20 open positions available
Supervise multiple claims examiner teams, provide technical direction on claims adjudication, monitor workloads, and ensure quality and compliance in claims processing. | Bachelor's degree preferred with 6 years claims experience including 2 years supervisory experience, and relevant professional certifications. | 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 - Liability (MUST RESIDE IN GA) 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 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 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. • 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. 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. 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. 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.
Supervise multiple teams of workers' compensation examiners ensuring compliance with laws and quality standards, manage claims reviews and client relationships, and oversee claims adjudication processes. | Minimum 5 years of workers' compensation claims handling experience with New York jurisdiction knowledge, supervisory experience preferred, and proficiency in claims management software. | 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 Team Lead | New York Jurisdiction | Dedicated Client We are seeking a highly motivated and experienced Workers' Compensation Claims professionals to join our team. The ideal candidate will have at least 5 years of claims handling experience, with a strong background in New York jurisdictional regulations and processes. Supervisory experience preferred. This position is responsible for supervising multiple teams of workers' compensation examiners, ensuring timely and accurate decisions while adhering to all applicable laws and regulations. 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 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. QUALIFICATIONS Experience: Minimum of (5) years of workers' compensation claims handling experience. Experience specifically with New York jurisdictional regulations, including knowledge of New York State Workers' Compensation Board rules and procedures. Experience with Public Entity claims management. Education: High school diploma or equivalent; a college degree or relevant certifications (e.g., WCCP, AIC) is a plus. Skills and Abilities: Strong understanding of workers' compensation claims processes, policies, and legal requirements in New York. Excellent written and verbal communication skills. Strong analytical skills with attention to detail and accuracy. Ability to manage multiple claims simultaneously and prioritize workload effectively. Proficiency with claims management software and Microsoft Office Suite (Excel, Word, Outlook). Ability to negotiate settlements and resolve claims disputes effectively. TAKING CARE OF YOU Flexible work schedule. Capped Case Load. In-depth training. Sedgwick funded licensing. Referral incentive program. Opportunity to work in an agile or remote environment. 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 ( 85,000 - 100,000). 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. 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 technical and operational functions, ensure compliance and quality service delivery, manage staffing and training, and handle budget and profit/loss management. | Bachelor's degree preferred, 8 years contact center/customer experience including 4 years leadership, strong communication, leadership, analytical, and organizational 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 Operations Manager Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Dubuque, IA : 4141 Westmark Drive, Dubuque, IA 52002 Dublin, OH : 5500 Glendon Court Dublin OH 43016 New Albany, OH : 7795 Walton Parkway New Albany, OH 43054 Irving, TX: 2201 W. Royal Lane Suite 125 Irving, TX 75063 Memphis, TN : 8125 Sedgwick Way, Memphis TN 38125 Southfield, MI : 300 Galleria Officentre Southfield MI 48034 Orlando, FL : 12650 Ingenuity Dr Orlando FL 32826 PRIMARY PURPOSE: To oversee technical and operational functions including compliance with company standards and industry best practices; to ensure consistent delivery of quality services; to oversee staffing and training needs; and to oversee budget preparation and profit and loss management. Has direct responsibility for less than 10 direct and 300 indirect colleagues. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Oversees internal quality review process and reports monthly. Assures compliance with client internal controls, audit requirements and service agreement requirements. Establishes business plan with goals and objectives for assigned clients. Ensures claims management policies and procedures are followed to assure meeting service standards, state statutes/regulations, disability plan document, industry best practices and client service requirements. Establishes and maintains client contacts. 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 Eight (8) years of contact center/customer experience related to this position or equivalent combination of education and experience required to include four (4) years of comparable work experience in a leadership role and a demonstrated track record of consistently meeting and/or exceeding performance expectations. 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. 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 $90,000.00 - $97,000.00 USD Annual. 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
Manage client services operations including contract compliance, financials, client relationships, business planning, and staffing within a region or business unit. | Bachelor's degree (preferably in Risk Management, Business Administration, or Finance), 10 years related experience including 3 years national account executive experience and 5 years claims/supervisory experience, knowledge of workers compensation, liability, and disability insurance, and strong communication and leadership 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 Vice President Client Services PRIMARY PURPOSE: To be responsible for the administrative, managerial and client relationships associated with Client Services within the assigned region/Business Unit. ESSENTIAL FUNCTIONS And RESPONSIBILITIES • Ensures contract compliance within an assigned region/Business Unit. • Responsible for financials including accounts receivable, invoicing and pricing support within an assigned region. • Responsible for client knowledge including threatened status and relationship with the company within an assigned region. • Ensures renewal process is handled timely; negotiates and supports new contracts within an assigned region. • Ensures compliance with corporate guidelines. • Responsible for business planning and budgeting within an assigned region. • Plans for staffing needs including succession, bench-strength, and new business within an assigned region. • Supports client relationships, builds executive relationships, and supports internal relationships. • Supports business development. 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 with major in Risk Management, Business Administration or Finance preferred. Advance degree with professional designation (i.e. CPCU, AIC, ARM) preferred. Experience Ten (10) years related experience or equivalent combination of experience and education required to include three (3) years Area Account Executive experience on national accounts and five (5) years claims/supervisory experience. Skills & Knowledge • In-depth understanding of workers compensation, liability and disability • 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 and facilitation 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 NOTE: Credit security clearance, confirmed via a background credit check, is required for this position. 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.
