Claims Associate Consumer

Claims Associate Consumer

Employer: Sedgwick. 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 Claims Associate Consumer PRIMARY PURPOSE : To process claims and determine benefits due pursuant to credit card or other financial program benefits plans; to make timely payments and adjustments for specified program claims; and to provide superior customer service. ESSENTIAL FUNCTIONS and RESPONSIBILITIES - Processes first party property claims based on basic coverage as defined by client-specific program. - Makes coverage determinations based on investigation/evaluation. - Adjudicates proper settlement or denials up to designated authority level. - Handles high volume of claims, phone calls and correspondence ensuring claim files are properly documented; meets quality and production goals; and meets customer guidelines and deadlines. ADDITIONAL FUNCTIONS and RESPONSIBILITIES - Performs other duties as assigned. - Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing High school diploma or GED required. Licenses as required or willingness/ability to move toward obtaining appropriate licensing as required. Experience One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred. Skills & Knowledge - Knowledge of first party property and casualty claim adjudication as applicable to line of business - Good oral and written communication, including presentation skills - PC literate, including Microsoft Office products - Analytical and interpretive