Sedgwick · 15 hours ago
Complex Claims Advisor
United States
Full-time
Remote
Senior Level, Lead/Staff
$95K/yr - $105K/yr
8+ years expSedgwick is a leading company recognized for its workplace culture and commitment to its employees. The Complex Claims Advisor role involves managing complex claims, providing technical guidance, and ensuring optimal resolutions while fostering a culture of quality improvement.
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
Required
Bachelor's degree from an accredited college or university
Eight (8) years of casualty claims experience or equivalent combination of education and experience required to include three (3) to five (5) years of experience handling complex claims
Experience in negotiation, mediation, arbitration or ADR skills on higher value complex claims
Ability to obtain and maintain appropriate licensing
Ability to manage claims across multiple jurisdictions
Excellent oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Excellent analytical and interpretive skills
Strong organizational skills
Ability to work in a team environment
Ability to meet or exceed Service Expectations
Preferred
Industry designation(s)
Supervisory experience
Specific jurisdictional expertise
Benefits
Medical
Dental
Vision
401k and matching
PTO
Disability and life insurance
Employee assistance
Flexible spending or health savings account
Other additional voluntary benefits
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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