Liability Claims Associate | Remote | NY or Hawaii License preferred
Sedgwick
Kansas City, MO (In Person)
$49,920 Salary, Full-Time
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Job Description
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 analyze reported lower-level level general liability claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices.
ESSENTIAL
FUNCTIONS andRESPONSIBILITIES
- 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 andRESPONSIBILITIES
- + 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:
NationwideLicensing:
NY or HI licensing preferredTAKING CARE OF YOU
- + Flexible work schedule.
- 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.
- sedgwick.com
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