Manage client services and operations within a region, ensuring contract compliance, financial oversight, client relationship management, staffing, and business development. | Bachelor's degree preferred, 10 years auto liability and operations leadership experience required, client services experience preferred, strong communication, leadership, analytical, 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 Vice President Client Services & Operations PRIMARY PURPOSE : To be responsible for the administrative, managerial and client relationships associated with Client Services and Operations within the assigned region/Business Unit. ESSENTIAL FUNCTIONS and RESPONSIBILITIES • Ensures contract compliance within an assigned region/Business Unit. • Responsible for financials including accounts receivable, invoicing and pricing support within an assigned region. • Responsible for client knowledge including threatened status and relationship with the company within an assigned region. • Ensures renewal process is handled timely; negotiates and supports new contracts within an assigned region. • Ensures compliance with corporate guidelines. • Responsible for business planning and budgeting within an assigned region. • Plans for staffing needs including succession, bench-strength, and new business within an assigned region. • Supports client relationships, builds executive relationships, and supports internal relationships. • Supports business development. 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 with major in Risk Management, Business Administration or Finance preferred. Advance degree with professional designation (i.e. CPCU, AIC, ARM) preferred. Experience Ten (10) years auto liability and operations leadership experience required. Client Services experience preferred. Skills & Knowledge • In-depth understanding of workers compensation, liability and disability • 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 and facilitation 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 NOTE: Credit security clearance, confirmed via a background credit check, is required for this position. 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 (130,674 - 182,943). 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 and support multi-client casualty projects through completion, analyze data trends, and provide recommendations to leadership. | Bachelor's degree, 3-4 years related experience in quality initiatives, data projects, claims operations, and strong project management and data analysis 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 (Remote) Process Improvement Project Analyst - Casualty PRIMARY PURPOSE : : To manage, support and service multi-client project assignments through completion; to administer procedures and processes that measure and manage performance across casualty relations; to identify, analyze and report trends across multiple clients and offices; and to provide interpretation of report information and make recommendations for improvement to the leadership team. ESSENTIAL FUNCTIONS and RESPONSIBILITIES • Identifies required resources; researches project data, procedures and history for a thorough understanding of project direction. • Prepares and manages casualty division project plans through completion. • Provides data analysis, including identifying and recognizing trends, across multiple offices for national casualty operations. • Monitors and assesses data for accuracy and integrity. • Communicates activity progress to involved parties. • Assists Operations Manager/Program Managers to resolve issues that arise involving client as appropriate. • Delivers oral and written presentations of project results. • Develops and provides training to management and colleagues as needed. • Transitions program to management personnel. 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 required. Major in Business Administration, Statistics or Quantitative Analysis and courses in Computer Science preferred. Experience 3-4 years of related experience or equivalent combination of education and experience required to include experience with leading quality initiatives and data intensive projects, claims operations, and general business experience with emphasis on data analysis. Skills & Knowledge • Thorough knowledge of related field procedures or insurance-related procedures and/or managed care systems and operations • Strong knowledge of project management • Knowledge of data analysis with strong Excel skills • 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. 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 ( 47,011.00 - 65,816.00 ) USD annual salary. Commission eligible role. 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.
