Sedgwick

Sedgwick

19 open positions available

3 locations
3 employment types
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Showing 19 most recent jobs
Sedgwick

Product Manager

SedgwickAnywhereFull-time
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Compensation$70K - 120K a year

Manage product backlog and collaborate with development teams to deliver client-focused products. | Bachelor's degree and eight years of experience in product strategy or management with strong agile proficiency. | 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 Product Manager PRIMARY PURPOSE: The Product Manager represents the “voice of the client” by maintaining and prioritizing the product backlog that maximizes business value. This position translates client needs into clear, actionable requirements. The Product Manager will solicit stakeholder input and feedback to inform product decisions and partners closely with the development team to balance functional outcomes with technical feasibility, manage dependencies, and support predictable delivery. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Set product vision & roadmap Performs external and internal discovery to identify client needs, market opportunities, and business priorities, incorporating technical constraints, platform standards, and architectural considerations into product direction. Collaborates with Operations, Sales, and Product leadership to ensure strategic alignment, secure sign‑off on key business decisions, and balance functional and technical tradeoffs. Works with the Product Director to adjust scope, sequencing, and roadmap decisions, ensuring product functionality aligns with both business outcomes and technical feasibility. Defines product outcomes (OKRs), represents the “voice of the client,” and communicates roadmap progress, risks, and dependencies to stakeholders. Oversee, coordinate & support development work Estimates effort required to complete requests and allocates capacity accordingly. Partner with Product Management and stakeholders to define business and functional requirements and gather necessary inputs. Defines user stories, acceptance criteria and prioritizes backlog to meet sprint goals. Ensures product strategy, requirements, and priorities are well understood and effectively communicated to development teams, including through intake processes. Understands and helps coordinate intra‑team and external dependencies as applicable. Collects, tracks, and reports KPI data to support Product Group OKRs and monitor performance metrics such as efficiency and quality. Represent the development team in work related to core delivery, non‑functional requirements, and technical initiatives (e.g., maintenance, support, and technical debt). Participates in sprint ceremonies and evaluation meetings (e.g., planning, reviews, retrospectives). Contributes to or author IT and product documentation as needed. Tactical Maintains a holistic understanding of business processes and internal system configurations impacting the product and evaluates technical implications of proposed changes. Assesses business process changes and system impacts to ensure features can be implemented effectively and sustainably. Serves as a primary contact for stakeholders, ensuring clear communication of requirements, risks, assumptions, and delivery decisions. Provides product expertise, consultation, and support for release readiness, lifecycle management, and continuous improvement activities. 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. Licenses as needed. Experience Eight (8) years’ experience in product strategy, product management or requirements intake role. Experience with agile development is strongly preferred. Skills & Knowledge knowledge of agile methodologies and tools and experience writing and managing user stories Cross‑functional collaboration, with the ability to build productive relationships with technical and non‑technical partners business and technology acumen, including understanding customer needs, technical concepts, and business strategy Effective communication skills, encompassing clear verbal, written, and presentation communication with diverse stakeholders Analytical and problem‑solving skills, with the ability to interpret data, assess tradeoffs, and inform decisions Organizational and time management skills, enabling prioritization of work, management of competing demands, and reliable delivery Leadership and influence skills, including people management, negotiation Professional execution and accountability, including producing quality written outputs, working effectively in team environments, and meeting or exceeding performance 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. 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

Product Strategy
Agile Methodologies
Cross-functional Collaboration
Direct Apply
Posted 23 days ago
Sedgwick

VP Business Transformation

SedgwickAnywhereFull-time
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Compensation$150K - 250K a year

