Claims Associate - Liability

Sedgwick; Georgia; On-site; USD 42,000 - 60,000; Full time

Job summary

Sedgwick is hiring a Claims Associate - Liability to analyze reported lower-level liability claims and ensure adjudication aligns with standards. You will support colleagues on larger claims, monitor reserves, and communicate with claimants and clients.

The role emphasizes strong communication, organization, and teamwork, with opportunities to grow within a caring, balanced work environment.

Qualifications

• High school diploma or GED required.
• 1 year of general office experience; claims industry preferred.
• Strong verbal and written communication skills.
• Proficiency in Microsoft Office and PC literacy.
• Ability to work in a team and meet deadlines.

Responsibilities

• Analyze lower-level general liability and/or physical damage claims under close supervision.
• Support other claims representatives with larger or more complex claims as needed.
• Process claims to determine compensability and benefits due; monitor reserves and file required documents.
• Communicate claim actions with claimants, clients, and medical contacts.
• Ensure claims are well-documented and properly coded; maintain client relationships.

Skills

Communication

Written communication

Analytical thinking

Organizational skills

Interpersonal skills

Team collaboration

Performance competencies

Education

High school diploma or GED

Tools

Microsoft Office

Job description

Claims Associate - Liability

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 Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

PRIMARY 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).

QUALIFICATION

Education & Licensing

High school diploma or GED required. Licenses as required.

Experience

One (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 Competencies

WORK ENVIRONMENT

When 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 deadlines

Physical:

Computer keyboarding, travel as required

Auditory/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.