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TPA Claims Handler
TPA Claims Handler-March 2024
Virtual
Mar 28, 2026
About TPA Claims Handler

  Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

  A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

  Great Place to Work®

  Top 100 Most Loved Workplace®

  Forbes Best-in-State Employer

  TPA Claims Handler

  Role

  TPA Claims Handler

  Reporting

  Property TPA Ops Manager

  Key roles

  The role of the TPA Claims Handler is to provide a quality service to the customers of a leading Insurer, which meets or exceeds the Insurer’s expectations and generates the revenue to meet the demands of both Sedgwick’s and the Insurer’s businesses. The Claims Handler will be expected to deliver and perform day-to-day tasks pertinent to the team’s activity with a major focus on Quality, Accuracy, S.L.A’s, Procedures and Process-improvement. The team member will also be expected to provide effective cover and assistance to the Ops Manager.

  Specific responsibilities

  TPA Team takes full ownership of claim Process for our Clients – FNOL to Claim Payment

  TPA Team also have different lines of business for our Clients which will be handled by the team

  Responsible for management of assigned desktop claims & delivery of target

  Provide effective and accurate advice to claimants based on a strong working knowledge of policy terms and conditions

  Review allocated cases and achieve settlement, within designated personal authority level, in line with established standards, procedures and guidance provided

  Manage customer interactions in an efficient, courteous and timely manner in order to deliver high standards of customer satisfaction

  Interact with customers directly and liaise with Insurer representatives to ensure the highest level of service and continuous operational efficiency

  Reviewing Loss Adjusters Reports , Referrals / Correspondence on Managed Accounts

  Authorisation of Payment with authority level

  Provide assistance where required in the training of new Team Members

  Maintain and update Personal Development Portfolio

  Ensuring that you achieve the minimum insurance standard qualification within the time frame and comply with CPD requirements where appropriate

  Successfully contribute to the development and delivery of the Team’s Goals, Objectives and Results

  Daily handling of a High-net-worth client, providing a concierge service, FNOL to completion on all claims and queries under this scheme. This High Net Worth covers a number if different business line – property, cyber, motor, HE travel with possibilities of additional lines to be added. Dealing with insurer directly and managing the portfolio

  Qualifications/skills

  Minimum competency requirements APA or CIP Qualification desirable

  High level of proficiency in Word, Excel, and PowerPoint

  Sound numeric skills

  High level interpersonal and communication (verbal/written) skills

  Personal attributes

  Sound knowledge of Sedgwick and its operation as a company (desirable but not essential)

  Willingness to operate flexible hours

  Capacity to work independently and demonstrate initiative

  Innovative

  Have a full working knowledge of CPC & Central Bank of Ireland Regulatory Requirements

  Willingness to work positively within a team environment with strong emphasis on support, flexibility and efficiency

  Understand how to organise work and think through how to get things done most efficiently with the ability to perform on their own initiative

  Strive to ensure Accuracy and Quality is delivered at all times

  Focus on skills development. Take action to improve own and others’ job skills

  Must have strong interpersonal and communication skills and be self-motivated, flexible and capable of working to critical deadlines

  The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

  Sedgwick is an Equal Opportunity Employer.

  The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Sedgwick retains the discretion to add or to change the duties of the position at any time.

  Taking care of people is at the heart of everything we do. Caring counts

  Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)

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