Liability Claims Associate | Remote | NY or Hawaii License preferred
Liability Claims Associate (Remote) – NY or HI License Preferred
Join our team as a Liability Claims Associate. You will analyze general liability claims, determine benefits due, and ensure claims are adjudicated within company standards and industry best practices.
Ideal Candidate
We are looking for driven individuals that embody our caring counts model and core values of empathy, accountability, collaboration, growth, and inclusion.
Primary Purpose
To analyze reported lower-level general liability claims to determine benefits due and to ensure ongoing adjudication of claims within company standards and industry best practices.
Essential Functions and Responsibilities
Handles lower-level liability and/or physical damage claims under close supervision.
Supports other claims representatives, examiners and leads with larger or more complex claims as necessary.
Processes general liability claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency.
Communicates claim action/processing with claimant, client and appropriate medical contact.
Ensures claim files are properly documented and claims coding is correct.
May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims.
Maintains professional client relationships.
Additional Functions and Responsibilities
Performs other duties as assigned.
Supports the organization's quality program(s).
Travels as required.
Qualifications
Education & Licensing: High school diploma or GED required. Licenses as required.
Experience: One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred.
Jurisdictions: Nationwide
Licensing: NY or HI licensing preferred
Benefits
Flexible work schedule.
Referral incentive program.
Career development and promotional growth opportunities.
Diverse and comprehensive benefits offering including medical, dental, vision, 401K on day one.
The starting pay range for this role is $23.00–$25.00 per hour. A comprehensive benefits package includes medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other voluntary benefits.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
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