Claims Associate – Liability

Sedgwick

. Analyze reported lower-level liability claims to determine benefits due .

Posted 9/21/2026full-timeFrisco • Texas • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in analyzing and processing general liability claims while ensuring compliance with company standards and industry best practices. Capable of maintaining professional client relationships and effectively communicating claim actions.

Highest-signal resume keywords

Claims AnalysisGeneral Liability Claims ProcessingClaims DocumentationProblem SolvingProfessional Certification

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims CodingReserve MonitoringComputer KeyboardingAdjudication StandardsClaims Processing

Soft Skills

Clear ThinkingExcellent JudgmentTroubleshootingDiscretionAbility to Handle Stress

Certifications & Qualifications

Professional Certification

Industry Keywords

Claims Industry ExperienceClient CommunicationMultiple Priorities ManagementDeadline ManagementQuality Programs Support

About the role

Key responsibilities & impact

Analyze reported lower-level liability claims to determine benefits due
Ensure ongoing adjudication of claims within company standards and industry best practices
Handle lower-level liability and/or physical damage claims under close supervision
Support claims representatives, examiners, and leads with larger or more complex claims
Process general liability claims, determining compensability and benefits due
Monitor reserve accuracy and file necessary documentation with state agency
Communicate claim action and processing with claimant, client, and appropriate medical contact
Ensure claim files are properly documented and claims coding is correct
Process routine payments, prescriptions, and status reports for lifetime medical or defined-period medical claims
Maintain professional client relationships
Support the organization's quality programs
Perform other duties as assigned

Requirements

What you’ll need

High School Diploma or GED required
Professional certification as applicable to line of business preferred
One (1) year of general office experience or equivalent combination of education and experience required
Claims industry experience preferred
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
Ability to meet deadlines
Computer keyboarding
Travel as required
Hearing, vision and talking

Benefits

Comp & perks

Flexible work schedule
Referral incentive program
Career development and promotional growth opportunities
Medical, dental, and vision benefits
401K on day one
Hybrid work arrangement: 2 days in office and 3 days working from home