Review and analyze legal invoices for medical malpractice claims to ensure accuracy, compliance, and cost containment. | Six years of experience in legal billing, insurance claims, or law firm operations with familiarity in medical malpractice litigation and legal billing platforms. | 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 Bill Review Analyst | Professional Liability | Remote PRIMARY PURPOSE: The Bill Review Analyst plays a critical role in supporting the medical malpractice claims team by ensuring legal invoice accuracy, compliance, and defensibility. This position is responsible for reviewing and analyzing legal billing submissions to confirm alignment with internal billing guidelines, industry standards, and customary legal practices specific to healthcare litigation. The Analyst contributes to cost containment efforts and promotes transparency and consistency in legal spend management. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Reviews legal invoices associated with medical malpractice claims to verify accuracy, reasonableness, and adherence to established billing protocols. Assesses billed activities for compliance with customary legal practices and industry norms, particularly within the context of complex healthcare litigation. Identifies and flags billing anomalies, including excessive charges, duplicative entries, or non-compensable time, and recommends appropriate adjustments. Applies a working knowledge of legal terminology, litigation phases, and case management processes to evaluate the appropriateness of billed services. Collaborates with internal claims professionals and external legal counsel to resolve billing discrepancies and ensure consistent application of billing standards. Maintains thorough documentation of invoice reviews, supporting audit readiness and contributing to internal reporting and analytics. Participates in the ongoing refinement of billing guidelines and review procedures to reflect evolving legal and industry standards. Provides insights and feedback to leadership regarding trends in legal spend, billing practices, and opportunities for process improvement. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Travel as required. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Experience Six (6) years of related experience in legal billing, insurance claims, or law firm operations, or equivalent combination of education and experience required. Familiarity with medical malpractice litigation and healthcare-related legal services is highly desirable. Paralegal experience helpful but not required. Skills & Knowledge Demonstrates strong analytical skills and attention to detail in reviewing complex legal billing data Possesses a solid understanding of medical malpractice litigation and legal billing practices Communicates effectively with both internal stakeholders and external legal partners Exhibits sound judgment and discretion in handling sensitive financial and legal information Proficient in legal billing platforms and invoice review tools; familiarity with eBilling systems is preferred Capable of working independently while contributing to team-based initiatives and goals Excellent oral and written communication skills, including presentation skills PC literate, including Microsoft Excel and Office products 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 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. #LI-LT1 #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. 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
The Claims Assistant provides support to the claims staff and performs various office tasks related to client programs. Responsibilities include setting up new claims, processing payments, and handling correspondence. | A high school diploma or GED is required, along with six months of clerical or customer service experience. Strong communication skills and proficiency in Microsoft Office are essential. | 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 Assistant | Auto | Remote This role may be open to a work-at-home, remote, telecommuter setting or may be based hybrid out of various locations nationwide*. PRIMARY PURPOSE: To provide support to the claims staff and to perform other office tasks depending on the client program. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Sets up and enters new claims into claims management system. Inputs and reviews notes/diaries in claims management system as instructed. Processes payments. Processes mail; handles filing, faxing and photocopying. Reviews, prepares, creates, and/or sends letters, reports, and forms. Answers and initiates telephone calls, sets up medical appointments, and may provide customer service as required. Other activities/projects as assigned including the preparation and distribution of computer reports. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing High school diploma or GED required. Experience Six (6) months of clerical or customer service experience or equivalent combination of education and experience required. Skills & Knowledge Excellent oral and written communication PC literate, including Microsoft Office products Strong organizational 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 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 $21.52 - $23.28 USD Hourly. 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. #REMOTE #HYBRID #LI-REMOTE *subject to change based on company need 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
Supervise multiple teams handling disability claims, provide technical direction, monitor claims quality and compliance, and maintain client relationships. | Bachelor's degree preferred, 6 years claims experience or equivalent, 2 years supervisory experience, knowledge of disability claims management, strong communication and leadership 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 Workforce Absence Team Lead Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Dubuque, IA : 4141 Westmark Drive, Dubuque, IA 52002 Cedar Rapids, IA: 333 1stStreet SE Ste. 200 Cedar Rapids IA 52401 Coralville, IA:3273 Ridgeway Drive Coralville IA 52241 Dublin, OH: 5500 Glendon Court Dublin OH 43016 New Albany, OH: 7795 Walton Parkway New Albany, OH 43054 Chicago, IL :175 W. Jackson Blvd. 12th Fl. Chicago IL 60604 Indianapolis, IN:8909 Purdue Road Suite 501 Indianapolis, IN 46268 Irving, TX: 2201 W. Royal Lane Suite 125 Irving, TX 75063 Memphis, TN :8125 Sedgwick Way, Memphis TN 38125 Southfield, MI: 300 GalleriaOfficentreSouthfield MI 48034 Orlando, FL :12650 Ingenuity Dr Orlando FL 32826 Eden Prairie, MN: 11000 Prairie Lakes Drive Eden Prairie, MN 55344 West Hills, CA: 8521 Fallbrook Ave West Hills, CA 91304 PRIMARY PURPOSE:To supervise the operations of multiple teams of examiners and technical staff for disability claims for clients;to monitor colleagues' workload, 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 within the teams including frequent diaries on complex or high exposure claims. ESSENTIAL FUNCTIONS and RESPONSIBILITIES • Supervises multiple teams of examiners and/or several 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. ADDITIONAL FUNCTIONS and RESPONSIBILITIES • Performs other duties as assigned. • Supports the organization's quality program(s). 