Apply on Employer Site

Sedgwick · 1 month ago

Complex Claims Advisor (REMOTE - NC license & experience REQUIRED; some travel)

United States

Full-time

Remote

Senior Level, Lead/Staff

8+ years exp

Sedgwick is a global industry leader known for its excellence in customer service and innovative solutions. The Complex Claims Advisor role involves managing complex claims, providing technical guidance, and ensuring optimal resolutions while fostering a culture of quality improvement. This position offers flexibility, professional development opportunities, and the chance to be part of a caring and inclusive workplace.

BankingInsuranceRisk Management

Responsibilities

Proactively and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional expertise to provide oversight, and directs the handling to achieve the best possible resolution

Acts as the organizational subject matter expert for line of business and key jurisdictions on complex claim issues

Uses knowledge of all aspects of claims handling in evaluating exposure; recommends and directs action plans for issue or case resolution

Articulates and documents clear and concise file notes to allow stakeholders to understand the issues and path to resolution

Facilitates roundtables with groups/teams; engages appropriate internal and external resources as needed

Provides technical leadership on and maintains co-ownership of complex claim issues; through further influence creates a culture of continual quality improvement

Performs other duties as assigned

Supports the organization's quality program(s)

Travels as required

Qualification

Complex claims handlingMediation skillsArbitration skillsNegotiation skillsJurisdictional expertiseSupervisory experienceEmpathyAccountabilityInclusionCollaborationGrowth