Back to Jobs

Sr Consumer Claims Associate

Sedgwick
Ohio
Sr Consumer Claims Associate Location Ohio : Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work® Most Loved Workplace® Forbes Best-in-State Employer Sr Consumer Claims Associate PRIMARY PURPOSE: To analyze reported claims, determine benefits due and make timely payments and adjustments; to provide superior customer service; to make timely payments and adjustments for specified program claims; and to process settlement of claims up to the designated authority level. ESSENTIAL FUNCTIONS and RESPONSIBILITIES
  • Processes first party property, casualty and/or medical reimbursement claims based on multiple/additional coverage and/or programs as defined by client-specific program.
  • Makes coverage determinations based on investigation/evaluation and communicates claim actions with claimant and client.
  • Adjudicates proper settlement 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 Bachelor's degree from and accredited college or university preferred. Licenses as required. Experience One (1) year of claims management experience or equivalent combination of education and experience required. Skills & Knowledge
    • Knowledge of first party property and casualty claim adjudication as applicable to line of business
    • Strong oral and written communication, including presentation skills
    • PC literate, including Microsoft Office products
    • Strong analytical and interpretive skills
    • Strong organizational skills
    • Strong interpersonal skills
    • Ability to work in a team environment
    • Ability to meet or exceed Performance Competencies
    WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking NOTE: Credit security clearance, confirmed via a background credit check, is required for this position. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the , consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
Posted 2025-11-14

Recommended Jobs

Kaiser Account Executive (Remote)

AbbVie Inc.
Columbus, OH

Company Description AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We striv…

View Details
Posted 2025-11-15

Graduate Consultant

Grayce
Cincinnati, OH

Job Position: Graduate Consultant - Business Skills Development Program    Locations: Connecticut, Boston, New York & Cincinnati - Must be flexible to work in any of these locations. Startin…

View Details
Posted 2025-09-22

Home Health Aide

Comprehensive Health Network
Greenville, OH

Job Description Job Description Full-time shifts are generally M-F 8am-5pm with a weekend rotation.   Job Duties: Renders services in strict accordance with the written Plan of Care. Repor…

View Details
Posted 2025-11-06

Planner - Products

Dover Corporation
West Chester, Butler County, OH

Connecting and Protecting People, Microwave Products Group (MPG) is a leading global provider of mission-critical engineered electronic components and subsystems comprised of five business units in s…

View Details
Posted 2025-10-18

Technical Training Lab Builder

ManpowerGroup
Hilliard, OH

Our client, a leader in technical education and workforce development, is seeking a dedicated and skilled Technical Training Lab Builder to join their dynamic team. As a Technical Training Lab Builder…

View Details
Posted 2025-11-14

Server/Waitstaff

P.J. Marley's and The Farmer's Table
Medina, OH

P.J. Marley's is an established local burger restaurant located in Historic Downtown Medina. We are seeking Servers self-starters, motivated, friendly and engaged. Responsibilities Greet customer…

View Details
Posted 2025-08-18

System Analyst I

Blanchard Valley Health System
Findlay, OH

System Analyst I Location Findlay, OH : PURPOSE OF THIS POSITION The Systems Analyst is responsible for reviewing, analyzing, evaluating business system/data and user needs. Provides applications su…

View Details
Posted 2025-11-07

2nd Shift Assembly Technician 18-22/HR

Aerotek
Milford, OH

Job Description Job Description Job Title: 2nd shift Assembly Technician $18-$22/HR ****Apply then text Nate at (513) 229-2014 Job Description The role involves working on an assembly line…

View Details
Posted 2025-11-07

Quant Analytics Lead Associate- Trading & Counterparty Risk Analytics

KeyBank
Cleveland, OH

Location: 127 Public Square - Cleveland, Ohio 44114 About The Job (job Brief) Under some supervision, the Lead Quantitative Analytics Associate is primarily responsible for using statistics, ad…

View Details
Posted 2025-11-15

ASCP - MLT/MLS/Medical Laboratory Scientist II - Full Time - Nights - Fostoria, Ohio to $87,000

Intermedia Group, Inc.
Fostoria, OH

OPEN JOB: ASCP - MLT/MLS/Medical Laboratory Scientist II - Full Time - Nights LOCATION: Fostoria, Ohio SALARY: $54,000 to $87,000 BONUS ELIGIBLE FULL-TIME FULL BENEFITS  RELOCATION AS…

View Details
Posted 2025-09-25