Job Overview
Location
5 Locations
Job Type
Full-time
Category
Operations
Date Posted
May 2, 2026
Full Job Description
đź“‹ Description
- • As a Claims Representative specializing in Auto and PIP claims, you will play a vital role in supporting individuals facing unexpected injuries by evaluating medical losses and determining eligibility for personal injury protection and medical payment benefits, directly contributing to Sedgwick’s mission of providing compassionate, expert claims management.
- • Day to day, you will review auto claims to assess medical loss, research policy contracts to interpret coverage language, evaluate medical treatment and bills, analyze medical records for injury details, identify claim exposures, establish or adjust reserves, document all claim activity accurately, communicate with clients, claimants, providers, and attorneys, and negotiate claim resolutions within your authority.
- • You will join Sedgwick Claims Management Services, Inc., a globally recognized leader in claims and productivity services, employing 33,000 colleagues dedicated to helping people through unexpected events. The company is certified as a Great Place to Work®, recognized by Newsweek as one of America’s Greatest Workplaces, and honored by Fortune as a Best Workplace in Financial Services & Insurance, reflecting a culture of care, integrity, and employee growth.
- • In this role, you will deepen your expertise in PIP and medical payment claims, strengthen your ability to interpret complex insurance policies and medical documentation, refine your negotiation and communication skills, and gain experience in fraud detection and reserve management—positioning you for advancement within Sedgwick’s extensive claims career pathways.
🎯 Requirements
- • Bachelor’s degree from an accredited college or university preferred
- • State adjuster license required
- • Three (3) years of experience in Personal Injury Protection (PIP), medical payment, workers compensation, or equivalent combination of education and experience
- • Knowledge of medical terminology and application of deductibles and limits
- • Familiarity with Bodily Injury (BI)/Casualty adjusting
- • Proficiency in Microsoft Office products and strong organizational skills
🏖️ Benefits
- • Comprehensive benefits package including medical, dental, and vision insurance
- • 401(k) plan with company matching
- • Paid time off (PTO), disability and life insurance
- • Employee assistance program, flexible spending accounts, and health savings account options
- • Additional voluntary benefits available
- • Support for work-life balance and a caring, inclusive workplace culture
Skills & Technologies
About Sedgwick Claims Management Services, Inc.
Sedgwick is a global provider of technology-enabled risk, benefits and integrated business solutions, primarily handling insurance claims, managed care, absence and disability, and productivity management for employers, carriers, and administrators. The company processes millions of claims annually across workers' compensation, property, casualty, disability, and other lines, leveraging analytics and digital platforms to improve outcomes, reduce costs, and enhance customer and employee experiences.
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