About The Position

The Claims Representative analyzes general liability, product liability, property damage, and bodily injury claims on behalf of clients to determine benefits due. The role ensures claims are adjudicated in line with service expectations, industry best practices, and client-specific service requirements. The position is remote and requires a home-state license; jurisdiction covers all states. Sedgwick describes a caring and collaborative culture, with flexibility and autonomy in daily work, opportunities for professional development and career growth, and a comprehensive benefits offering. The role calls for clear and conceptual thinking, sound judgment, problem-solving and analysis, discretion, and the ability to manage stress, multiple priorities, and deadlines.

Requirements

  • High school diploma or GED required.
  • At least 2 years of claims management experience, or an equivalent combination of education and experience, required.
  • Home-state license required.
  • Ability to think clearly and conceptually and exercise judgment, troubleshooting, problem-solving, analysis, and discretion.
  • Ability to handle work-related stress, manage multiple priorities simultaneously, and meet deadlines.
  • Computer keyboarding, hearing, vision, and talking are required.

Nice To Haves

  • Bachelor's degree from an accredited college or university preferred.
  • Professional certification applicable to the line of business preferred.

Responsibilities

  • Analyze and process claims using action plans to reach appropriate and timely resolutions, investigating and gathering 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 professionally and promptly to requests for direction.

Benefits

  • Flexible work schedule.
  • Referral incentive program.
  • Career development and promotional growth opportunities.
  • Medical, dental, and vision benefits.
  • 401(k) and matching, available on day one.
  • Paid time off (PTO).
  • Disability and life insurance.
  • Employee assistance program.
  • Flexible spending account or health savings account.
  • Additional voluntary benefits.
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