Claims Associate

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?   

• Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.  

• Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.  

• Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.  

• Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.  

• Enjoy flexibility and autonomy in your daily work, your location, and your career path.   

• Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.  

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ARE YOU AN IDEAL CANDIDATE?  We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.  

WORK LOCATIONS Eden Prairie, MN office location, 2 days in office 3 days work from home.

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

ESSENTIAL RESPONSIBLITIES 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, performs other duties as assigned and supports the organization's quality program(s).

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QUALIFICATIONS 

Education & Licensing: High School Diploma or GED required.  

Experience: One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred.

Licensing / Jurisdiction Knowledge: 

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. 

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WORK ENVIRONMENT REQUIREMENTS INCLUDE  
When applicable and appropriate, consideration will be given to reasonable accommodations.