Liability Claims Representative, Auto Liability

atSedgwickRemoteUS flagNew JerseyFull-timeClaims SpecialistJuniorMid-level$45k – $50k/year

Posted 6 days ago

This is a fully remote position, open to applicants in New Jersey.

πŸ“‹ Description

β€’ Evaluate Auto Liability claims on behalf of esteemed clients to ascertain the benefits owed.

β€’ Ensure continuous adjudication of claims aligns with service expectations, industry best practices, and specific client service criteria.

β€’ Process basic general liability claims by collecting information to assess liability exposure.

β€’ Assign reserve amounts, issue claims payments, and settle claims within the designated authority limits.

β€’ Create and coordinate claims action plans leading to resolution and return-to-work initiatives.

β€’ Authorize and manage assigned claims while administering action plans in accordance with claims or client agreements.

β€’ Oversee subrogation of claims and negotiate settlements.

β€’ Communicate claim-related actions with claimants and clients effectively.

β€’ Ensure that claim files are accurately documented and that claims coding is precise.

β€’ Process applicable lifetime medical or defined-period medical claims, including state and physician filings, as well as treatment decisions.

β€’ Maintain professional relationships with clients.


⛳️ Requirements

β€’ High School Diploma or GED is mandatory.

β€’ A Bachelor's degree from an accredited institution is preferred.

β€’ Professional certification relevant to the line of business is preferred.

β€’ A minimum of 2 years of claims management experience or an equivalent combination of education and experience is required.

β€’ Knowledge and experience in Auto Liability claims are essential.

β€’ Understanding of nationwide jurisdiction is necessary.

β€’ Licensing is preferred.

β€’ Ability to think clearly and conceptually.

β€’ Excellent judgment, troubleshooting, problem-solving, analytical skills, and discretion are required.

β€’ Capability to manage work-related stress effectively.

β€’ Ability to juggle multiple priorities simultaneously.

β€’ Capacity to meet deadlines consistently.

β€’ Proficient in computer keyboarding.

β€’ Ability to hear, see, and communicate verbally.


🏝️ Benefits

β€’ Flexible work schedule.

β€’ Referral incentive program.

β€’ Opportunities for career development and promotional growth.

β€’ Medical, dental, and vision insurance coverage.

β€’ 401(k) plan with matching contributions.

β€’ Paid time off (PTO).

β€’ Disability insurance.

β€’ Life insurance.

β€’ Employee assistance program.

β€’ Flexible spending account or health savings account.

β€’ Additional voluntary benefits available.

β€’ Reasonable accommodations provided where applicable and appropriate.

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