Liability Claims Representative | Dedicated Client | PD/1st Party Auto | East Coast Jurisdiction | Licensing preferred
About The Position
Processes low-level property damage and first-party auto liability claims to determine benefits due, ensure ongoing adjudication within company standards and industry best practices, identify subrogation opportunities, and negotiate settlements with general supervision. The role is dedicated to a client and covers East Coast jurisdictions, including New Jersey, Pennsylvania, and Florida. The position is hybrid in Marlton, New Jersey, with two days in the office for employees within commuting distance; it is remote for employees outside commuting distance. Sedgwick describes a flexible work schedule, career development and promotional growth opportunities, and a comprehensive benefits package.
Requirements
- High school diploma or GED required.
- Two years of claims management experience, or an equivalent combination of education and experience, required.
- Jurisdiction knowledge of East Coast states, specifically New Jersey, Pennsylvania, and Florida.
Nice To Haves
- Bachelor's degree from an accredited college or university preferred.
- Professional certification applicable to the line of business preferred.
- Home-state licensing preferred.
Responsibilities
- Process low-level general liability claims by gathering information to determine liability exposure.
- Assign reserve values, make claim payments as necessary, and settle claims up to the designated authority level.
- Develop and coordinate claim action plans through resolution, return-to-work efforts, and approval of claim payments.
- Approve and process assigned claims, determine benefits due, and administer action plans pursuant to the claim or client contract.
- Administer claim subrogation and negotiate settlements.
- Communicate claim actions with claimants and clients.
- Ensure claim files are properly documented and claims coding is correct.
- When applicable, process low-level lifetime medical or defined-period medical claims, including state and physician filings and decisions about treatments recommended by utilization review.
- Maintain professional client relationships.
Benefits
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- Medical, dental, and vision coverage.
- 401(k) and matching.
- Paid time off.
- Disability and life insurance.
- Employee assistance program.
- Flexible spending account or health savings account.
- Additional voluntary benefits.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
