Liability Claims Associate | Blue Ash, OH - Hybrid

Sedgwick Claims Management Services, Inc.

Blue Ash, OH

JOB DETAILS
SKILLS
Adjudication, Analysis Skills, Auditory, Best Practices, Claims Management, Claims Processing, Computer Skills, Customer Relations, Customer Support/Service, Develop and Maintain Customers, Documentation, Environmental Regulations, Financial Services, Identify Issues, Incentive Programs, Industry Standards, Insurance, Medical Office, Microsoft Office, Multitasking, Organizational Skills, Prescription Drugs, Presentation/Verbal Skills, Problem Solving Skills, Status Reports, Team Player, Time Management, Worker's Compensation, Writing Skills
LOCATION
Blue Ash, OH
POSTED
11 days ago

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

Liability Claims Associate | Blue Ash, OH - Hybrid

Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career?

  • A stable and consistent work environment in an office setting
  • Career development and promotional growth opportunities through increasing responsibilities
  • A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs

PRIMARY PURPOSE OF THE ROLE: To analyze reported lower-level workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices.

OFFICE LOCATION/SCHEDULE

Blue Ash, OH

Open to Hybrid after onboarding and training period

37.5 hour work week

ARE YOU AN IDEAL CANDIDATE? We are looking for an enthusiastic candidate to fill a Liability Associate position. Ideal candidates will thrive in a collaborative team environment, show motivation and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused.

ESSENTIAL RESPONSIBILITIES MAY INCLUDE

  • Handles lower-level liability and/or physical damage claims under close supervision.

  • Supports other claims representatives, examiners and leads with larger or more complex claims as necessary.

  • Processes general liability claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency.

  • Communicates claim action/processing with claimant, client and appropriate medical contact.

  • Ensures claim files are properly documented and claims coding is correct.

  • May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims.

  • Maintains professional client relationships.

QUALIFICATIONS

  • Education & Licensing: High school diploma or GED required

  • Skills: Strong oral and written communication, computer literate - including Microsoft Office, organizational skills required

  • Experience: Clerical or customer service experience, experience in medical office preferred or equivalent combination of education and experience preferred

TAKING CARE OF YOU

  • Flexible work schedule.

  • Referral incentive program.

  • Career development and promotional growth opportunities.

  • A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

WORK ENVIRONMENT REQUIREMENTS INCLUDE

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical: Computer keyboarding

Auditory/Visual: Hearing, vision and talking

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Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

About the Company

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Sedgwick Claims Management Services, Inc.

Sedgwick Claims Management Services, Inc., is a leading global provider of technology-enabled risk and benefits solutions. At Sedgwick, caring countsSM; the company takes care of people and organizations by delivering cost-effective claims, productivity, managed care, risk consulting and other services through the dedication and expertise of nearly 15,000 colleagues in some 275 offices located in the U.S., Canada, the U.K and Ireland. Sedgwick facilitates financial and personal health and helps customers and consumers navigate complexity by designing and implementing customized programs based on proven practices and advanced technology that exceed expectations. Sedgwick’s majority shareholder is KKR; Stone Point Capital LLC, La Caisse de dépôt et placement du Québec (CDPQ) and other management investors are minority shareholders.

COMPANY SIZE
10,000 employees or more
INDUSTRY
Management Consulting Services
EMPLOYEE BENEFITS
Paid Sick Days, Performance Bonus, Professional Development, 401K, Employee Referral Program, Retirement / Pension Plans, Tuition Reimbursement, Work From Home, Life Insurance, Military Leave
FOUNDED
1969
WEBSITE
https://www.sedgwick.com/Pages/default.aspx