Liability, Bodily Injury
• Job type: Full Time
• Experience level: Junior, Mid level
• Salary: Not specified
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Des Moines, United States

About the role

• Claims Representative managing general liability claims for Sedgwick. Processing claims, ensuring compliance with regulations, and maintaining client relationships in a hybrid role.

Responsibilities

• Processes low level general liability claims by gathering information to determine liability exposure;
• assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.
• Develops and coordinates low level general liability claims' action plans to resolution, return-to-work efforts, and approves claim payments.
• Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract.
• Administers subrogation of claims and negotiates settlements.
• Communicates claim action with claimant and client.
• Ensures claim files are properly documented and claims coding is correct.
• May process low-level lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
• Maintains professional client relationships

Requirements

• Bachelor's degree from an accredited college or university preferred.
• Two (2) years of claims management experience or equivalent combination of education and experience or successful completion of Claims Representative training required.
• Bodily Injury experience preferred.
• Jurisdiction Knowledge: All states expect Alaska, Puerto Rico, Hawaii
• Licensing: licensing is required; TX or FL preferred or any license that can reciprocate.

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.