Remote Auto Liability Claims Specialist

Sedgwick; Dover; Hybrid; GBP 34,000 - 37,000; Full time

Benefits offered by this job

Medical, dental, vision

401K on day one

PTO and other benefits

Job summary

Sedgwick is seeking an ambitious Liability Claims Representative for Auto Liability to adjudicate claims for our valued clients. The role emphasizes accurate determinations of benefits, adherence to client service requirements, and collaboration with a global network of experts.

You will work within a supportive environment that values empathy, accountability, and growth, with flexible scheduling and opportunities for professional development.

Qualifications

• High School Diploma or GED required.
• Bachelor's degree preferred.
• Professional certification as applicable to line of business preferred.
• 2 years of claims management experience or equivalent combination of education and experience required.
• Nationwide jurisdiction.
• Licensing: Preferred.

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.

Education

High School Diploma or GED

Bachelor's degree

Professional certification

Job description

Sedgwick is seeking an ambitious Liability Claims Representative for Auto Liability to adjudicate claims for our valued clients. The role emphasizes accurate determinations of benefits, adherence to client service requirements, and collaboration with a global network of experts.

You will work within a supportive environment that values empathy, accountability, and growth, with flexible scheduling and opportunities for professional development.