Teams at Sedgwick

Processes high-volume first-party property claims for credit card and financial benefit programs. Investigates coverage, determines benefits, adjudicates settlements or denials within authority limits, processes payments and adjustments, documents claim files, handles customer communications, and meets quality, production, and deadline requirements.

Processes ADA accommodation claims, reviews medical information, determines eligibility and accommodation options, and ensures compliance with ADA, state, and client requirements. Communicates documentation requirements and claim status, conducts employee interviews, refers cases for disability or leave reviews, consults clinical and vocational resources, and escalates complex cases. Maintains client relationships and supports quality programs.

Support and maintain claims management systems, manage security access and logins, process claim updates and adjustments, queue claims for Managed Care, run reconciliations, gather audit data, provide telephone support, and collaborate with internal teams to ensure policy compliance.