Hybrid/Remote Claims Specialist – General Liability & Auto PD

Sedgwick; Erie (Erie County); Hybrid; USD 50,000 - 60,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development opportunities

Benefits: medical, dental, vision, 401

PTO and life insurance

Job summary

Sedgwick is hiring a Claims Representative - General Liability & Auto PD to process low‑level commercial general liability and auto liability/PD claims. You’ll adjudicate claims within company standards, determine benefits due, and negotiate settlements under supervision.

Ideal candidates have a high school diploma or GED, 2 years of claims experience, and NJ/PA/FL knowledge. The role offers a hybrid schedule in Marlton, NJ with remote options if commuting isn’t feasible.

Qualifications

• High School Diploma or GED required.
• Bachelor's degree preferred.
• Professional certification as applicable to line of business preferred.

Responsibilities

• Processes low level general liability and auto 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.

Education

High School Diploma or GED

Bachelor's degree (preferred)

Professional certification (as applicable to line of business)

Job description

Sedgwick is hiring a Claims Representative - General Liability & Auto PD to process low‑level commercial general liability and auto liability/PD claims. You’ll adjudicate claims within company standards, determine benefits due, and negotiate settlements under supervision.

Ideal candidates have a high school diploma or GED, 2 years of claims experience, and NJ/PA/FL knowledge. The role offers a hybrid schedule in Marlton, NJ with remote options if commuting isn’t feasible.