Claims Associate - Liability

Sedgwick; Naperville (IL); Hybrid; USD 65,000 - 70,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Career development opportunities

Comprehensive benefits package

Job summary

Sedgwick in Naperville, IL is seeking a Claims Associate - Liability to process low level general liability claims, determine benefits, and support subrogation under supervision.

You will collaborate with clients, manage claim files, and maintain documentation while delivering quality service and adhering to company standards. This role offers a hybrid work model with comprehensive benefits and career development opportunities.

Qualifications

• High School Diploma or GED required; Bachelor's degree preferred.
• Two years of claims management experience or equivalent.

Responsibilities

• Processes low level general liability claims by gathering information to determine liability exposure.
• Develops and coordinates action plans to resolution and return-to-work efforts.
• Approves and processes assigned claims and administers action plans.
• Administers subrogation of claims and negotiates settlements.
• Communicates claim action with claimant and client.
• Maintains proper documentation and claims coding.
• May process lifetime medical/defined period medical claims as applicable.
• Maintains professional client relationships.
• Performs other duties and supports quality programs.

Skills

Claims management

General liability

Customer service

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification (as applicable)

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.

• Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?
• Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations.
• Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
• Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights.
• Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
• Enjoy flexibility and autonomy in your daily work, your location, and your career path.
• Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

PRIMARY PURPOSE OF THE ROLE

To process low level general liability claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements with general supervision.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

• 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.
• Performs other duties as assigned, supports the organization's quality program(s), travels as required.

QUALIFICATIONS

• Education & Licensing: High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
• Experience: Two (2) years of claims management experience or equivalent combination of education and experience or successful completion of Claims Representative training required.

TAKING CARE OF YOU

• Flexible work schedule.
• Referral incentive program.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

WORK ENVIRONMENT REQUIREMENTS INCLUDE

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.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($65k-70k). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

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Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.