Lead enterprise-wide business transformation initiatives to redesign operating models and drive measurable improvements. | 10+ years in business transformation with senior management experience, PMP certification, strong leadership and communication skills, preferably in financial services. | VP Business Transformation PRIMARY PURPOSE: Sedgwick, a global market leader in risk and claims administration, is in the midst of a multi-year transformation to fundamentally re-architect how its core businesses operate. Backed by top private equity firms and led by Sedgwick's Chief Transformation Officer, Sedgwick is reimagining how its services are delivered, with a focus on modernizing core operations, improving customer outcomes, and building scalable, data- and AI-enabled ways of working. The Vice President, Business Transformation is a senior builder and operator responsible for fundamentally reshaping how core business processes and capabilities perform at scale. They will be own the design and delivery of future-state operating and technology solutions in partnership with a business, taking point on shaping solution direction, challenging current-state architecture, assessing build vs. buy trade-offs, and ensuring transformation decisions deliver clear ROI and durable business value. The VP owns major, cross-functional transformation agendas across a core function or multiple areas of a business unit, taking problems from first-principles diagnosis through full operating adoption. The Vice President partners closely with senior business and functional leaders to identify the highest-value opportunities, build consensus on prioritization decisions, and drive end-to-end execution across complex stakeholder environments. Success in this role is defined by measurable, sustained changes in how the organization operates day to day. This is a high-visibility, high-judgment role designed for leaders who want real ownership, decision-making authority, and the opportunity to leave behind durable operating change at a global enterprise scale. We are actively building out our team and are fortunate to have an exciting roster of Transformation leaders already on board. The transformation team includes former Bain leadership and seasoned executives from top-tier firms. Our team also includes deep experience across Fortune 50 enterprises including Amazon, Wells Fargo, HP, GE, PwC, and Tyson Foods. The group brings decades of expertise in strategy, AI, and large-scale digital transformation across financial services, technology, and industry. ESSENTIAL FUNCTIONS and RESPONSIBILITIES • Leads transformation initiatives that support business unit growth objectives and deliver measurable impact through structured execution and strategic alignment. • Partners with divisional and functional leaders to identify and focus on high-value, enterprise-critical initiatives that advance organizational priorities. • Designs and delivers transformation programs by coordinating cross-functional teams, ensuring seamless execution and alignment with strategic goals. • Challenges current-state operating and technology architecture; identifies structural constraints and opportunities for simplification, modernization, or scale • Partners with Technology, Data, and Architecture leaders to design fit-for-purpose future states that balance business needs, speed to value, and long-term scalability • Leads process redesign efforts with an emphasis on data-driven thinking and technology enablement to enhance efficiency and unlock innovation. • Owns key build vs. buy and sequencing decisions, explicitly evaluating cost, risk, time-to-impact, and ROI trade-offs • Accelerates deployment of innovative solutions by identifying, prioritizing, and implementing high-impact use cases in collaboration with technology and business leaders. • Applies analytical rigor to diagnose root causes, solve complex business problems, and inform data-backed decision-making. • Drives adoption and cultural alignment by executing proactive change management strategies and engaging stakeholders at all levels. • Serves as a trusted advisor by bringing strategic insight, executive presence, and clear, compelling communication to leadership discussions. • Tracks outcomes, manages risks, and embeds a culture of continuous improvement into all transformation efforts to ensure long-term success. ADDITIONAL FUNCTIONS and RESPONSIBILITIES • Performs other duties as assigned. • Travels as required (up to 30%). SUPERVISORY RESPONSIBILITIES • Responsible for results delivered for a core function or multiple areas of a business unit through subordinate managers and/or senior professionals. • Builds and leads high-performing teams, fostering a culture of accountability, innovation, and continuous learning. • Aligns diverse teams around shared goals, breaking silos and enabling seamless execution of transformation initiatives. • Provides support, guidance, leadership, and motivation to promote maximum performance. • Administers company personnel policies and follows staffing standards and training recommendations. • Interviews, hires, and establishes colleague performance development plans; conducts performance discussions. QUALIFICATIONS Education & Licensing Bachelor's degree Business Administration, Finance, Economics, Management, or a related discipline from an accredited college or university preferred. Licenses as needed. Certification one of the following areas required (e.g., Project Management Professional (PMP), Program Management Professional (PgMP), Certified Business Transformation Professional (CBTP), Change Management Certified Professional, Six Sigma). Experience Ten (10) years of related experience in business transformation, with several years in a management role having significant business impact or equivalent combination of education and experience required. Experience in management consulting and/or enterprise transformation roles within B2B environments required. Experience in the financial services sector (insurance, banking) highly preferred. Skills & Knowledge • Proven track record in strategy execution, analytics initiatives, and large-scale change programs • Strong collaboration, influence, and communication skills with ability to operate at senior leadership level • Analytical, innovative, and comfortable navigating ambiguity in complex organizations • Applied knowledge of technology-enabled operating models and data dependencies • Excellent oral and written communication skills, including presentation skills • Proven management/leadership and negotiating skill • Ability to create and complete comprehensive, accurate, and constructive written reports • Ability to work in a team environment and meet or exceed performance competencies

