Claims Representative - Liability | GL & BI | Multi State Jurisdiction | Licensing: Home State Required (Hybrid

Sedgwick; Phoenix (AZ); Hybrid; USD 60,000 - 70,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Career development

Medical insurance

Dental insurance

Vision insurance

401K on day one

PTO

Disability insurance

Life insurance

Employee assistance

HSA/ Flexible spending

Job summary

Sedgwick is seeking a Claims Representative to analyze mid- to high-level liability claims (GL & BI) across multi-state jurisdictions. The role focuses on determining benefits, adjudicating claims to standards, and subrogation where applicable, with an emphasis on accurate settlements.

The position supports a hybrid work model in a dynamic, client-focused environment and offers comprehensive benefits and professional growth opportunities within a global leader in claims services.

Qualifications

• High School Diploma or GED required; Bachelor’s degree preferred; professional certification as applicable to line of business.
• 2 years of claims management experience or equivalent combination of education and experience.
• Licensing: Home State required; Jurisdiction: Multi State.

Responsibilities

• Analyze and process mid- and higher-level liability claims to determine benefits due and adjudicate within company standards.
• Negotiate settlements within designated authority.
• Communicate claim activity with claimants and clients.
• Document and report claims to excess carriers and respond to directions professionally.

Skills

Claims management

Negotiation

Communication

Education

High School Diploma or GED

Bachelor’s degree preferred

Professional certification (as applicable)

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 Representative - Liability | GL & BI | Multi State Jurisdiction | Licensing: Home State Required (Hybrid

Are you lookingfor 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 analyze mid- and higher-level general and bodily injury 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.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to requestsofdirections in a professional and timely manner.

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:2years of claims management experience or equivalent combination of education and experience required.

Licensing: Home State required

Jurisdiction Knowledge:Multi State

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($60k-$70k).

• medical
• dental
• vision
• 401k and matching
• PTO
• disability and life insurance
• employee assistance
• flexible spending or health savings account
• other additional voluntary benefits

#claimsexaminer#claims #hybrid#LI-REMOTE

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