Claims Representative l Liability l Phoenix, AZ l Hybrid jobs in United States
cer-icon
Apply on Employer Site
company-logo

Sedgwick · 12 hours ago

Claims Representative l Liability l Phoenix, AZ l Hybrid

Sedgwick is a global industry leader known for its excellence and customer service, seeking a Claims Representative to process low level general liability claims. The role involves determining benefits due, ensuring ongoing adjudication of claims, and 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 degreeNegotiation skillsEmpathyAccountabilityInclusionCollaborationGrowth

Required

Two (2) years of claims management experience or equivalent combination of education and experience or successful completion of Claims Representative training

Preferred

Bachelor's degree from an accredited college or university

Benefits

Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

Company

Sedgwick

company-logo
Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected.

Funding

Current Stage
Late Stage
Total Funding
$1.5B
Key Investors
Altas PartnersLa Caisse
2024-09-12Private Equity· $1B
2018-12-01Private Equity
2018-09-12Acquired

Leadership Team

leader-logo
Michael Arbour
Chairman & Chief Executive Officer
linkedin
leader-logo
Kalani Reelitz
Global Chief Financial Officer
linkedin
Company data provided by crunchbase