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 2025-08-28

Recommended Jobs

Senior Full Stack Software Engineer

Cosan Group
Independence, OH

Senior Full Stack Software Engineer (Hybrid - Independence, OH) **This is a hybrid/telecommute position. Candidates must reside in the United States to be considered. Candidates must reside within 5…

View Details
Posted 2025-08-12

Delivery Driver - Alum Creek

Donatos Pizza
Columbus, OH

Every Piece is Important, and That Includes YOU! Position Summary – A Day in the Life  Each Delivery Driver plays an essential role in ensuring our customers receive their order in a timely and fr…

View Details
Posted 2025-08-27

Operations Billposter

Lind Media Company
Mansfield, OH

Job Description Job Description Salary: Operations Billposter GREAT VIEWS, GREAT CAREERS! Lind Media Company, Ohio's largest independent Outdoor Advertising company, has an immediate openin…

View Details
Posted 2025-07-28

Sales Associate - Powersports

Tansky Sawmill Toyota
Columbus, OH

Tansky Powersports is looking to hire a customer-oriented, enthusiastic sales associate. If you have a passion for motorsports we are looking to expand our business. Responsibilities Assist guest…

View Details
Posted 2025-08-26

Hospital | Rad Tech

Ohio

Radiologic Technologist – Neuro Interventional Radiology Travel Job in Columbus, Ohio Advance your healthcare career as a Hospital Radiologic Technologist specializing in Neuro Interventional Radio…

View Details
Posted 2025-08-22

Estimator/Superintendent

PPW Builders, Inc
Cleveland, OH

Job Description Job Description Duties & Responsibilities • Evaluate and analyze drawings and specifications ensuring all pertinent information to properly produce a budget, proposal, and/or fi…

View Details
Posted 2025-07-26

Experience Vibrant Lima While Providing Compassionate Care!

NurseRecruiter
Lima, OH

Registered Nurse - Telemetry - Travel - (Tele RN) Registered Nurse—Telemetry travel assignment in Lima beginning 9/8/2025, 12‑hour shifts, requires active RN license (compact accepted), two years' cl…

View Details
Posted 2025-08-20

Delivery Driver 431 S Locust St. Oxford

Domino's Franchise
Oxford, OH

Job Description ABOUT THE JOB Do you know why Domino's Pizza hires so many drivers? Well, aside from the fact that our delicious pizza is the perfect solution for dinner for families all ac…

View Details
Posted 2025-08-23

Food Runner

Cincinnati, OH

For this position, pay will be variable by location - plus tips. Our Food Runner plays an important role in our daily operations as the support system between our Heart of House and the s…

View Details
Posted 2025-08-23

Direct Support Professional full-time, part-time, and as-needed

AGENTIC CLIENT SUPPORT SERVICES LLC
Hudson, OH

Job Description Job Description Youth Respite Direct Support Professional (DSP)  POSITION SUMMARY As a Direct Support Professional (DSP), you support individuals with developmental disabi…

View Details
Posted 2025-08-22