Remote Auto Liability Claims Specialist

Sedgwick; Santa Fe (NM); Híbrido; USD 45.000 - 50.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Flexible work schedule

Referral incentive program

Career development and promotional增长

Descripción de la vacante

Sedgwick is seeking a Liability Claims Representative for Auto Liability to adjudicate claims for major clients with a focus on timely, accurate benefits determination. You will work within a supportive, growth-oriented environment, using advanced tools and a broad global network to deliver effective outcomes.

The role emphasizes claims analysis, customer service, and collaboration with clients, with a flexible schedule and opportunities for career development.

Formación

• 2 years of claims management experience or equivalent combination of education and experience.
• Nationwide jurisdiction knowledge.
• High School Diploma or GED required; Bachelor's degree preferred; Professional certification as applicable to line of business preferred.

Responsabilidades

• 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.

Conocimientos

Claims management experience

Nationwide jurisdiction

Educación

High School Diploma or GED

Bachelor's degree preferred

Professional certification where applicable

Descripción del empleo

Sedgwick is seeking a Liability Claims Representative for Auto Liability to adjudicate claims for major clients with a focus on timely, accurate benefits determination. You will work within a supportive, growth-oriented environment, using advanced tools and a broad global network to deliver effective outcomes.

The role emphasizes claims analysis, customer service, and collaboration with clients, with a flexible schedule and opportunities for career development.