Claims Associate - Liability

Claims Associate - Liability 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 Handle lower-level liability and/or physical damage claims under close supervision. Support other claims representatives, examiners, and leads with larger or more complex claims as necessary. Process general liability claims determining compensability and benefits due; monitor reserve accuracy and file necessary documentation with state agencies. Communicate claim action/processing with claimant, client, and appropriate medical contact. Ensure claim files are properly documented and claims coding is correct. Process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims. Perform other duties as assigned. Support the organization's quality program(s). Qualifications Education & Licensing: High school diploma or GED required. Experience: One (1) year of general office experience or equivalent combination of education and experience required; claims industry experience preferred. Benefits Flexible work schedule. Referral incentive program. Career development and promotional growth opportunities. Diverse and comprehensive benefits offering including medical, dental, vision, and 401(k) on day one. Work Environment When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment 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. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. #J-18808-Ljbffr Sedgwick Claims Management Services Ltd