Remote Auto Liability Claims Specialist

Sedgwick; Augusta (ME); Remote; USD 45,000 - 50,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development

Comprehensive benefits package

Job summary

Sedgwick is seeking a detail‑oriented Liability Claims Representative to analyze Auto Liability claims for clients, determine benefits due, and adjudicate within service standards. This role emphasizes accuracy, efficiency, and customer service within a global claims organization.

Join a leading risk and claims administration partner that offers flexible work arrangements, a broad development network, and opportunities to advance your career while helping clients navigate the unexpected.

Qualifications

• High School Diploma or GED required.
• Bachelor’s degree from an accredited college preferred.
• Professional certification as applicable to line of business.
• Jurisdiction knowledge: Nationwide.
• Licensing: Preferred.
• Experience: 2 years of claims management.

Responsibilities

• Processes low level general liability 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

Professional certification

Job description

Sedgwick is seeking a detail‑oriented Liability Claims Representative to analyze Auto Liability claims for clients, determine benefits due, and adjudicate within service standards. This role emphasizes accuracy, efficiency, and customer service within a global claims organization.

Join a leading risk and claims administration partner that offers flexible work arrangements, a broad development network, and opportunities to advance your career while helping clients navigate the unexpected.