Remote Auto Liability Claims Specialist

Sedgwick; Helena (MT); Remote; USD 45,000 - 50,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development and promotional成长

Job summary

Sedgwick is seeking a Liability Claims Representative to analyze Auto Liability claims on behalf of our valued clients, determining benefits due and guiding adjudication to meet service expectations and client contracts.

This role supports a national client base from a remote work arrangement (US Telecommuter) with flexibility and opportunities for professional development, while maintaining strong client relationships and accurate claims processing.

Qualifications

• Education & Licensing: 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 claims by gathering information to determine liability exposure; assigns reserve values to claims, making payments, and settling claims up to designated authority.
• Develops and coordinates low level general liability claims actions to resolution, return-to-work efforts, and approves claim payments.
• Approves and processes assigned claims, determines benefits due, and administers action plan per the 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 including state/physician filings and utilization review decisions.
• Maintains professional client relationships.

Education

High School Diploma or GED

Bachelor's degree (preferred)

Professional certification (as applicable)

Job description

Sedgwick is seeking a Liability Claims Representative to analyze Auto Liability claims on behalf of our valued clients, determining benefits due and guiding adjudication to meet service expectations and client contracts.

This role supports a national client base from a remote work arrangement (US Telecommuter) with flexibility and opportunities for professional development, while maintaining strong client relationships and accurate claims processing.