Claims Associate - Consumer

Sedgwick - Seven Hills, OH

Full-time - Entry Level

Seven Hills, OH

Insurance Carriers and Related Activities

About the position

The Claims Associate - Consumer at Sedgwick is responsible for processing claims and determining benefits due under credit card or other financial program benefits plans. This role emphasizes timely payments and adjustments for specified program claims while providing superior customer service. The position is designed for entry-level candidates and focuses on developing skills in claims processing and customer interaction within a supportive and inclusive work environment.

Responsibilities

• Process first party property claims based on basic coverage as defined by client-specific program.
• Make coverage determinations based on investigation/evaluation.
• Adjudicate proper settlement or denials up to designated authority level.
• Handle high volume of claims, phone calls, and correspondence ensuring claim files are properly documented.
• Meet quality and production goals and customer guidelines and deadlines.
• Perform other duties as assigned and support the organization's quality program(s).

Requirements

• High school diploma or GED required.
• One (1) year of general office experience or equivalent combination of education and experience required.
• Knowledge of first party property and casualty claim adjudication as applicable to line of business.
• Good oral and written communication skills, including presentation skills.
• PC literate, including Microsoft Office products.
• Analytical and interpretive skills.
• Good organizational skills and interpersonal skills.
• Ability to work in a team environment and meet or exceed performance competencies.

Nice-to-haves

• Claims industry experience preferred.

Benefits

• Flexible work environment
• Support for mental, physical, financial, and professional needs
• Opportunities for career growth and skill sharpening