Liability Claims Analyst - Hybrid, Growth & Impact

Sedgwick; Irving (TX); Hybrid; USD 40,000 - 52,000; Full time

Benefits offered by this job

Hybrid work model

Benefits package

Job summary

Sedgwick, a global leader in claims management, invites you to join as a Claims Associate - Liability (Hybrid). You will analyze lower-level liability claims to determine benefits due and support ongoing adjudication to company standards and industry best practices.

The hybrid schedule offers two days in the office and three days at home, with flexible work options. You’ll collaborate with claims teams, clients and medical contacts to ensure accurate processing, strong client service and timely

Qualifications

• High School Diploma or GED required.
• One year of general office experience or equivalent combination of education and experience required. Claims industry experience 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).

Education

High School Diploma or GED

Job description

Sedgwick, a global leader in claims management, invites you to join as a Claims Associate - Liability (Hybrid). You will analyze lower-level liability claims to determine benefits due and support ongoing adjudication to company standards and industry best practices.

The hybrid schedule offers two days in the office and three days at home, with flexible work options. You’ll collaborate with claims teams, clients and medical contacts to ensure accurate processing, strong client service and timely