Sedgwick
Sedgwick
Sedgwick provides technology-enabled risk, benefits, and integrated business solutions for organizations worldwide. Its work includes administering accident, health, disability, unemployment compensation, and liability claims, alongside building consulting, forensic accounting, forensic engineering, property restoration, brand protection, and loss prevention services. Sedgwick supports clients across industries including construction, consulting, healthcare, agriculture, and environmental services, with a stated focus on diversity, equity, inclusion, and environmental, social, and governance practices.

Liability Claims Associate - Cincinnati, OH (Hybrid)

Sedgwick is seeking a Liability Claims Associate to analyze and process workers’ compensation and liability claims in Cincinnati. The role determines benefits, maintains accurate claim files, and supports claims professionals with routine and complex cases.

Description

  • Review lower-level workers’ compensation claims and determine the benefits payable
  • Adjudicate claims consistently with company standards and established industry practices
  • Manage lower-level liability and physical damage claims under close supervision
  • Assist claims representatives, examiners, and leads with larger or more complex claims
  • Process general liability claims and assess compensability and benefits payable
  • Review reserve accuracy and submit required documentation to state agencies
  • Communicate claim decisions and processing updates with claimants, clients, and relevant medical contacts
  • Maintain complete claim documentation and accurate coding
  • Process routine payments, prescriptions, and status reports for lifetime or defined-period medical claims
  • Build and maintain professional relationships with clients

Requirements

  • High school diploma or GED
  • Strong written and verbal communication skills
  • Computer proficiency, including Microsoft Office
  • Strong organizational abilities
  • Clerical or customer service experience, or an equivalent combination of education and experience, preferred
  • Ability to manage work-related stress
  • Ability to balance multiple priorities
  • Consistent ability to meet deadlines
  • Clear conceptual thinking skills
  • Sound judgment, troubleshooting, problem-solving, analytical, and discretionary abilities
  • Proficiency with computer keyboarding
  • Ability to hear, see, and communicate verbally

Benefits

  • Comprehensive benefits package with medical, dental, vision, and 401(k) coverage beginning on the first day
  • Flexible scheduling
  • Employee referral incentive program
  • Career development and advancement opportunities
  • Work-life balance
  • Hybrid schedule available after onboarding and training

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