Program Management
Operations Management
Strategic Planning
Verified Source
Posted 2 months ago
Sedgwick

Remote Client Service Director: Workers' Comp & Renewals

SedgwickAnywhereFull-time
View Job
Compensation$75K - 120K a year

Oversee client stewardship reporting, manage renewals, and supervise teams in a managed care environment. | Bachelor's degree and 10+ years relevant experience including managed care and strong analytical skills. | A leading managed care company seeks a Client Service Director to oversee client stewardship reporting, manage renewals, and supervise teams. Ideal candidates have a Bachelor's degree and at least ten years of relevant experience, including managed care and strong analytical skills. This remote position offers a flexible schedule, career development opportunities, and comprehensive benefits from day one. #J-18808-Ljbffr

client stewardship
team management
analytical skills
Verified Source
Posted 3 months ago
Sedgwick

Head of Revenue Operations

SedgwickOlympia, WAFull-time
View Job
Compensation$226K - 350K a year

Lead enterprise revenue operations strategy and execution across multiple business units to drive growth and operational discipline. | Requires 15+ years in revenue, sales, or business operations with expertise in CRM, analytics, forecasting, and executive leadership. | 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 Head of Revenue Operations PRIMARY PURPOSE : The Head of Revenue Operations will build and lead the commercial engine of a global, multi-business-unit, tech-enabled risk solutions organization. This executive will drive revenue predictability, analytical rigor, and operational discipline across multiple Business Units with distinct services, buyer dynamics, and go-to-market models. Leading a centralized Revenue Operations function, this role will ensure consistent standards, visibility, and governance across Sales, Marketing, and other cross-functional stakeholders. This role will partner closely with executive leadership to translate growth strategy into measurable execution — ensuring revenue teams operate with clarity, accountability, and data-driven precision. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Enterprise Revenue Strategy & Commercial Planning • Acts as the enterprise owner of revenue operations strategy, partnering with the CGO, Sr Leadership and BU Presidents to shape and operationalize multi‑year growth and monetization strategies. • Establishes and governs enterprise standards for GTM design, including customer segmentation, coverage models, territory architecture, quota methodology, incentive design, capacity planning, and investment prioritization. • Oversees alignment of commercial planning with financial strategy, ensuring revenue plans are tightly integrated with budgets, margin targets, and long‑range plans. • Provides executive sponsorship and final approval authority for sales incentive compensation frameworks, ensuring clarity, motivation, pay‑for‑performance rigor, and alignment with shareholder objectives. • Sets the enterprise planning cadence and performance management rhythm, reinforcing accountability, transparency, and disciplined execution across all Business Units. Analytics, Forecasting, & Executive Reporting • Owns enterprise revenue intelligence, establishing a single, authoritative view of pipeline, forecast, and performance across all Business Units. • Leads the design and evolution of advanced forecasting methodologies, scenario modeling, and predictive analytics. • Monitors and interprets enterprise‑level trends in pipeline health, sales productivity, conversion rates, deal economics, and customer expansion. • Delivers clear, decision‑ready insights to the CGO, ELT, and Board of Directors, including risks, opportunities, and forward‑looking growth scenarios. • Elevates analytical maturity across the organization, embedding data‑driven decision‑making at every level of the commercial organization. Commercial Excellence & Enablement • Owns the end‑to‑end commercial lifecycle, from demand creation through deal execution, renewal, and expansion. • Establishes enterprise pricing and deal governance frameworks, balancing growth, margin, and risk considerations. • Drives excellence in pipeline management, forecast discipline, and data integrity across all revenue‑generating teams. • Oversees enterprise enablement strategy, ensuring sales teams are equipped with the capabilities, tools, and knowledge required to sell complex, technology‑enabled solutions. • Champions continuous improvement in selling effectiveness, solution fluency, and commercial execution rigor. Revenue Systems, Technology & Automation • Sets enterprise vision and governance for the global