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 as applicable to line of business preferred. Experience Six (6) years of claims experience or equivalent combination of education and experience required. Two (2) years of claims supervisory experience preferred. Skills & Knowledge • Thorough knowledge of claims management procedures and processes for disability • 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. Sedgwickis 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 manage strategic project assignments from planning through completion, coordinate project teams, communicate progress and results to senior leadership, and provide training. | Bachelor's degree preferred, 10 years related experience including 5 years project management or insurance-related experience, strong project management knowledge, communication, analytical, organizational, and interpersonal 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 AVP Strategy PRIMARY PURPOSE: To develop and manage strategic project assignments through completion; to lead and direct strategic project teams; to communicate results; to make recommendations to management; and to provide training. ESSENTIAL FUNCTIONS And RESPONSIBILITIES • Identifies and leads strategic project planning needs, assignments and prioritization, based on improvement opportunities within the business unit. • Identifies business needs, performs cost/benefit analysis, identifies required resources; researches strategic project data, procedures, and history for a thorough understanding of project direction. • Generates and analyzes statistical data reports. • Develops, prepares and manages strategic project plan through completion and acts as key stakeholder for business unit. • Communicates activity progress to involved parties. • Coordinates and facilitates strategic project teams; assigns responsibilities to team participants and utilizes influencing skills to drive results • Identifies, researches, and resolves business challenges, analyzes and interprets complex business processes and develops and documents new procedures • Transitions program to management personnel • Engages with and presents project information to senior leaders to gain approval and funding. • Develops and provides training to management and colleagues as needed. 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 reviews. • Provides support, guidance, leadership and motivation to promote maximum performance. Qualifications Education & Licensing Bachelor's degree from an accredited college or university preferred. Six Sigma Black Belt certification preferred. Experience Ten (10) years of related experience or equivalent combination of education and experience required to include five (5) years project management, claims operation management, managed care, insurance-related and/or statistical analysis experience. Skills & Knowledge • Thorough knowledge of project management and protocol • Excellent oral and written communication, including presentation skills • PC literate, including Microsoft Office products • Analytical and interpretive skills • Strong organizational skills • Excellent negotiation skills • Excellent interpersonal skills • Ability to work independently • 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.
Provide customer support for temporary housing claims by handling inbound calls, processing hotel extensions, auditing billing accuracy, and maintaining data accuracy. | Requires a bachelor's degree or equivalent, 4 years of claims processing or related experience, knowledge of billing and claim systems, strong communication and problem-solving skills, and ability to maintain confidentiality. | 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 Remote Customer Service Specialist- Remote SCHEDULE: Sun/Mon/Tues/Wed/Fri 9:30am–6:30pm EST PRIMARY PURPOSE: To provide exceptional customer support on Sedgwick’s primary temporary housing line by assisting policyholders, adjusters, and partners with housing-related inquiries. This role is responsible for handling inbound calls, processing hotel extensions, supporting billing-related questions, and performing administrative tasks to ensure accuracy, timeliness, and quality service across all housing operations. ESSENTIAL FUNCTIONS And RESPONSIBILITIES • Answers inbound calls from insureds/policyholders, adjusters, hotels, and property managers in a professional, friendly, and compassionate manner. • Serves as the first point of contact for housing-related inquiries, demonstrating strong service and problem-solving skills • . Learns the functions of each department in order to accurately resolve issues and answer questions. • Accurately and efficiently enters new housing claims into the system. • Monitors inbound email for claim questions, approvals, and new housing requests. • Contacts insureds via text and email to confirm hotel extension needs. • Updates and maintains the hotel database to ensure accuracy and uniformity. • Extends hotel stays for clients currently in-house. • Retrieve hotel folios (receipts) from properties for completed and partial stays • Audit hotel folios and related claims for billing accuracy, compliance, and documentation • Verifies and maintains accurate data across internal systems. ADDITIONAL FUNCTIONS And RESPONSIBILITIES • Performs other duties as assigned. • Supports the organization's quality program(s). Qualifications Education & Licensing Bachelor's degree or equivalent from an accredited college or university preferred. Experience Four (4) years of experience in claims processing or related business experience, or equivalent combination of education and experience required. Insurance or finance industry experience preferred. Skills & Knowledge • Working knowledge of billing and reconciliation systems, claim systems, financial services, and insurance products • Excellent oral and written communication, including presentation skills • PC literate, including Microsoft Office products • Excellent analytical and interpretive skills, including efficient use of MS Excel • Excellent problem solving and resolution skills • Strong organizational skills • Ability to maintain confidentiality • 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 NOTE: Credit security clearance, confirmed via a background credit check, is required for this position. 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 $17/hr. Always accepting applications. 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 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
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