Remote Auto Liability Claims Specialist

Sedgwick; Richmond (VA); 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

Diverse benefits: medical, dental, vis

Job summary

Sedgwick is hiring for a US Telecommuter role in auto liability claims. You will adjudicate claims, determine benefits, and maintain client relationships from a remote/home office with nationwide jurisdiction.

The ideal candidate has at least 2 years of claims management experience, a high school diploma or GED, and preferably a Bachelor's degree with relevant certifications. Sedgwick offers flexible scheduling and a broad benefits package.

Qualifications

• Education & Licensing: High School Diploma or GED required. Bachelor's degree from an accredited college or university 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.

Skills

Auto liability knowledge

Claims management experience

Client communications

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification where applicable

Job description

Sedgwick is hiring for a US Telecommuter role in auto liability claims. You will adjudicate claims, determine benefits, and maintain client relationships from a remote/home office with nationwide jurisdiction.

The ideal candidate has at least 2 years of claims management experience, a high school diploma or GED, and preferably a Bachelor's degree with relevant certifications. Sedgwick offers flexible scheduling and a broad benefits package.