Claims Adjuster handling commercial claims for an innovative insurance startup utilizing real - time data. Collaborating with a global team and driving successful claims outcomes in a high - growth environment.
About the role
- 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.
Responsibilities
- Analyze reported lower-level general liability claims to determine benefits due
- Handle lower-level liability and/or physical damage claims under close supervision.
- Process general liability claims determining compensability and benefits due; monitors reserve accuracy, and files 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.
- Process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims.
- Maintain professional client relationships.
Requirements
- One (1) year of customer service experience or equivalent combination of education and experience required.
- Claims industry experience preferred.
- Medical Background a plus
- High school diploma or GED required.
- Licenses as required.
- 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
Benefits
- Hybrid schedule - 2 days in-office/3 work from home after 60-day training period
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
Claims Adjuster managing mid - and higher - level general liability claims for a global industry leader. Assessing liability, negotiating settlements, and maintaining professional client relationships.
Claims Processor assessing and logging drug requests for Canada Life in a fast - paced environment. Requires strong time management and organizational skills with a focus on customer service.
Senior Complex Claims Specialist at Hiscox optimizing claims handling and strategies for Construction Defect and Property Damage. Collaborating with legal teams and ensuring effective claims resolution processes.
Senior level Complex Claims Specialist at Hiscox adjudicating General Liability claims. Focused on early settlements and litigation management with a commitment to superior customer service.
Field Claims Representative at Auto - Owners handling insurance claims throughout Iowa. Responsibilities include investigation, evaluation, and resolution of claims in the property and casualty segment.
Field Claims Adjuster managing claims and ensuring business development opportunities for ClaimsPro in a hybrid environment. Providing high - level customer service and adjusting claims in Lloydminster area.
Internal Property Claims Adjuster assisting customers with home insurance claims. Investigating and managing claims for personal and commercial lines within a supportive team environment.
Claims Adjuster II focusing on home insurance claims while supporting customers through complex situations. Join a hybrid team dedicated to helping people recover from unexpected events.
Analista de Sinistros RE Junior managing transport claims analysis for Tokio Marine, offering diverse employee benefits and opportunities.