revenue technology ecosystem, including CRM, analytics, automation, and AI‑enabled tools. • Ensures the integrity of enterprise data architecture, serving as executive steward of the “single source of truth” for revenue. • Partners with IT and Digital leadership to prioritize investments that improve scalability, insight generation, efficiency, and forecasting precision. • Leads adoption of automation and AI capabilities that materially enhance commercial performance and executive visibility. Cross-Functional & Multi-BU Alignment • Leads a centralized, global Revenue Operations organization serving multiple Business Units with varying GTM models. • Clarifies enterprise decision rights, escalation paths, and accountability across Sales, Marketing, Finance, Legal, and IT. • Acts as a change leader, driving adoption of standardized processes, tools, and operating models across geographies and businesses. • Balances enterprise consistency with BU flexibility, ensuring standards enable—not constrain—growth. Organizational Leadership • Builds, scales, and leads a world‑class Revenue Operations organization encompassing: • Sales Operations • Revenue Analytics & Performance Management • Revenue Systems & Technology • Deal & Pricing Governance • Commercial Enablement • Defines and evolves the enterprise operating model for how Revenue Operations partners with Business Units. • Develops senior leadership talent and succession pipelines within Revenue Operations. • Fosters a culture of accountability, analytical excellence, and continuous improvement. ADDITIONAL FUNCTIONS and RESPONSIBILITIES • Performs other duties as assigned. • Travels 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 required; MBA or advance degree preferred. Licenses as needed. Experience Fifteen (15) years of progressive experience in Revenue Operations, Sales Operations, or Business Operations. Skills & Knowledge • Proven ability to architect and govern enterprise commercial strategy • Deep expertise in CRM, revenue platforms, and GTM technology ecosystems • Advanced analytical, financial modeling, and forecasting capabilities • Board‑level communication and executive presence • Experience leveraging automation and AI to materially improve revenue performance • Exceptional stakeholder management and change leadership capabilities 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 ($226,359.00 - 350,000 USD Annual). This role has an associated bonus and is equity eligible. 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. 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

Strategic Vision
Multi-Stakeholder Governance
Digital Transformation
Verified Source
Posted 4 months ago
SE

Administrative Assistant

SedgwickNaperville, IllinoisFull-time
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Compensation$55K - 70K a year

Provide general office support including report preparation, correspondence management, record maintenance, invoice processing, travel arrangements, and supply inventory management. | High school diploma or GED with at least one year of general office administrative experience, proficiency in Microsoft Office, and strong organizational and communication skills. | By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Administrative Assistant PRIMARY PURPOSE: To provide administrative support including preparing correspondence and reports, filing, and other general office support activities. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Produces correspondence, reports, and other documentation; files documents, maintains and tracks suspense file, photocopies, sends and receives facsimile transmissions, etc. Provides back-up telephone support. Processes invoices and billings; maintains records. Maintains unit attendance records, library and/or manuals. Records meeting minutes. Makes travel arrangements. Maintains adequate supply inventory; orders supplies as needed. 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 One (1) year of experience in general office administrative duties or equivalent combination of education and experience required. Experience with an insurance company, broker or consultant preferred. Skills & Knowledge Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive 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 specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($18 - $25 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. 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

Administrative support
Report preparation
Microsoft Office
Direct Apply
Posted 4 months ago
Sedgwick

Claim Examiner - Liability

SedgwickAnywhereFull-time
View Job
Compensation$59K - 83K a year

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.

