Claims Associate - Liability

Sedgwick Claims Management Services Ltd; Georgia; Remote; USD 42,000 - 64,000; Full time

Job summary

Sedgwick Claims Management Services Ltd is seeking a Claims Associate - Liability to analyze lower-level liability claims and determine benefits due, under supervision. This telecommuter role is based in Georgia and involves handling claims processing, documentation, and client communication.

The ideal candidate has a high school diploma or GED, one year of general office experience, and strong communication, analytical, and organizational skills.

Qualifications

• High school diploma or GED required; licenses as required.
• One year of general office experience or equivalent; claims industry experience preferred.
• Excellent oral and written communication, strong organizational and interpersonal skills, and ability to work in a team.

Responsibilities

• Analyze lower-level liability and/or general liability claims to determine benefits due.
• Process routine payments and prepare status reports for claims.
• Support other claims representatives, examiners and leads with larger or more complex claims.
• Communicate claim actions with claimants, clients and medical contacts.
• Ensure claims files are properly documented and claims coding is correct.
• Maintain professional client relationships and contribute to quality programs.

Skills

Oral communication

Written communication

Teamwork

Interpersonal skills

Analytical skills

Organizational skills

Meeting deadlines

Education

High school diploma or GED

Tools

Microsoft Office

Job description

## Claims Associate - LiabilityApply: Telecommuter GA: Posted Today: R80361By 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 - Liability**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.