Claims Specialist
5 days ago
Sedgwick is seeking a skilled Claims Representative to join our team. As a Claims Representative, you will play a critical role in processing low-level general liability claims, ensuring timely and accurate resolution, and providing exceptional customer service.
Key Responsibilities- Process low-level general liability claims, gathering information to determine liability exposure, assigning reserve values, and making claims payments as necessary.
- Develop and coordinate low-level general liability claims' action plans to resolution, return-to-work efforts, and approve claim payments.
- Administer subrogation of claims and negotiate settlements.
- Communicate claim action with claimants and clients.
- Ensure claim files are properly documented and claims coding is correct.
- Bachelor's degree from an accredited college or university preferred.
- Two (2) years of claims management experience or equivalent combination of education and experience or successful completion of Claims Representative training required.
- Developing knowledge of regulations, offsets, and deductions, disability duration, medical management practices, and Social Security and Medicare application procedure as applicable to line of business.
- Excellent oral and written communication, including presentation 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 Service Expectations.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. We offer a dynamic and inclusive work environment that values diversity and promotes career growth.
If you're a motivated and detail-oriented individual with a passion for claims management, we encourage you to apply for this exciting opportunity.
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