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 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. Performs other duties as assigned. Supports the organization's quality program(s). Qualifications High school diploma or GED required. 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. 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