About The Position
The Claims Associate analyzes liability claims on behalf of clients to determine benefits due and ensure claims are adjudicated within service expectations, industry best practices, and client-specific requirements. The role investigates claims, gathers information to assess exposure, develops action plans toward timely resolution, negotiates settlements within designated authority, communicates claim activity to claimants and clients, and reports claims to excess carriers while responding to requests for direction. The position is based at Sedgwick’s Plano, Texas office and is described as hybrid.
Requirements
- High school diploma or GED.
- At least 1 year of claims management experience, or an equivalent combination of education and experience.
- Multi-state jurisdiction knowledge covering 16 states.
Nice To Haves
- Bachelor’s degree from an accredited college or university.
- Professional certification applicable to the line of business.
- Texas license.
Responsibilities
- Analyze and process claims using well-developed action plans to reach an appropriate and timely resolution.
- Investigate claims and gather information to determine claim exposure.
- Negotiate claim settlements within designated authority.
- Communicate claim activity and processing with claimants and clients.
- Report claims to the excess carrier and respond to requests for direction professionally and promptly.
Benefits
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- Medical, dental, and vision benefits, and 401(k), available on day one.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
