Claims Representative, Auto | PIP | Remote
Sedgwick(22 days ago)
About this role
Claims Representative (Auto/PIP) responsible for evaluating auto claims involving injured parties and managing first-party medical treatment to determine eligibility under personal injury protection and/or medical payment benefits. The role includes reviewing policies, interpreting medical records and bills, documenting claim activity, and communicating with clients, claimants, medical providers, attorneys, and vendors. This position supports fraud assessment, reserve management, and negotiation of claim resolution.
Required Skills
- Medical Terminology
- Policy Interpretation
- Claims Adjusting
- Fraud Investigation
- Medical Billing
- Reserve Management
- Documentation
- Communication
- Negotiation
- Microsoft Office
+4 more
Qualifications
- Bachelor's Degree
- State Adjuster Licenses
About Sedgwick
sedgwick.comSedgwick's tech-enabled risk, benefits, and integrated business solutions include comprehensive claims management and loss adjusting across industries.
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