Claims Representative - Liability | BI & GL | Jurisdiction: Multi State | Licensing: Reciprocal[...]

Claims Representative - Liability | BI & GL | Jurisdiction: Multi State | Licensing: Reciprocal preferred - Remote PRIMARY PURPOSE To process low level general liability and bodily injury 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 liability and bodily injury 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 and bodily injury 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. Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. QUALIFICATIONS Education & Licensing : High school diploma or GED; Licenses as required Experience : Two (2) years of claims management experience or equivalent combination of education and experience or successful completion of Sedgwick's Industry Advancement Program Claims Representative training* required. 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. NOTE : Credit security clearance, confirmed via a background credit check, is required for this position. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. #J-18808-Ljbffr