Analyze reported lower-level general liability claims for Sedgwick. Ensure ongoing adjudication of claims within company standards and industry best practices while working in a hybrid schedule.
Responsibilities
Analyze reported lower-level general liability claims to determine benefits due
Handle lower-level liability and/or physical damage claims under close supervision.
Process general liability claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency.
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.
Maintain professional client relationships.
Requirements
One (1) year of customer service experience or equivalent combination of education and experience required.
Claims industry experience preferred.
Medical Background a plus
High school diploma or GED required.
Licenses as required.
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
Benefits
Hybrid schedule - 2 days in-office/3 work from home after 60-day training period
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