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 & 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. Maintains professional client relationships. Additional Functions & Responsibilities Performs other duties as assigned. Supports the organization’s quality program(s). Qualifications Education & Licensing High school diploma or GED required. Licenses as required. Experience One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred. Skills & Knowledge Excellent oral and written communication skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Good interpersonal skills Ability to work in a team environment Ability to meet or exceed Performance Competencies Work Environment 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. When applicable and appropriate, consideration will be given to reasonable accommodations. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. #J-18808-Ljbffr Sedgwick