Liability Claims Associate

PRIMARY PURPOSE OF THE ROLE: To analyze reported lower-level workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices. OFFICE LOCATION/SCHEDULE Blue Ash, OH. Open to Hybrid after onboarding and training period. 37.5 hour work week. ARE YOU AN IDEAL CANDIDATE? We are looking for an enthusiastic candidate to fill a Liability Associate position. Ideal candidates will thrive in a collaborative team environment, show motivation and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused. ESSENTIAL RESPONSIBILITIES 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. QUALIFICATIONS Education & Licensing High school diploma or GED required. Skills Strong oral and written communication, computer literate – including Microsoft Office, organizational skills required. Experience Clerical or customer service experience or equivalent combination of education and 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 REQUIREMENTS INCLUDE 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. 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