Claims Associate - Liability (Hybrid)

Sedgwick; San Francisco (CA); Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive

Career development

Benefits package

Job summary

Sedgwick in San Francisco is seeking a Claims Associate - Liability (Hybrid) to analyze lower-level liability claims, determine benefits due, and adjudicate within company standards. You will support a global leader known for excellence in customer service and a flexible career path.

This role offers hybrid work with 2 days in the office and 3 days remote, plus opportunities for professional development and a comprehensive benefits package.

Qualifications

• High School Diploma or GED required.
• One year of general office experience.
• Claims industry experience preferred.

Responsibilities

• Handles lower-level liability and/or physical damage claims under close supervision.
• Supports other claims staff with larger or more complex claims.
• Processes general liability claims, determines if compensable, and files documentation with state agencies.
• Communicates claim actions with claimants, clients and medical contacts.
• Ensures claim files are properly documented and coded.
• May process routine payments and status reports for medical claims.
• Maintains professional client relationships.
• Supports the organization’s quality program(s).

Skills

General office skills

Claims experience

Customer service

Education

High school diploma or GED

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 Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

Claims Associate - Liability (Hybrid)

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.

• 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.

WORK LOCATIONS: Hybrid, 2 days in office, 3 days work from home.

PRIMARY PURPOSE OF THE ROLE To analyze reported lower-level level liability claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

• 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.
• Performs other duties as assigned.Supports the organization’s quality program(s).

QUALIFICATIONS

Education & Licensing: High School Diploma or GED required. Professional certification as applicable to line of business preferred.

Experience: One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred

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

Sedgwickis an Equal Opportunity Employer and a Drug-Free Workplace.