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Sedgwick
Sedgwick
H1B Visa SponsorConstructionConsultingHealthcare
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.
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Liability Claims Associate – Hybrid, Frisco

Sedgwick is hiring a Claims Associate to adjudicate lower-level liability claims in a hybrid Frisco role. The position focuses on compensability, benefits, reserves, documentation, and accurate claim processing.

USUnited StatesTXTexasHybridFull-timeJuniorMiddleNo degree requiredEnglish RequiredClaims Specialist

Description

  • Review reported lower-level liability claims and determine the benefits payable.
  • Adjudicate claims consistently with company standards and industry best 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, including determinations of compensability and benefits.
  • Verify reserve accuracy and submit required documentation to state agencies.
  • Communicate claim actions and processing updates with claimants, clients, and appropriate medical contacts.
  • Maintain complete claim files and accurate claims coding.
  • Process routine payments, prescriptions, and status reports for lifetime or defined-period medical claims.
  • Build and maintain professional client relationships.
  • Contribute to the organization’s quality programs.
  • Complete other assigned duties.

Requirements

  • High school diploma or GED is required.
  • Professional certification relevant to the line of business is preferred.
  • At least one year of general office experience, or an equivalent combination of education and experience, is required.
  • Experience in the claims industry is preferred.
  • Demonstrated ability to think clearly and conceptually.
  • Strong judgment, troubleshooting, problem-solving, analytical, and discretionary skills.
  • Ability to manage work-related stress.
  • Ability to handle multiple priorities at the same time.
  • Ability to meet deadlines consistently.
  • Computer keyboarding proficiency.
  • Willingness to travel as required.
  • Ability to hear, see, and communicate verbally.

Benefits

  • Flexible work schedule.
  • Employee referral incentive program.
  • Career development and advancement opportunities.
  • Medical, dental, and vision coverage.
  • 401(k) eligibility from the first day.
  • Hybrid schedule with two days in the office and three days working from home.

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