Claims Representative - Liability | GL | Jurisdiction: LA | Licensing: LA

About the role

Join Sedgwick, a global industry leader recognized by Fortune and Newsweek, to contribute to solving problems for some of the world’s best brands. As a representative, you’ll process low-level general liability claims, ensuring timely and accurate adjudication.

Responsibilities

• Processes low-level general liability claims by gathering information to determine liability exposure and assigning reserve values.
• Determines benefits due and administers action plans for claims up to designated authority level.
• Develops and coordinates low-level general liability claims’ action plans, including return-to-work efforts.
• Approves and processes assigned claims, identifies subrogation opportunities, and negotiates settlements.
• Communicates claim actions with claimants and clients, ensuring proper documentation and correct claims coding.
• Maintains professional client relationships and manages low-level lifetime and defined period medical claims, including state and physician filings.
• Supports the organization's quality programs and performs other duties as assigned.

Qualifications

• High School Diploma or GED required, with a Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.
• 2 years of claims management experience or equivalent combination of education and experience required.
• Licensing / Jurisdiction Knowledge: Knowledge of LA regulations is required.

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, and 401K on day one.

Work Environment

• 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, travel as required.
• Auditory/Visual: Hearing, vision, and talking.