Remote Auto Liability Claims Specialist

Sedgwick; Jackson (MS); À distance; USD 45 000 - 50 000; Plein temps

Avantages offerts par ce poste

Flexible work schedule

Referral incentive program

Career development and growth

Comprehensive benefits

Résumé du poste

Sedgwick, a global leader in claims solutions, seeks an experienced Liability Claims Representative for Auto Liability. You will analyze auto liability claims for clients, determine benefits due, and adjudicate within client service requirements, with emphasis on accuracy and timely resolution.

We offer flexible work arrangements, professional development, and a comprehensive benefits package. A Nationwide license is preferred; 2 years claims experience required; HS diploma or GED required;

Qualifications

• Education: High School Diploma or GED required; Bachelor's degree preferred.
• 2 years of claims management experience or equivalent combination of education and experience required.
• Jurisdiction Knowledge: Nationwide; Licensing: Preferred.

Responsabilités

• 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.

Connaissances

Claims management

Formation

High School Diploma or GED

Bachelor's degree preferred

Professional certification as applicable to line of business

Description du poste

Sedgwick, a global leader in claims solutions, seeks an experienced Liability Claims Representative for Auto Liability. You will analyze auto liability claims for clients, determine benefits due, and adjudicate within client service requirements, with emphasis on accuracy and timely resolution.

We offer flexible work arrangements, professional development, and a comprehensive benefits package. A Nationwide license is preferred; 2 years claims experience required; HS diploma or GED required;