Complex Claims Advisor | Dedicated Client | East Coast States

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.

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• Certified as a Great Place to Work®
• Fortune Best Workplaces in Financial Services & Insurance
• Complex Claims Advisor | Dedicated Client | East Coast States

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 litigation 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.

WORK LOCATIONS

Marlton, NJ - Hybrid schedule if within commutable distance to office

Remote if outside of commutable distance to office

PRIMARY PURPOSE OF THE ROLE:  To address and handle high end cases with serious injuries, complex coverage scenarios and legal inquiries or disputes; to develop a strategy to bring a case to satisfactory resolution.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

Reviews/acts on reports/forms; responds to inquiries; seeks legal opinion and early resolution; and communicates resolution to appropriate parties.

Handles high end cases with serious injuries and/or complex coverage scenarios.

Responds to decisions, agreement, and/or court order; creates action plan; determines need for examination; gains client authorization.

Identifies cases for settlements/redemptions.

Gathers/documents additional information and coordinates with client designees.

Requests legal/private investigation; assigns to and coordinates with local counsel; monitors local counsel performance.

Responds to plaintiff's counsel, union, employee, or client requests.

Identifies issues and formulates defense strategy.

Establishes/adjusts accrued liability and approves administrative expenses.

Identifies subrogation opportunities and manages process.

Attends and participates in mediations, trials, arbitrations or hearings as needed.

Works with partners to affect early return-to-work.

QUALIFICATIONS

• Education & Licensing: Bachelor's degree from an accredited college or university preferred. Juris Doctorate (JD) preferred.
• Experience: Ten (10) years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and experience required.
• Jurisdiction Knowledge: East Coast - NJ, PA & FL
• Licensing: Home state licensing preferred
• TAKING CARE OF YOU
• Flexible work schedule.
• Referral incentive program.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
• WORK ENVIRONMENT REQUIREMENTS   INCLUDE
• 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
• 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 (90,000 - 100,000). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
• #claimsexaminer #claims #hybrid #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.