Sedgwick

Manage and develop project assignments, communicate results, and provide training and recommendations to management. | Requires extensive experience in project management, statistical analysis, and insurance or managed care systems, along with strong communication and leadership skills. | Job Description: • To develop and manage project assignments through completion; • to communicate results; • to make recommendations to management; • and to provide training. • Identifies required resources; researches project data, procedures and history for a thorough understanding of project direction. • Generates and analyzes statistical data reports. • Develops, prepares and manages project plan through completion. • Communicates activity progress to involved parties. • Resolves issues that arise involving client, when appropriate. • Transitions program to management personnel. • Participates in oral presentations. • Develops and provides training to management and colleagues as needed. Requirements: • Bachelor's degree with major in Business Administration, Statistics, or Quantitative Analysis from an accredited college or university preferred. • Eight (8) years of related experience or equivalent combination of education and experience required including three (3) years project management, office operations management, managed care, insurance-related and/or statistical analysis experience. • Supervisory experience preferred. • Thorough knowledge of related field procedures or insurance-related procedures and/or managed care systems and operations. • Strong knowledge of project management. • Strong knowledge of statistical analysis. • Excellent oral and written communication, including presentation skills. • PC literate, including Microsoft Office products. • Leadership/management/motivational skills. • Analytical and interpretive skills. • Strong organizational skills. • Excellent interpersonal skills. • Excellent negotiation skills. • Ability to work in a team environment. • Ability to meet or exceed Performance Competencies. Benefits: • medical • dental • vision • 401k and matching • PTO • disability and life insurance • employee assistance • flexible spending or health savings account • other additional voluntary benefits

Oversee operational functions within assigned locations, ensuring compliance, quality service delivery, staffing, training, and budget management. | Requires 10+ years in claims management or similar, with supervisory experience, and strong leadership, organizational, and negotiation skills. | By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Senior Operations Manager PRIMARY PURPOSE: To be responsible for the technical and operational functions within assigned office(s) including compliance with company standards and industry best practices; to ensure consistent delivery of quality services; to be responsible for staffing and training needs; and to be responsible for budget preparation and profit and loss management. Has direct responsibility for 25-49 colleagues. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Responsible for overall operational management for assigned locations/offices. Establishes policy and procedure to assure compliance to best practices, claims management services standards, state regulations and client service requirements. Establishes business plan with goal and objectives for the partnership and assigned locations/offices. Monitors management reports relating to the partnership/office performance. Assists with the coordination of sales and client service efforts. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. SUPERVISORY RESPONSIBILITIES Administers company personnel policies in all areas and follows company staffing standards and training recommendations. Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications appropriate to line of business preferred. Experience Ten (10) years claims management experience or equivalent combination of experience and education required to include two (2) years of supervisory experience. Skills & Knowledge Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership/management/motivational skills Analytical and interpretive skills Strong organizational skills Excellent interpersonal skills Excellent negotiation skills Ability to work in a team environment Ability to meet or exceed Performance Competencies WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: 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; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking 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 and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com

Oversee operational functions, ensure compliance, and lead staff development within assigned locations. | Requires 10+ years of claims management or equivalent experience, with at least 2 years of supervisory experience, along with strong leadership and communication skills. | By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Senior Operations Manager PRIMARY PURPOSE : To be responsible for the technical and operational functions within assigned office(s) including compliance with company standards and industry best practices; to ensure consistent delivery of quality services; to be responsible for staffing and training needs; and to be responsible for budget preparation and profit and loss management. Has direct responsibility for 25-49 colleagues. ESSENTIAL FUNCTIONS and RESPONSIBILITIES • Responsible for overall operational management for assigned locations/offices. • Establishes policy and procedure to assure compliance to best practices, claims management services standards, state regulations and client service requirements. • Establishes business plan with goal and objectives for the partnership and assigned locations/offices. • Monitors management reports relating to the partnership/office performance. • Assists with the coordination of sales and client service efforts. ADDITIONAL FUNCTIONS and RESPONSIBILITIES • Performs other duties as assigned. • Supports the organization's quality program(s). • Travels as required. SUPERVISORY RESPONSIBILITIES • Administers company personnel policies in all areas and follows company staffing standards and training recommendations. • Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions. • Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications appropriate to line of business preferred. Experience Ten (10) years claims management experience or equivalent combination of experience and education required to include two (2) years of supervisory experience. Skills & Knowledge • Excellent oral and written communication, including presentation skills • PC literate, including Microsoft Office products • Leadership/management/motivational skills • Analytical and interpretive skills • Strong organizational skills • Excellent interpersonal skills • Excellent negotiation skills • Ability to work in a team environment • Ability to meet or exceed Performance Competencies WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: 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; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking 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 and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Lead strategic growth initiatives, oversee business development, manage client relationships, and drive innovation within the healthcare and managed care sectors. | Extensive healthcare management experience, strong leadership skills, proven success in business development, and strategic planning at senior levels. | By joining Sedgwick, you’ll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance VP Strategic Growth As a member of the Senior Leadership Team, the Vice President, Strategic Growth & Innovation is responsible for oversight of the business development, marketing, specialized health programs, ancillary and strategic partnerships, innovation, and product development/management areas including budgeting, process & personnel management. Regards to business-development oversight