Remote Auto Liability Claims Specialist

Sedgwick; Salem (OR); Hybride; USD 45 000 - 50 000; Plein temps

Avantages offerts par ce poste

Flexible work schedule

Referral incentive program

Career development

Medical, dental, vision

Résumé du poste

Sedgwick is seeking a Liability Claims Representative to analyze Auto Liability claims for major clients across the country. You will determine benefits due, adjudicate claims within service expectations, and coordinate with clients and claimants to resolve cases efficiently.

The role emphasizes independence, professional development, and a collaborative culture. A background in auto liability, strong communication, and problem-solving skills will help you thrive in Sedgwick’s flexible, hybrid

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.
• Experience: 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.
• 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

Auto liability knowledge

Customer service

Communication skills

Claims adjudication

Problem solving

Formation

High School Diploma or GED

Bachelor's degree preferred

Professional licensing preferred

Description du poste

Sedgwick is seeking a Liability Claims Representative to analyze Auto Liability claims for major clients across the country. You will determine benefits due, adjudicate claims within service expectations, and coordinate with clients and claimants to resolve cases efficiently.

The role emphasizes independence, professional development, and a collaborative culture. A background in auto liability, strong communication, and problem-solving skills will help you thrive in Sedgwick’s flexible, hybrid