[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"all-featured-jobs-global":3,"job-search-\u002Fde-global\u002Fcompany\u002Fsedgwick-claims-management-services-inc":6,"company-filters-\u002Fde-global\u002Fcompany\u002Fsedgwick-claims-management-services-inc":432,"company-sedgwick-claims-management-services-inc-de-global":623},{"total":4,"jobs":5},0,[],{"total":7,"jobs":8},351,[9,53,78,100,117,141,159,180,200,224,248,269,293,313,331,343,358,377,391,413],{"id":10,"slug":11,"title":12,"raw_title":13,"is_featured":14,"company":15,"raw_hiringOrganization_logo_url":13,"processed_city_gmaps":18,"processed_country_iso_code_gmaps":20,"processed_home_office":22,"processed_salary_min":23,"processed_salary_max":24,"processed_salary_currency":25,"processed_salary_source":26,"processed_working_hours":27,"processed_employment_types":29,"processed_it_skills":30,"processed_it_skills_labels":32,"processed_job_expertise_skills":38,"processed_job_expertise_skills_labels":40,"max_cpc":52,"actual_cpc":52},87428,"talent-acquisition-specialist-contractor-remote-or-hybrid-sedgwick-claims-management-services-inc","Talent Acquisition Specialist | Contractor | Remote OR Hybrid",null,false,{"name":16,"slug":17,"logo_url":13},"Sedgwick Claims Management Services Inc.","sedgwick-claims-management-services-inc",[19],"Sedgwick County",[21],"US","hybrid",58500,74100,"USD","estimated",[28],"FULL_TIME","contract",{"workday ats":31,"microsoft office":31,"ai recruiting tools":31,"internet mining technology":31,"electronic recruiting software":31},3,[33,34,35,36,37],"Workday ATS","AI recruiting tools","Microsoft Office","Electronic recruiting software","Internet mining technology",{"staffing":39,"recruiting":39,"budget management":31,"talent acquisition":39,"pipeline management":31,"candidate assessment":31,"relationship building":39,"data-driven recruiting":31,"training and mentoring":31,"behavioral interviewing":31,"employment law knowledge":31},4,[41,42,43,44,45,46,47,48,49,50,51],"Talent Acquisition","Recruiting","Staffing","Budget management","Behavioral interviewing","Employment law knowledge","Candidate assessment","Pipeline management","Training and mentoring","Data-driven recruiting","Relationship building",1,{"id":54,"slug":55,"title":56,"raw_title":13,"is_featured":14,"company":57,"raw_hiringOrganization_logo_url":13,"processed_city_gmaps":58,"processed_country_iso_code_gmaps":60,"processed_home_office":61,"processed_salary_min":62,"processed_salary_max":63,"processed_salary_currency":25,"processed_salary_source":26,"processed_working_hours":64,"processed_employment_types":65,"processed_it_skills":66,"processed_it_skills_labels":67,"processed_job_expertise_skills":68,"processed_job_expertise_skills_labels":69,"max_cpc":52,"actual_cpc":52},87301,"sr-adjuster-sedgwick-claims-management-services-inc-3","Sr. Adjuster",{"name":16,"slug":17,"logo_url":13},[59],"Las Vegas",[21],"onsite",50000,60000,[28],"permanent",{"microsoft office":31},[35],{"negotiation":39,"claims adjustment":39,"claims settlement":39,"damage estimation":39,"claims investigation":39,"salvage and subrogation":31,"insurance policy analysis":39,"client relationship management":31},[70,71,72,73,74,75,76,77],"Claims Investigation","Claims Adjustment","Insurance Policy Analysis","Damage Estimation","Negotiation","Claims Settlement","Salvage and Subrogation","Client Relationship Management",{"id":79,"slug":80,"title":81,"raw_title":13,"is_featured":14,"company":82,"raw_hiringOrganization_logo_url":13,"processed_city_gmaps":83,"processed_country_iso_code_gmaps":85,"processed_home_office":22,"processed_salary_min":86,"processed_salary_max":87,"processed_salary_currency":25,"processed_salary_source":26,"processed_working_hours":88,"processed_employment_types":65,"processed_it_skills":89,"processed_it_skills_labels":90,"processed_job_expertise_skills":91,"processed_job_expertise_skills_labels":92,"max_cpc":52,"actual_cpc":52},87352,"workers-compensation-claims-examiner-salt-lake-city-ut-sedgwick-claims-management-services-inc","Workers Compensation Claims Examiner | Salt Lake City, UT",{"name":16,"slug":17,"logo_url":13},[84],"Salt Lake City",[21],80000,100000,[28],{},[],{"negotiation":39,"claims management":39,"claims adjudication":39,"client communication":39,"regulatory compliance":31,"jurisdiction knowledge":31,"settlement negotiation":39,"workers compensation claims":39},[93,94,95,74,96,97,98,99],"Claims Management","Workers Compensation Claims","Claims Adjudication","Settlement Negotiation","Client Communication","Regulatory Compliance","Jurisdiction Knowledge",{"id":101,"slug":102,"title":103,"raw_title":13,"is_featured":14,"company":104,"raw_hiringOrganization_logo_url":13,"processed_city_gmaps":105,"processed_country_iso_code_gmaps":106,"processed_home_office":107,"processed_salary_min":108,"processed_salary_max":109,"processed_salary_currency":25,"processed_salary_source":26,"processed_working_hours":110,"processed_employment_types":65,"processed_it_skills":111,"processed_it_skills_labels":112,"processed_job_expertise_skills":113,"processed_job_expertise_skills_labels":114,"max_cpc":52,"actual_cpc":52},87418,"associate-benefit-coordinator-medical-only-jurisdiction-licensing-virginia-remote-sedgwick-claims-management-services-inc","Associate Benefit Coordinator - Medical Only | Jurisdiction & Licensing: Virginia (Remote)",{"name":16,"slug":17,"logo_url":13},[],[21],"remote",46000,54000,[28],{},[],{"negotiation":31,"claims management":31,"claims adjudication":31,"insurance knowledge":31,"workers compensation":31,"regulatory compliance":31},[93,115,95,74,98,116],"Workers Compensation","Insurance Knowledge",{"id":118,"slug":119,"title":120,"raw_title":13,"is_featured":14,"company":121,"raw_hiringOrganization_logo_url":13,"processed_city_gmaps":122,"processed_country_iso_code_gmaps":124,"processed_home_office":61,"processed_salary_min":125,"processed_salary_max":126,"processed_salary_currency":25,"processed_salary_source":26,"processed_working_hours":127,"processed_employment_types":65,"processed_it_skills":128,"processed_it_skills_labels":129,"processed_job_expertise_skills":130,"processed_job_expertise_skills_labels":131,"max_cpc":52,"actual_cpc":52},87444,"workforce-absence-operations-manager-sedgwick-claims-management-services-inc-4","Workforce Absence Operations Manager",{"name":16,"slug":17,"logo_url":13},[123],"Fallbrook",[21],85000,98000,[28],{"microsoft office":31},[35],{"audit":39,"hiring":39,"staffing":39,"training":39,"compliance":39,"quality review":39,"business planning":39,"claims management":39,"budget preparation":39,"performance management":39,"profit and loss management":39,"client relationship management":39},[93,132,133,134,135,136,137,43,138,77,139,140],"Budget Preparation","Profit and Loss Management","Compliance","Audit","Quality Review","Business Planning","Training","Performance Management","Hiring",{"id":142,"slug":143,"title":144,"raw_title":13,"is_featured":14,"company":145,"raw_hiringOrganization_logo_url":13,"processed_city_gmaps":146,"processed_country_iso_code_gmaps":147,"processed_home_office":61,"processed_salary_min":148,"processed_salary_max":125,"processed_salary_currency":25,"processed_salary_source":26,"processed_working_hours":149,"processed_employment_types":65,"processed_it_skills":150,"processed_it_skills_labels":151,"processed_job_expertise_skills":152,"processed_job_expertise_skills_labels":153,"max_cpc":52,"actual_cpc":52},87271,"claims-examiner-workers-compensation-jurisdiction-midwest-states-licensing-mi-or-mn-required-sedgwick-claims-management-services-inc","Claims