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Sedgwick · 4 days ago

Claims Representative - Liability - Naperville, IL - Hybrid

Naperville, IL

Full-time

Hybrid

Entry, Mid Level

$50K/yr - $60K/yr

2+ years exp

Sedgwick is a global industry leader in claims management services, known for its excellence and customer service. The Claims Representative will process low level general liability claims, ensuring ongoing adjudication and identifying subrogation of claims while negotiating settlements under general supervision.

BankingInsuranceRisk Management

Responsibilities

Processes low level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level

Develops and coordinates low level general liability claims' action plans to resolution, return-to-work efforts, and approves claim payments

Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract

Administers subrogation of claims and negotiates settlements

Communicates claim action with claimant and client

Ensures claim files are properly documented and claims coding is correct

May process low-level lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review

Maintains professional client relationships

Performs other duties as assigned

Supports the organization's quality program(s)

Travels as required

Qualification

Claims management experienceBachelor's degreeProfessional certificationEmpathyAccountabilityInclusionCollaborationGrowth

Required

Bachelor's degree from an accredited college or university preferred

Two (2) years of claims management experience or equivalent combination of education and experience required

Preferred

Professional certification as applicable to line of business preferred

Benefits

Flexible Work Schedule

Referral Incentive Program

Opportunity to work from home

Career development and promotional growth opportunities

A diverse and comprehensive benefits offering including medical, dental vision, 401K on day 1

Medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits