Remote Auto Liability Claims Specialist

Sedgwick; Juneau (AK); Hybrid; USD 45,000 - 50,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development opportunities

Comprehensive benefits (medical, 401k,

PTO and life insurance

Job summary

Sedgwick is seeking a Liability Claims Representative specializing in Auto Liability to adjudicate complex customer claims and deliver client-focused solutions. This role emphasizes growth within a globally recognized risk and claims administration partner with a flexible work approach.

You will work with a broad network of experts, handling claim assessment, negotiations, and customer communications while supporting lifelong professional development and a diverse benefits program.

Qualifications

• 2 years of claims management experience or equivalent combination of education and experience required.

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.

Skills

Claims management

Customer service

Education

High school diploma or GED

Bachelor’s degree (preferred)

Professional certification (where applicable)

Job description

Sedgwick is seeking a Liability Claims Representative specializing in Auto Liability to adjudicate complex customer claims and deliver client-focused solutions. This role emphasizes growth within a globally recognized risk and claims administration partner with a flexible work approach.

You will work with a broad network of experts, handling claim assessment, negotiations, and customer communications while supporting lifelong professional development and a diverse benefits program.