include the identification, development, and implementation of effective marketing strategies to expand and retain the MCA customer base, increase brand awareness, and drive revenue growth. For specialty programs, duties include supervision of the procurement, implementation, and account management of MCA clients and services that fall under the specialty program umbrella (including ancillary services with MCA as an internal client). For innovation and product development, Vice President, Strategic Growth & Innovation oversees all phases of internal and client product delivery, including requisition receipt & approval, requirements gathering, need assessment, prioritization, project planning, execution, coordination of training materials development, deployment, and assessment. Essential Functions/Job Description Duties and Responsibilities • Maintain MCA’s competitive edge through the process of effective marketing strategies, branding and innovation, and change management. • Lead the design and development of new multi-functional strategies, processes, products, and solutions that lead to improved effectiveness that engender market share, industry standing, and strategic growth. • Provide leadership and assistance in daily operations. Motivate and manage staff to ensure performance standards are met or exceeded. • Develop, implement, and ensure compliance with established policies, procedures, protocols, and quality standards. • Monitor daily productivity, balance workloads, and report on progress toward department goals. • Coordinate with business unit leads to determine and implement priorities and goals. • Monitor performance to ensure program deliverables are provided in accordance with contract requirements. • Develop, maintain, manage, and expand client relationships with MCA’s clients including federal agencies, municipalities, and state governments throughout the US market. • Set up and execute a mechanism for continuous improvement of all business development functions, and design or revise team structure and process to ensure scalability, working directly with our MCA’s clinical team to ensure services are provided in accordance with contract requirements. • Plan, develop, and implement the strategy for business development. Establish and maintain appropriate systems for measuring necessary aspects of development. • Successfully manage the team’s workload and resources. • Foster a collaborative, team-focused environment; motivate all members of the team. • Provide day-to-day leadership and management that adopts the mission and core values of the company. • Drive the team to achieve and surpass business goals and objectives. • Ensure the measurement and effectiveness of the direct reports • Work with the senior management team to develop, communicate, and implement effective customer growth strategies and processes. • Collaborate with the management team to manage existing, and implement new, best practices as necessary to ensure flawless and cost-effective execution. • Integrate technology and implement business processes to leverage staff capability and to create added value for internal and external customers • Foster a success-oriented, accountable environment within the company. • Ensure compliance with Federal, State, Contract, and Company regulations • Assume responsibility for related duties as required or assigned Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, talk, and hear. The employee frequently is required to use the fingers to make small movements such as typing, picking up small objects, or pinching fingers together The employee is occasionally required to walk; reach with hands and arms; stoop, kneel, crouch, or crawl. Sedentary work. Sitting most of the time. Specific vision abilities required by this job include close vision, peripheral vision, depth perception, and the ability to adjust focus. The employee moves within the facility in which their office is located to access file cabinets, documents, office machinery, and other equipment. They also travel within their home office or facility in which their office is located and to locations outside of the facility, to attend meetings, training, events, and other business activities. An employee in this position frequently lifts, carries, pushes, and/or pulls objects weighing up to 10 lbs. Occasionally may move objects weighing up to 20 lbs. The employee holding this position must have strong communication and organizational skills, and an ability to interact and work with others. They must be able to work under time constraints and deadlines. Position may require travel, therefore the ability to travel domestically is required. Job Specifications Education • B.S. or B.A • Master preferred in business or related field. Experience • 15 years experience in health care management strategic planning • At least 10 years in project management • Minimum of 8+ years of strong business development experience • Demonstrated experience in financial planning and analysis with previous experience overseeing business development Communication Skills Excellent organizational and analytical skills. Superior customer service skills working proactively and collaboratively with MCA clients. Excellent leader and team player; ability to partner with internal clients and other cross-functional departments; re-calibrates the staff team structure whenever needed. Superior writing and communication skills. Must write succinctly and clearly and explain complex situations in plain English to technical and non-technical audiences. Utilizes direct communication and proactive problem-solving to address internal organizational challenges and disagreements. Mathematical Skills Ability to use algebra, exponents, logarithms, linear equations, quadratic equations, mathematical induction and binomial theorem, permutations, calculus, and/or analytic geometry. Able to perform basic statistical calculations including frequency distributions, reliability, and validity of tests, normal curve, analysis of variance, correlation techniques, chi-square application, and sampling theory and factor analysis Reasoning Ability Ability to apply logical or scientific thinking to a wide range of intellectual and practical problems. Able to deal with very difficult concepts and complex variables. Ability to comprehend, analyze, and interpret documents. Ability to solve problems involving several options in situations. Requires intermediate analytical and quantitative skills. Scope of Responsibility Decisions are made with an understanding of procedures and company policies to achieve set results and deadlines. Responsible for setting project deadlines. Errors in judgment may cause long-term impacts on clients, teams, and company Supervisory Responsibilities • Experience leading and coaching a team of professionals, while having the leadership experience to ensure that Managed Care Advisors builds compelling, client-oriented organizations supporting Commercial and Federal customers and stakeholders. • Experience building teams, managing, hiring, and developing people. Successfully manage the team’s workload and resources. • Represent MCA broadly to all external audiences, help to hire, onboard, and retain MCA’s top talent across service and technical areas, contribute to our setting of MCA’s strategy, make a budget and talent decisions, and build expertise in all areas of the business. • Superior leadership skills. Motivate and lead a high-performance management team; attract, recruit, and retain required members of the executive team not currently in place; provide mentoring as a cornerstone to the management career development program. • Provide timely direct feedback to staff through scheduled guidance/coaching sessions and mid-year/annual evaluations. This includes active coaching and engaging employees to enhance their performance and commitment. Assist employees to develop skills needed to achieve optimal performance and strong performance in their role. • Actively resolve employee conflict by utilizing