Sedgwick · 3 weeks ago
Sr. Claims Specialist, Veterinary Claims | Professional Liability | Remote
United States
Full-time
Remote
Senior Level
6+ years expSedgwick is a leading company in the insurance sector, recognized for its commitment to employee satisfaction and quality service. The Sr. Claims Specialist will analyze and resolve complex veterinary claims, ensuring high levels of customer service while managing costs and coordinating case management within industry standards.
BankingInsuranceRisk Management
Responsibilities
Analyzes and processes complex or technically difficult veterinary claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution
Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions
Negotiates claim settlement up to designated authority level
Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life
Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement
Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines
Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients
Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost
Represents Company in depositions, mediations, and trial monitoring as needed
Communicates claim activity and processing with the client; maintains professional client relationships
Ensures claim files are properly documented and claims coding is correct
Refers cases as appropriate to supervisor and management
Delegates work and mentors assigned staff
Performs other duties as assigned
Supports the organization's quality program(s)
Qualification
Required
Six (6) years of claims management experience or equivalent combination of education and experience
In-depth knowledge of appropriate medical malpractice insurance principles and laws for line-of-business handled
Recoveries offsets and deductions
Claim and disability duration
Cost containment principles including medical management practices and Social Security application procedures as applicable to line-of-business
Excellent oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Analytical and interpretive skills
Strong organizational skills
Excellent negotiation skills
Good interpersonal skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies
Preferred
Bachelor's degree from an accredited college or university
Professional certification as applicable to line of business
Company
Sedgwick
Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$1.5BKey Investors
Altas PartnersLa Caisse
2024-09-12Private Equity· $1B
2018-12-01Private Equity
2018-09-12Acquired
Leadership Team
Michael Arbour
Chairman & Chief Executive Officer
Kalani Reelitz
Global Chief Financial Officer
Recent News
Morningstar.com
2025-11-10
2025-09-04
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