Claims Representative - Liability | General Liability | Multi State Jurisdiction | Licensing: Reciprocal

Position: Claims Representative -  Liability | General Liability | Multi State Jurisdiction | Licensing: Reciprocal Required -
By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

Claims Representative
- Liability | General Liability | Multi State Jurisdiction | Licensing:
Reciprocal Required
- Remote

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?

+ Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.

** ARE YOU AN IDEAL CANDIDATE?
** We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

** PRIMARY

PURPOSE:

** To process low level general/product liability claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements with general supervision.

** ESSENTIAL FUNCTIONS and RESPONSIBILITIES*
* + Processes low level general/product 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.

+ Performs other duties as assigned.

+ Supports the organization's quality program(s).

+ Travels as required.

** QUALIFICATIONS*
* ** Education & Licensing** :
Bachelor's degree from an accredited college or university preferred.

** Experience** : 2 years of Liability claims management experience or equivalent combination of education and experience required.

** Jurisdiction:
Multi State*
* ** Licensing:
Required, NY and Hawaii preferred*
* ** TAKING CARE OF YOU*
* + Flexible work schedule.

+ Referral incentive program.

+

Career development and promotional growth opportunities.

+ A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

** WORK ENVIRONMENT*
* When applicable and appropriate, consideration will be given to reasonable accommodations.

** Mental:
** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

** Physical:
** Computer keyboarding, travel as required

** Auditory/Visual**  **:
** Hearing, vision and talking

_As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (45,027.

USD Annual_  
** _)_
** _. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

** If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.*
* ** Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits…