Remote Auto Liability Claims Specialist

Sedgwick; Montpelier (VT); Hybrid; USD 45,000 - 50,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development and growth

Benefits package including medical,  d

401K on day one

Job summary

Sedgwick is hiring for an Auto Liability Claims Analyst to adjudicate claims on behalf of clients, analyzing benefits due while meeting service expectations. The role supports a hybrid work model with opportunities for growth within a global leader in claims management.

The ideal candidate will have 2 years of claims management experience, a high school diploma or GED, and may hold a bachelor's degree or professional certifications. Sedgwick emphasizes care, culture, and career development.

Qualifications

• High School Diploma or GED is 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 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

HS Diploma or GED

Bachelor's degree preferred

Professional certification

Job description

Sedgwick is hiring for an Auto Liability Claims Analyst to adjudicate claims on behalf of clients, analyzing benefits due while meeting service expectations. The role supports a hybrid work model with opportunities for growth within a global leader in claims management.

The ideal candidate will have 2 years of claims management experience, a high school diploma or GED, and may hold a bachelor's degree or professional certifications. Sedgwick emphasizes care, culture, and career development.