Claims management
Insurance principles and laws
Negotiation
Microsoft Office
Analytical skills
Organizational skills
Communication
Verified Source
Posted 10 months ago
Sedgwick

Claims Examiner, BI- REMOTE (Commercial Trucking)

SedgwickAnywhereFull-time
View Job
Compensation$70K - 110K a year

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.

Claims management
Auto and commercial line insurance policies
Medical terminology for claim evaluation
Medicare compliance
Litigation process
Vendor management
Negotiation skills
Microsoft Office proficiency
Verified Source
Posted 10 months ago
Sedgwick

Claims Examiner - Liability (REMOTE- NY Adjuster Lic Required)

SedgwickAnywhereFull-time
View Job
Compensation$70K - 90K a year

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.

Claims management
Liability claims analysis
Negotiation and settlement
Reserve calculation
Litigation management
Customer service
Data analysis
Verified Source
Posted 10 months ago
Sedgwick

Physical Therapy Utilization Review Advisor

SedgwickAnywhereFull-time
View Job
Compensation$90K - 130K a year

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.

Physical Therapy
Medical Necessity Review
Workers' Compensation Regulations
Clinical Guidelines
Negotiation
Medical Records Review
Communication
Microsoft Office
Verified Source
Posted 10 months ago
Sedgwick

Workers Compensation Claims Representative | MD, VA & DC Jurisdictional Knowledge

SedgwickAnywhereFull-time
View Job
Compensation$44K - 61K a year

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.

Claims Processing
Insurance Verification
Medical Billing Software Proficiency
HIPAA Compliance Knowledge
ICD-10 Proficiency
CPT coding knowledge
Customer Service
Data Entry and Analysis
Verified Source
Posted 10 months ago
SE

Managed Care Client Services Director - Remote

SedgwickAnywhereFull-time
View Job
Compensation$100K - 120K a year

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

Managed Care Program Management
Client Services
Contract Negotiation
Account Management
Revenue Growth
Customer Satisfaction
Team Supervision
Data Analytics
Direct Apply
Posted 11 months ago
Sedgwick

Entry- Level, Bilingual Spanish and Brazilian Portuguese , Customer Service and Claims Positions

SedgwickAnywhereFull-time
View Job
Compensation$33K - 34K a year

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.

Customer service
Claims processing
Microsoft Office
Communication
Organizational skills
Teamwork
Verified Source
Posted 11 months ago
Sedgwick

Sr. Vice President - Pacific Region

SedgwickAnywhereFull-time
View Job
Compensation$200K - 250K a year

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.

Senior leadership
Strategic leadership
Operational excellence
Financial acumen
Team management
Talent development
Process improvement
Stakeholder relationship management
Microsoft Office proficiency
Verified Source
Posted 11 months ago
SE

Claims Associate - Liability (REMOTE - Needs NY or Hawaii License)

SedgwickAnywhereOther
View Job
Compensation$Not specified

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

Claims Analysis
Customer Service
Documentation
Communication
Empathy
Accountability
Collaboration
Growth
Inclusion
Direct Apply
Posted 11 months ago
SE

Claims Examiner - Workers Comp (REMOTE - NC experience required)

SedgwickAnywhereFull-time
View Job
Compensation$70K - 120K a year

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

Claims Management
Workers' Compensation
Litigation Management
Settlement Negotiation
Benefit Calculation
Reserve Management
State Filings
Verified Source
Posted 11 months ago
Sedgwick

ADA Accommodation Specialist

SedgwickAnywhereFull-time
View Job
Compensation$70K - 90K a year

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

Medical information review
Negotiation
Communication skills
Microsoft Office
Analytical skills
Organizational skills
Interpersonal skills
Verified Source
Posted 11 months ago
Sedgwick

