Med Claims Associate — Hybrid Growth Path

Sedgwick; Texas; Hybrid; USD 26,000 - 39,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

401K on day one

Job summary

Sedgwick is hiring for a Claims Associate - Med Only | Dedicated Client, located in a hybrid Texas setting. You will analyze medical-only claims and determine benefits due, while ensuring adjudication aligns with client service requirements.

Ideal candidates have 2 years of claims management experience, a high school diploma (or GED), and a preference for a bachelor’s degree. Sedgwick offers strong development opportunities and comprehensive benefits.

Qualifications

• Education: High School Diploma or GED required; Bachelor’s degree preferred; Professional certification as applicable to line of business preferred.
• Experience: 2 years of claims management experience or equivalent combination of education and experience.
• Licensing: Jurisdiction knowledge: Southeast and Northeast states.
• Location: Southeast and Northeast jurisdictions considered for claims handling.

Responsibilities

• Analyzing and processing claims to determine exposure and timely resolution.
• Negotiating settlement within designated authority.
• Communicating claim activity and processing with claimant and client.
• Reporting claims to excess carrier and responding to directions professionally.

Skills

Analytical thinking

Communication skills

Empathy & collaboration

Education

High School Diploma or GED

Bachelor’s degree preferred

Professional certification (line of business) preferred

Job description

Sedgwick is hiring for a Claims Associate - Med Only | Dedicated Client, located in a hybrid Texas setting. You will analyze medical-only claims and determine benefits due, while ensuring adjudication aligns with client service requirements.

Ideal candidates have 2 years of claims management experience, a high school diploma (or GED), and a preference for a bachelor’s degree. Sedgwick offers strong development opportunities and comprehensive benefits.