improvement efforts, multi-disciplinary strategies, problem-solving skills, and conflict management. Make timely decisions based on the evaluation of outcomes and communicate the results effectively so that the employee understands the reason behind the decision. • Effectively counsel and coach employees on performance and behavioral improvements. Understand and appropriately apply employee disciplinary procedures with appropriate documentation. Coordinate and discuss performance and terminations with HR. • Monitor employee attendance and approve timesheets of direct reports. Authorize vacations and personal days in accordance with staffing needs. • Has authority to make and recommend hiring, firing, advancement, promotion, or any other change in employment status. Other Skills and Abilities, Qualifications • Skilled in personnel management, budget and resource development, and Excellent people skills, with an ability to partner with a dynamic leadership team • Possess personal qualities of integrity, credibility, and commitment to the corporate mission • Flexible and able to multitask; can work within an ambiguous, fast-moving environment, while also driving toward clarity and solutions; demonstrated resourcefulness in setting priorities and guiding investment in people and systems. • Advanced ability to manipulate and present data using MS Excel and MS PowerPoint. Comprehensive experience with MS Office including Visio. • The ability to obtain and maintain a security clearance • United States Citizenship • Ability to work well in a team environment, with a minimal degree of supervision, to handle a heavy workload, to prioritize work for self and team, and to meet assigned deadlines • Strong people, organizational, and analytical skills (including attention to detail). • Proficient Computer Software (SW) Skills: • * Personal computer equipment and operating systems • Overall Business SW (e.g. MS-Office Suite ) • May perform other duties, as needed, to meet the needs of the business Conditions of Employment Other Requirements Ability to travel as required 33% Work Environment The work environment characteristics are representative of those an employee encounter while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Persons holding office positions are generally subject to inside environmental conditions having the lighting, temperature, and noise of an open-floor-plan office environment. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you’re excited about this role but your experience doesn’t align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Supervising multiple teams of claims examiners, providing technical direction, and ensuring quality in claims adjudication. | Six years of claims experience, two years in a supervisory role, and relevant certifications or licenses. | By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - Worker's Compensation (REMOTE) Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands? Apply your knowledge and experience to supervise a team that adjudicates complex customer claims in the context of an energetic culture. Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights. Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. Enjoy flexibility and autonomy in your daily work, your location, and your career path. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. PRIMARY PURPOSE: To supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Supervises multiple teams of examiners, multiple product line examiners and/or several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit. Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. Provides technical/jurisdictional direction to examiner reports on claims adjudication. Compiles reviews and analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. SUPERVISORY RESPONSIBILITIES Administers company personnel policies in all areas and follows company staffing standards and training recommendations. Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Experience: Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience. Licenses as required. Professional certifications as applicable to line of business preferred. TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. 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 and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com

Supervises multiple teams handling workers compensation claims, provides technical guidance, and ensures quality and compliance. | Requires 6+ years of claims experience, 2+ years in a supervisory role, and relevant licensing or certifications, with a preference for industry-specific knowledge. | By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - Workers Compensation (REMOTE - FL Experience preferred)) Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands? · Apply your knowledge and experience to supervise a team that adjudicates complex customer claims in the context of an energetic culture. · Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations. · Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. · Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights. · Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. · Enjoy flexibility and autonomy in your daily work, your location, and your career path. · Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. PRIMARY PURPOSE OF THE ROLE: Oversees multiple teams of examiners and technical staff handling workers compensation claims for clients. Manages workloads, provides training, and monitors individual claim activities. Offers technical and jurisdictional guidance on claims adjudication and maintains regular diaries, especially for complex or high-exposure case. ESSENTIAL RESPONSIBLITIES MAY INCLUDE · Supervises multiple teams of examiners and technical operations colleagues, delegating duties as needed and ensuring proper licensing and documentation standards. · Provides technical and jurisdictional guidance on claims adjudication, including quality reviews and reserve evaluations for high-cost or complex claims. · Acts as a second-level appeal authority for client and claimant issues, implementing final decisions. · Identifies trends, issues, and opportunities for process improvement; advises management and coordinates related projects. · Monitors third-party and sensitive claims, including litigated and vocational rehabilitation cases. · Maintains professional client relationships, offering recommendations and written summaries as needed. · Ensures accurate claim coding and documentation by examiners. --- QUALIFICATIONS Education & Licensing: Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience. · High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. · Professional certification as applicable to line of business preferred. Licensing / Jurisdiction Knowledge: TAKING CARE OF YOU · Flexible work schedule. · Referral incentive program. · Career development and promotional growth opportunities. · A diverse and comprehensive benefits offering including medical, dental vision, 401K on day on Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com