Senior IT Software Developer Advisor

SedgwickAnywhereFull-time
View Job
Compensation$Not specified

Not specified due to missing job description. | Not specified due to missing job description. | Description: Requirements: Benefits:

0
Verified Source
Posted 11 months ago
SE

Remote Operations Administrative Assistant

SedgwickAnywherePart-time
View Job
Compensation$Not specified

The primary purpose of this role is to ensure accuracy and integrity of the hotel billing process while providing critical support for housing placement operations during after-hours. This includes auditing hotel folios, resolving billing discrepancies, and supporting hotel coordinators with bookings. | A bachelor's degree or equivalent is preferred, along with at least one year of experience in customer service, billing, or a related field. Strong organizational skills, attention to detail, and excellent communication skills are essential for success in this role. | 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 Operations Administrative Assistant SCHEDULE: Monday, Tuesday, Wednesday, Friday: 5:00 PM – 2:00 AM EST Saturday: 10:00 AM – 7:00 PM EST Off: Sunday & Thursday PRIMARY PURPOSE: To ensure accuracy and integrity of the hotel billing process while providing critical support for housing placement operations during after-hours. This role is essential to maintaining Sedgwick’s 24/7/365 housing support model by auditing, troubleshooting, and facilitating timely resolutions that directly impact policyholders and client satisfaction. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Retrieve hotel folios (receipts) from properties for completed and partial stays. Audit hotel folios and related claims for billing accuracy, compliance, and documentation. Investigate and resolve billing discrepancies with hotels and internal billing teams. Support Hotel Coordinators by processing overnight and early-morning hotel extensions and new bookings. Conduct claim audits that contribute to internal reporting, compliance, and operational improvement. Ensure timely documentation and clear communication within the claim management system. Take initiative in identifying process gaps or opportunities for improvement, and implement solutions proactively. Serve as a key link in after-hours operations to ensure seamless claim handling and customer service. Book Hotel Stays for displaced policyholders to satisfy FNOL requirements 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 Minimum one (1) year of experience in customer service, billing, hospitality, insurance, or related field. Prior experience in after-hours, independent, or overnight work environments strongly preferred. Skills & Knowledge A proactive problem-solver who works with urgency and accuracy. Strong organizational skills with meticulous attention to detail, especially in billing review and documentation. Excellent oral and written communication skills. Comfortable working independently overnight while maintaining accountability. Proficiency in Microsoft Office Suite (Word, Excel, Outlook); ability to quickly learn claim management systems. Flexible and reliable, especially during evenings, weekends, and holidays. Ability to handle multiple priorities in a fast-paced environment. Strong commitment to customer service and policyholder experience. 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. 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

Customer Service
Billing
Hospitality
Insurance
Problem Solving
Organizational Skills
Attention to Detail
Communication Skills
Microsoft Office
Independent Work
Flexibility
Reliability
Multi-tasking
Commitment to Customer Service
Direct Apply
Posted 11 months ago
SE

Assistant Claims Manager - REMOTE

SedgwickAnywhereOther
View Job
Compensation$Not specified

Oversee technical and operational functions including compliance with company standards and ensure consistent delivery of quality services. Manage staffing, training needs, and budget preparation while maintaining client relationships. | A Bachelor's degree is preferred along with eight years of claims management experience, including one year in a supervisory role. Candidates should embody core values such as empathy, accountability, collaboration, growth, and inclusion. | 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 Assistant Claims Manager - 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: 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 and/or indirect responsibility for 25 or less 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/regulation, 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. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Experience: Eight (8) years of claims management experience or equivalent combination of experience and education required to include one (1) year supervisory 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. 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

Claims Management
Supervisory Experience
Compliance
Quality Assurance
Client Relations
Budget Management
Training
Operational Functions
Direct Apply
Posted 12 months ago

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