Claims Associate - Liability

Sedgwick; Atlanta (GA); On-site; USD 42,000 - 56,000; Full time

Job summary

Sedgwick Claims Management Services Ltd seeks a Claims Associate to analyze reported lower-level general liability claims and ensure ongoing adjudication within company standards. You will support other claims staff and process routine payments while maintaining strong client relationships.

The role requires a high school diploma or GED, one year of office experience, and solid communication skills. A team-oriented, detail-focused mindset is essential for success.

Qualifications

• High school diploma or GED required.
• Licenses as required.
• 1 year of general office experience preferred.
• Proficient in Microsoft Office suite.

Responsibilities

• Analyzes reported lower-level liability and/ or physical damage claims to determine benefits due.
• 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; 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.
• Performs other duties as assigned; supports the organization's quality program(s).

Skills

Excellent oral and written comms

Analytical and interpretive skills

Strong organizational skills

Good interpersonal skills

Teamwork ability

Education

High school diploma or GED

Tools

Microsoft Office

Job description

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 CompaniesCertified as a Great Place to WorkFortune Best Workplaces in Financial Services & InsuranceClaims Associate - LiabilityPRIMARY 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).QUALIFICATIONEducation & LicensingHigh school diploma or GED required. Licenses as required.ExperienceOne (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 CompetenciesWORK ENVIRONMENTWhen 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 deadlinesPhysical: Computer keyboarding, travel as requiredAuditory/Visual: Hearing, vision and talking.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.