Supervises multiple teams handling workers compensation claims, providing technical guidance, monitoring claims activities, and ensuring quality and compliance. | Requires at least 6 years of claims experience, 2 years of supervisory experience, and relevant licensing or certifications, which are not present in your background. | By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - Workers Compensation (REMOTE - FL Experience preferred)) Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands? · Apply your knowledge and experience to supervise a team that adjudicates complex customer claims in the context of an energetic culture. · Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations. · Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. · Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights. · Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. · Enjoy flexibility and autonomy in your daily work, your location, and your career path. · Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. PRIMARY PURPOSE OF THE ROLE: Oversees multiple teams of examiners and technical staff handling workers compensation claims for clients. Manages workloads, provides training, and monitors individual claim activities. Offers technical and jurisdictional guidance on claims adjudication and maintains regular diaries, especially for complex or high-exposure case. ESSENTIAL RESPONSIBLITIES MAY INCLUDE · Supervises multiple teams of examiners and technical operations colleagues, delegating duties as needed and ensuring proper licensing and documentation standards. · Provides technical and jurisdictional guidance on claims adjudication, including quality reviews and reserve evaluations for high-cost or complex claims. · Acts as a second-level appeal authority for client and claimant issues, implementing final decisions. · Identifies trends, issues, and opportunities for process improvement; advises management and coordinates related projects. · Monitors third-party and sensitive claims, including litigated and vocational rehabilitation cases. · Maintains professional client relationships, offering recommendations and written summaries as needed. · Ensures accurate claim coding and documentation by examiners. --- QUALIFICATIONS Education & Licensing: Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience. · High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. · Professional certification as applicable to line of business preferred. Licensing / Jurisdiction Knowledge: TAKING CARE OF YOU · Flexible work schedule. · Referral incentive program. · Career development and promotional growth opportunities. · A diverse and comprehensive benefits offering including medical, dental vision, 401K on day on Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Analyze and resolve complex veterinary claims, coordinate legal and case management activities, and communicate with clients. | Experience in claims management, legal and medical knowledge, negotiation skills, and ability to handle complex cases. | By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Veterinary Claims | Professional Liability | Remote PRIMARY PURPOSE: To analyze complex or technically difficult veterinary claims; to provide resolution of highly complex nature and/or severe injury claims; to coordinate case management within Company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Analyzes and processes complex or technically difficult veterinary claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions. Negotiates claim settlement up to designated authority level. Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life. Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement. Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines. Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients. Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost. Represents Company in depositions, mediations, and trial monitoring as needed. Communicates claim activity and processing with the client; maintains professional client relationships. Ensures claim files are properly documented and claims coding is correct. Refers cases as appropriate to supervisor and management. Delegates work and mentors assigned staff. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certification as applicable to line of business preferred. Experience Six (6) years of claims management experience or equivalent combination of education and experience required. Skills & Knowledge In-depth knowledge of appropriate medical malpractice insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security application procedures as applicable to line-of-business Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Excellent negotiation skills Good interpersonal skills Ability to work in a team environment Ability to meet or exceed Performance Competencies WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: 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; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking 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 and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com

Supervising multiple teams of claims examiners, ensuring quality and compliance, and maintaining client relationships. | Requires claims supervision experience, a bachelor's degree, and claims-related certifications, which are not present in your profile. | By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Team Lead - Liability (Remote/Hybrid) Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights. Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. Enjoy flexibility and autonomy in your daily work, your location, and your career path. Access diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs. ARE YOU AN IDEAL CANDIDATE? To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. OFFICE LOCATION: This position follows a hybrid work model for candidates residing within a 25-mile radius of a Sedgwick office. Employees in this range will be expected to commute to the office on a hybrid schedule. Candidates located outside of this radius will be considered for a fully remote arrangement. PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Supervises multiple teams of examiners, multiple product line examiners and/or several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit. Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. Provides technical/jurisdictional direction to examiner reports on claims adjudication. Compiles reviews and analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal. Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner. Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client. Assures that direct reports are properly licensed in the jurisdictions serviced. Ensures claims files are coded correctly and adequate documentation is made by claims examiners. Performs other duties as assigned. Supports the organization's quality program(s). Administers company personnel policies in all areas and follows company staffing standards and training recommendations. Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education and Licensing Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred. Experience Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience. TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com

Analyze and process complex general liability claims, negotiate settlements, manage litigation and reserves, and ensure timely claims resolution. | Bachelor's degree preferred, 5 years claims management experience required, strong knowledge of insurance principles, excellent communication and negotiation skills. | By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claim Examiner - Liability PRIMARY PURPOSE: To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. ESSENTIAL FUNCTIONS and RESPONSIBILITIES • Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. • Assesses liability and resolves claims within evaluation. • Negotiates settlement of claims within designated authority. • Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim. • Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level. • Prepares necessary state fillings within statutory limits. • Manages the litigation process; ensures timely and cost effective claims resolution. • Coordinates vendor referrals for additional investigation and/or litigation management. • Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. • Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. • Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner. • Communicates claim activity and processing with the claimant and the client; maintains professional client relationships. • Ensures claim files are properly documented and claims coding is correct. • Refers cases as appropriate to supervisor and management. ADDITIONAL FUNCTIONS and RESPONSIBILITIES • Performs other duties as assigned. • Supports the organization's quality program(s). • Travels as required. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Experience Five (5) years of claims management experience or equivalent combination of education and experience required. Skills & Knowledge • Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business. • Excellent oral and written communication, including presentation skills • PC literate, including Microsoft Office products • Analytical and interpretive skills • Strong organizational skills • Good interpersonal skills • Excellent negotiation skills • Ability to work in a team environment • Ability to meet or exceed Service Expectations WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: 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; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($58,764 - $83,000). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Always accepting applications. 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. #LI-Remote Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Analyze and process complex auto and commercial transportation claims, manage litigation, coordinate vendors, and communicate with insured parties to ensure timely and accurate claim resolution. | Bachelor's degree preferred, 5+ years claims management experience in personal and commercial auto lines, state adjusting licenses, knowledge of insurance policies and laws, strong communication and organizational skills. | Sedgwick est l'un des principaux fournisseurs mondiaux de gestion de risques, de santé, de prévoyance et de solutions d’assurance intégrées. Dans le cadre de sa croissance et de son développement international, Sedgwick s’implante en France à travers ses activités d’expertise d’assurance. Afin d’être au plus proche et de répondre aux besoins de ses clients, Sedgwick propose des solutions et adapte son offre en fonction des évolutions actuelles et futures du marché. Nos 27 000 collègues présents dans 65 pays forts de leurs compétences et de leurs différentes cultures avancent dans un but commun : délivrer l’excellence pour nos clients et nos partenaires. En France, Sedgwick compte parmi les leaders du marché de la gestion des risques auprès de ses clients assureurs. Nos 800 collègues sont répartis sur 30 sites, afin d’assurer une présence nationale. Nous laissons part à la créativité, à l’innovation et donnons l’opportunité à nos collègues de développer leurs compétences dans un environnement propice à l’épanouissement personnel. Empathie, Responsabilité, Collaboration, Croissance et Intégration : nos valeurs fondamentales n'existent pas seulement sur papier ; elles guident notre façon de travailler au quotidien et sont la force motrice de notre succès collectif. Claims Examiner, BI- REMOTE (Commercial Trucking) PRIMARY PURPOSE: To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. ESSENTIAL FUNCTIONS And RESPONSIBILITIES • Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly. • Responsible for litigation process on litigated claims. • Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims. • Reports large claims to excess carrier(s). • Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution. • Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage. • Communicates claim action/processing with insured, client, and agent or broker when appropriate. ADDITIONAL FUNCTIONS And RESPONSIBILITIES • Performs other duties as assigned. • Supports the organization's quality program(s). • Travels as required. Qualifications Education & Licensing Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Secure and maintain the State adjusting licenses as required for the position. Experience Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage’s, principles, and laws. Skills & Knowledge • In-depth knowledge of personal and commercial line auto policies, coverage’s, principles, and laws • Knowledge of medical terminology for claim evaluation and Medicare compliance • Knowledge of appropriate application for deductibles, sub-limits, SIR’s, carrier and large deductible programs. • Strong oral and written communication, including presentation skills • PC literate, including Microsoft Office products • Strong organizational skills • Strong interpersonal skills • Good negotiation skills • Ability to work in a team environment • Ability to meet or exceed Service Expectations WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: 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; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking 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. at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. Si ce poste vous intéresse mais que votre expérience ne correspond pas parfaitement à toutes les qualifications de sa description, envisagez de postuler quand même ! Sedgwick construit un lieu de travail diversifié, équitable et inclusif et considère que chaque personne possède une combinaison unique de compétences, de connaissances et d’expérience. Vous êtes peut-être le bon candidat pour ce poste ou pour d’autres.

Analyze and adjudicate complex general liability claims, negotiate settlements, manage litigation, and ensure timely claims resolution. | Bachelor's degree preferred, NY Adjuster License required, and 5 years of workers compensation claims management experience or equivalent. | By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability (REMOTE- NY Adjuster Lic Required) Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands? • Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. • Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations. • Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. • Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights. • Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. • Enjoy flexibility and autonomy in your daily work, your location, and your career path. • Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. PRIMARY PURPOSE: To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. ESSENTIAL FUNCTIONS And RESPONSIBILITIES • Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. • Assesses liability and resolves claims within evaluation. • Negotiates settlement of claims within designated authority. • Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim. • Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level. • Prepares necessary state fillings within statutory limits. • Manages the litigation process; ensures timely and cost effective claims resolution. ADDITIONAL FUNCTIONS And RESPONSIBILITIES • Performs other duties as assigned. • Supports the organization's quality program(s). • Travels as required. Qualifications Education & Licensing Bachelor's degree from an accredited college or university preferred. NY Adjuster License required. Experience Five (5) years of Workers Compensation claims management experience or equivalent combination of education and experience required. TAKING CARE OF YOU • Flexible work schedule. • Referral incentive program. • Career development and promotional growth opportunities. • A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. 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 and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Review and evaluate physical therapy treatment plans for medical necessity, communicate with providers, and support clinical product innovation and quality assurance. | Master’s degree in Physical Therapy, current PT license, NPTE completion, and 8 years of related clinical experience. | By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Physical Therapy Utilization Review Advisor PRIMARY PURPOSE: Counsels providers (physical therapists, occupational therapists, and physicians) as it pertains to the appropriate use, cadence, and duration of physical therapy services; monitors the impact of physical therapy services provided to injured workers; provides medical necessity reviews to evaluate and implement services to meet client health needs; and promotes quality cost-effective physical therapy outcomes. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment a are driven to deliver great work. ESSENTIAL FUNCTIONS And RESPONSIBILITIES • Reviews medical records and physical therapy (PT) treatment plans to ensure they meet the appropriate guidelines while also ensuring best possible recovery. • Determines the medical necessity and appropriateness of physical therapy services according to policy and develops action plans for providers as it pertains to current and future treatment. • Provides clinical opinions regarding physical therapy needs and communicates with providers about therapy protocols and guidelines. • Liaises and negotiates with physical therapists, occupational therapists, physicians, and other stakeholders to optimize patient care and promote effective use of resources. • Consults with Sedgwick clinical team on difficult claims and provides recommendations tied to improving care and overall claim outcomes. • Supports clinical product innovation for Sedgwick in conjunction with both internal and external stakeholders. • Documents all communications, decisions, and steps taken in the claim process in a timely and accurate manner. • Participates in client meetings and phone calls to explain program results. • Supports complex claim roundtable discussions. • Participates in quality assurance activities, including audits and peer reviews, to ensure adherence to clinical guidelines and standards, as well as identifying opportunities for improvement. • Stays updated with relevant industry regulations, guidelines, and best practices related to utilization review and maintains compliance with applicable laws and regulations. Education & Licensing Master’s degree from an accredited college or university in Physical Therapy required. Doctorate degree in Physical Therapy preferred. Completion of the National Physical Therapy Examination (NPTE) and current license to practice as a Physical Therapist required. Experience Eight (8) years of related experience or equivalent combination of education and experience required. Skills & Knowledge • Strong knowledge of workers' compensation regulations and policies • Knowledge of current trends as it pertains to Physical Therapy, Occupational Therapy, Chiropractic Care, etc • Extensive knowledge of reviewing, understanding, and applying medical practice guidelines and a rage of treatment protocols • Excellent oral and written communication skills, including presentation skills • PC literate, including Microsoft Office products • Analytical and interpretive skills • Strong organizational skills • Excellent interpersonal skills • Excellent negotiating skills • Ability to create and complete comprehensive, accurate and constructive written reports • Ability to work in a team environment • Ability to meet or exceed Performance Competencies Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Analyze and process workers compensation claims, negotiate settlements, communicate with claimants and clients, and report claims to excess carriers. | 2 years claims management experience or equivalent, high school diploma required, jurisdiction knowledge of MD, VA & DC preferred, professional certification preferred but not required. | By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Representative | MD, VA & DC Jurisdictional Knowledge Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands? • Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. • Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations. • Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. • Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights. • Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. • Enjoy flexibility and autonomy in your daily work, your location, and your career path. • Access diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs. ARE YOU AN IDEAL CANDIDATE? To analyze Workers Compensation Lost-Time claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. ESSENTIAL RESPONSIBILITIES MAY INCLUDE Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim. Negotiating settlement of claims within designated authority. Communicating claim activity and processing with the claimant and the client. Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner. QUALIFICATIONS Education & Licensing: 2 years of claims management experience or equivalent combination of education and experience required. High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Jurisdiction Knowledge: MD, VA & DC Licensing: not required TAKING CARE OF YOU • Flexible work schedule. • Referral incentive program. • Career development and promotional growth opportunities. • A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (44K - 61K). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Manage client service plans for managed care programs, oversee client retention and satisfaction, negotiate contracts, supervise staff, and coordinate cross-departmental activities. | Requires 10 years related experience including managed care or adjuster experience, bachelor's degree preferred, and relevant certifications like CPCU, AIC, or ARM. | By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Managed Care Client Services Director - Remote Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights. Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. Enjoy flexibility and autonomy in your daily work, your location, and your career path. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. PRIMARY PURPOSE OF THE ROLE: To determine account management strategies related to managed care client service plans; to be responsible for retention of existing clients, customer satisfaction, revenue growth, client surveys, and new business; to provide managed care program management for jumbo clients requiring dedicated staff, multiple offices and complex service models; and to oversee the work of other local Client Services staff. ESSENTIAL RESPONSIBILITIES MAY INCLUDE: Provides stewardship reporting to clients, identifying and educating clients on managed care issues and trends impacting programs. Conducts pre-renewal visits reviewing client loss experience and general company performance. Reviews and identifies areas of potential dissatisfaction prior to renewal meetings. Performs client renewal, contract revision, and Client Service Instruction preparation for complex programs. Negotiates changes or improvements to service plan. Facilitates the reduction of process barriers, technology constraints, or resource constraints by directing and influencing the activities of other internal departments such as information technology, operations and business development. Coordinates client invoicing, audits and accounts receivable follow up for assigned clients. Resolves all major customer service issues. Identifies and solicits cross-selling opportunities. Participates in local insurance community through advanced education and affiliation memberships. Supervises and directs personnel assigned to programs requiring multiple Account Representatives. Ensures compliance with all applicable Quality initiatives. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. QUALIFICATIONS & LICENSING Education & Experience Bachelor's degree from an accredited college or university preferred. CPCU, AIC and/or ARM or other related designation preferred. Experience: Ten (10) years related experience or equivalent combination of education and experience required to include two (2) years managed care experience or five (5) years adjuster experience; Client Services, Managed Care & Data Analytics exp TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. 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. Additional Job Description Additional Job Description MVR required (Mandatory Field - Do Not Remove) PRIMARY PURPOSE: To determine account management strategies related to managed care client service plans; to be responsible for retention of existing clients, customer satisfaction, revenue growth, client surveys, and new business; to provide managed care program management for jumbo clients requiring dedicated staff, multiple offices and complex service models; and to oversee the work of other local Client Services staff. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Provides stewardship reporting to clients; identifying and educating clients on managed care issues and trends impacting programs. Conducts pre-renewal visits reviewing client loss experience and general company performance. Reviews and identifies areas of potential dissatisfaction prior to renewal meetings. Performs client renewal, contract revision, and Client Service Instruction preparation for complex programs. Negotiates changes or improvements to service plan. Facilitates the reduction of process barriers, technology constraints, or resource constraints by directing and influencing the activities of other internal departments such as information technology, operations and business development. Coordinates client invoicing, audits and accounts receivable follow up for assigned clients. Resolves all major customer service issues. Identifies and solicits cross-selling opportunities. Participates in local insurance community through advanced education and affiliation memberships. Supervises and directs personnel assigned to programs requiring multiple Account Representatives. Ensures compliance with all applicable Quality initiatives. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travel as required. SUPERVISORY RESPONSIBILITIES Provides support, guidance, leadership and motivation to promote maximum performance. Administers company personnel policies in all areas and follows company staffing standards and training recommendations. Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. CPCU, AIC and/or ARM or other related designation preferred. Experience Ten (10) years related experience or equivalent combination of education and experience required to include two (2) years managed care experience or five (5) years adjuster experience. MVR Required As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($100,000 - $120,00). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com

Process and assign customer claims, communicate with customers regarding claims status, and support the customer service team. | High school diploma or GED, 1 year clerical or customer service experience, strong communication and organizational skills, and PC literacy. | By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Entry- Level, Bilingual Spanish and Brazilian Portuguese , Customer Service and Claims Positions Are you looking for an impactful job that offers the opportunity to develop a professional career? Bring your 1-2 years’ experience in an office setting and grow with us! • A stable and consistent work environment in an office and/or virtual setting • A training program to learn how to help employees and customers from some of the world’s most reputable brands • An assigned mentor and manager who will guide you on your career journey • Career development and promotional growth opportunities through increasing responsibilities • A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs. PRIMARY PURPOSE: To expedite the Customer Service claims application process; to ensure correct case assignment; and to act as a customer liaison in assisting the customer with the correct contact person to resolve problems and/or questions. ESSENTIAL FUNCTIONS And RESPONSIBILITIES • Assigns new claims to the appropriate claims handler. • Enters verbal and written application information that meets both the internal and external customers' requirements accurately into the claims management system. • Contacts the customer by telephone, written correspondence and/or the claims system regarding documentation required to process a claim, required time frames and claim status. • Communicates clearly and professionally with the customer by telephone and/or written correspondence regarding all aspects of claims process. • Participates in and maintains a quality service culture within the Customer Service Team. • Attendance during scheduled work hours is required. ADDITIONAL FUNCTIONS And RESPONSIBILITIES • Performs other duties as assigned. • Serves as a cross-trained resource, capable of supporting multiple functions or departments as operational needs require. • Must be literate in English, with the ability to read and communicate effectively in a professional setting. Qualifications Education & Licensing High school diploma or GED required. Experience One (1) year of clerical or customer service experience or equivalent combination of education and experience preferred. Skills & Knowledge • Excellent oral and written communication • PC literate, including Microsoft Office products • Good customer service skills • Strong organizational skills • Good interpersonal skills • Ability to work in a team environment • Ability to meet or exceed Performance Competencies WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking 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. As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of a specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (16.00 - 16.50). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Lead and oversee multiple branches and a large team to drive regional growth, operational success, and financial performance. | Minimum 10 years senior leadership experience in operations or related field, strong communication, financial and strategic skills, and ability to manage large teams. | By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Sr. Vice President - Pacific RegionLead Regional Growth. Drive Strategic Impact. Inspire Operational Excellence. Sedgwick is seeking a seasoned executive to lead our Pacific Region as Senior Vice President, overseeing a dynamic portfolio of branches and a revenue stream exceeding $265 million. This role is ideal for a visionary leader who thrives in a fast-paced, performance-driven environment and is passionate about delivering exceptional results through people, process, and innovation. Key Responsibilities • Provide strategic leadership across multiple branches, guiding over 2,000 colleagues toward operational and financial success. • Monitor performance against defined goals and implement corrective actions to ensure consistent achievement. • Analyze market conditions and competitive dynamics to drive regional growth and profitability. • Identify and implement best practices across operations, sales, and quality initiatives. • Build and maintain strong relationships with external clients and internal stakeholders to optimize service delivery. • Lead talent development, succession planning, and employee engagement strategies to build a high-performing team. • Collaborate with executive leadership to align regional operations with broader organizational goals. Qualifications • Education: Bachelor's degree preferred in Business Administration, Engineering, Human Resources, or Fire Science. • Experience: Minimum of 10 years in a senior leadership role within operations or a related field. • Skills: • Exceptional communication and interpersonal abilities • Strong financial acumen and analytical thinking • Proven leadership in managing large teams and complex business units • Strategic mindset with a focus on continuous improvement and innovation • Proficiency in Microsoft Office and related business tools Work Environment • Requires occasional travel and the ability to manage multiple priorities under pressure. • Must demonstrate clear, conceptual thinking and sound judgment in a dynamic setting. This is more than a leadership role-it's an opportunity to shape the future of Sedgwick's Pacific Region. WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: 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; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking 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. As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $200k-$250k plus bonus & incentive. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Analyze reported lower-level general liability claims to determine benefits due and ensure ongoing adjudication of claims. Communicate claim actions with claimants, clients, and appropriate medical contacts. | A high school diploma or GED is required along with a New York or Hawaii license. One year of general office experience or an equivalent combination of education and experience is also required. | By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Associate - Liability (REMOTE - Needs NY or Hawaii License) Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands? Apply your knowledge and experience to analyze claims in the context of an energetic culture. Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights. Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. Enjoy flexibility and autonomy in your daily work, your location, and your career path. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. PRIMARY PURPOSE: To analyze reported lower-level level general liability claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices. ESSENTIAL FUNCTIONS and RESPONSIBILITIES • Handles lower-level liability and/or physical damage claims under close supervision. • Supports other claims representatives, examiners and leads with larger or more complex claims as necessary. • Processes general liability claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency. • Communicates claim action/processing with claimant, client and appropriate medical contact. • Ensures claim files are properly documented and claims coding is correct. • May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. QUALIFICATIONS Education & Licensing High school diploma or GED required. Licenses as required. Needs NY OR Hawaii License. Experience: One (1) year of general office experience or equivalent combination of education and experience required. TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. 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 and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com

Analyze and adjudicate complex workers' compensation claims, manage litigation and settlements, calculate benefits and reserves, and ensure claims resolution within service standards. | Requires a bachelor's degree and 5 years of claims management experience or equivalent, with professional certifications preferred. | By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Comp (REMOTE - NC experience required) Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands? • Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. • Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations. • Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. • Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights. • Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. • Enjoy flexibility and autonomy in your daily work, your location, and your career path. • Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. ESSENTIAL FUNCTIONS And RESPONSIBILITIES ADDITIONAL FUNCTIONS and RESPONSIBILITIES • Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. • Negotiates settlement of claims within designated authority. • Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim. • Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level. • Prepares necessary state fillings within statutory limits. • Manages the litigation process; ensures timely and cost effective claims resolution. • Performs other duties as assigned. • Supports the organization's quality program(s). • Travels as required. Qualifications Education & Licensing Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Experience Five (5) years of claims management experience or equivalent combination of education and experience required. TAKING CARE OF YOU • Flexible work schedule. • Referral incentive program. • Career development and promotional growth opportunities. • A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. 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 and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Review and approve ADA accommodation requests by evaluating medical information, negotiating accommodations, and liaising with stakeholders. | Bachelor's degree in nursing, social work or vocational rehabilitation preferred, required professional licenses or certifications, and 4+ years of related experience. | By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance ADA Accommodation Specialist PRIMARY PURPOSE: To enhance the ADA process for claimants requesting accommodations under the ADAAA; to review complex medical information for temporary and permanent accommodation requests; and to approve and/or negotiate restrictions as required under the ADAAA, state and/or client requirements. ESSENTIAL FUNCTIONS And RESPONSIBILITIES • Reviews medical information for ADAAA temporary and permanent accommodation requests. • Approves and/or negotiates accommodations as written; renegotiates reasonable alternative accommodations, or denies restrictions based on lack of supporting documentation through correspondence with physician, colleague, department and other key stakeholders. • Maintains regular contact with colleagues, supervisors, health care providers, and other key stakeholders regarding progress and status of accommodations; assists in the resolution of any challenges related to the accommodations. • Conducts interactive discussions with claimants and employers, assists in answering/resolving any follow-up questions/issues and helps identify clarifications, when needed, from health care providers. • Acts as a subject matter expert and resource to supervisors, colleagues, union, or physicians regarding accommodation/work restriction issues and processes. Provides advice and counsel as appropriate and acts as a liaison between all parties when necessary. • Ascertains the specific physical tolerances and vocational skills needed for particular employment positions; makes decisions or assists case management staff in making decisions regarding a client's competence in performing a particular position. • Adheres to all medical and legal regulations and accreditation standards. • Reviews the essential job functions provided by the employer along with restrictions/limitations provided by the claimant and their treating provider to confirm the claimant can meet the essential functions with or without the accommodation(s) requested. • Contacts employers to obtain specific information regarding an area of employment, i.e., training or education needed, physical demands, wages and benefits, and availability. • Thoroughly reviews contested claims. • Assists as needed with submission of accommodation recommendations to employers for consideration. • Works closely with other members of team to: a) ensure smooth transition from medical case management into job placement; and/or b) discuss the progress on each case suggesting changes in rehabilitation plans. • Documents contacts in claim notes; prepares reports and/or forms documenting the results of research/negotiations performed; and tracks disposition decisions. ADDITIONAL FUNCTIONS And RESPONSIBILITIES • Performs other duties as assigned. • Supports the organization's quality program(s). Qualifications Education & Licensing Bachelor's degree from an accredited college or university in nursing, social work or vocational rehabilitation is preferred. At least one of the following licenses or certifications is required: RN, LVN, CRC, COHN, CVE, LPC, OTR/L, or LCSW. Experience Four (4) years of related experience or equivalent combination of experience and education required. Medical disability or vocational rehabilitation experience preferred. Skills & Knowledge • Excellent oral and written communication, including presentation skills • PC literate, including Microsoft Office products • Analytical and interpretive skills • Strong organizational skills • Excellent interpersonal skills • Excellent negotiation skills • Ability to work in a team environment • Ability to meet or exceed Performance Competencies WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: 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; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking 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 and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.