Liability Claims Analyst — Hybrid

Sedgwick Claims Management Services Ltd; Frisco (TX); Hybrid; USD 52,000 - 68,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive

Career development

Comprehensive benefits

Job summary

Sedgwick Claims Management Services Ltd in Frisco, TX is seeking a Claims Associate - Liability for a hybrid role. You will analyze reported liability claims to determine benefits due and ensure ongoing adjudication according to company standards and industry best practices.

The role requires a high school diploma or GED and about 1 year of general office experience, with claims industry experience preferred. Flexible schedule and opportunities for growth are highlighted in the program.

Qualifications

• High School Diploma or GED required.
• 1 year of general office experience or equivalent.
• Claims industry experience preferred.
• Professional certification as applicable to line of business preferred.

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

Skills

Analytical thinking

Problem solving

Attention to detail

Communication

Education

High School Diploma or GED

Job description

Sedgwick Claims Management Services Ltd in Frisco, TX is seeking a Claims Associate - Liability for a hybrid role. You will analyze reported liability claims to determine benefits due and ensure ongoing adjudication according to company standards and industry best practices.

The role requires a high school diploma or GED and about 1 year of general office experience, with claims industry experience preferred. Flexible schedule and opportunities for growth are highlighted in the program.