Claims Associate Consumer

Sedgwick•Seven Hills, OH

About The Position

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance. PRIMARY PURPOSE : To process claims and determine benefits due pursuant to credit card or other financial program benefits plans; to make timely payments and adjustments for specified program claims; and to provide superior customer service.

Requirements

High school diploma or GED required.
Licenses as required or willingness/ability to move toward obtaining appropriate licensing as required.
One (1) year of general office experience or equivalent combination of education and experience required.
Knowledge of first party property and casualty claim adjudication as applicable to line of business
Good oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Analytical and interpretive skills
Good organizational skills
Good interpersonal skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies
Credit security clearance, confirmed via a background credit check, is required for this position.

Nice To Haves

Claims industry experience preferred.

Responsibilities

Processes first party property claims based on basic coverage as defined by client-specific program.
Makes coverage determinations based on investigation/evaluation.
Adjudicates proper settlement or denials up to designated authority level.
Handles high volume of claims, phone calls and correspondence ensuring claim files are properly documented; meets quality and production goals; and meets customer guidelines and deadlines.
Performs other duties as assigned.
Supports the organization's quality program(s).