• Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.  

• Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.  

• Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.  

• Enjoy flexibility and autonomy in your daily work, your location, and your career path.   

• Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.  

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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.  

WORK LOCATIONS: Hybrid, 2 days in office, 3 days work from home.

PRIMARY PURPOSE OF THE ROLE To analyze reported lower-level level liability claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

• 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.

• Performs other duties as assigned.

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

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QUALIFICATIONS 

Education & Licensing: High School Diploma or GED required. Professional certification as applicable to line of business preferred. 

Experience: One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience 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. 

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