Examiner - Workers Compensation | Jurisdiction: Midwest States | Licensing: MI or MN Required",{"name":16,"slug":17,"logo_url":13},[],[21],65000,[28],{},[],{"licensing":31,"reporting":31,"negotiation":31,"investigation":31,"claims analysis":39,"claims management":39,"claims processing":39,"client communication":31,"workers compensation":39,"jurisdiction knowledge":31,"settlement negotiation":31},[93,115,154,74,96,155,99,156,157,97,158],"Claims Analysis","Claims Processing","Licensing","Reporting","Investigation",{"id":160,"slug":161,"title":162,"raw_title":13,"is_featured":14,"company":163,"raw_hiringOrganization_logo_url":13,"processed_city_gmaps":164,"processed_country_iso_code_gmaps":166,"processed_home_office":61,"processed_salary_min":167,"processed_salary_max":168,"processed_salary_currency":25,"processed_salary_source":26,"processed_working_hours":169,"processed_employment_types":65,"processed_it_skills":170,"processed_it_skills_labels":172,"processed_job_expertise_skills":173,"processed_job_expertise_skills_labels":174,"max_cpc":52,"actual_cpc":52},87314,"oss-associate-sedgwick-claims-management-services-inc","OSS Associate",{"name":16,"slug":17,"logo_url":13},[165],"Memphis",[21],35000,45000,[28],{"microsoft office":171},2,[35],{"indexing":171,"data entry":171,"document review":171,"claims processing":171,"office administration":171},[175,176,177,178,179],"Claims processing","Document review","Data entry","Indexing","Office administration",{"id":181,"slug":182,"title":183,"raw_title":13,"is_featured":14,"company":184,"raw_hiringOrganization_logo_url":13,"processed_city_gmaps":185,"processed_country_iso_code_gmaps":187,"processed_home_office":61,"processed_salary_min":188,"processed_salary_max":189,"processed_salary_currency":25,"processed_salary_source":26,"processed_working_hours":190,"processed_employment_types":65,"processed_it_skills":191,"processed_it_skills_labels":192,"processed_job_expertise_skills":194,"processed_job_expertise_skills_labels":195,"max_cpc":52,"actual_cpc":52},87338,"workers-compensation-claims-associate-riverside-ca-or-ontario-ca-on-site-sedgwick-claims-management-services-inc","Workers Compensation - Claims Associate | Riverside, CA or Ontario, CA (On-Site)",{"name":16,"slug":17,"logo_url":13},[186],"Ontario",[21],52000,58240,[28],{"microsoft office":171,"claims management software":171},[35,193],"Claims Management Software",{"claims adjudication":171,"medical claims processing":171,"reserve accuracy monitoring":171,"client relationship management":171,"regulatory documentation filing":171,"workers compensation claims handling":171},[196,95,197,198,199,77],"Workers Compensation Claims Handling","Medical Claims Processing","Reserve Accuracy Monitoring","Regulatory Documentation Filing",{"id":201,"slug":202,"title":203,"raw_title":13,"is_featured":14,"company":204,"raw_hiringOrganization_logo_url":13,"processed_city_gmaps":205,"processed_country_iso_code_gmaps":207,"processed_home_office":61,"processed_salary_min":208,"processed_salary_max":209,"processed_salary_currency":25,"processed_salary_source":26,"processed_working_hours":210,"processed_employment_types":65,"processed_it_skills":211,"processed_it_skills_labels":212,"processed_job_expertise_skills":214,"processed_job_expertise_skills_labels":215,"max_cpc":52,"actual_cpc":52},87337,"claims-assistant-workers-compensation-portland-or-on-site-sedgwick-claims-management-services-inc","Claims Assistant - Workers Compensation | Portland, OR (on-site)",{"name":16,"slug":17,"logo_url":13},[206],"Portland",[21],37440,43680,[28],{"microsoft office":171,"claims management systems":171},[35,213],"Claims Management Systems",{"faxing":171,"filing":171,"data entry":171,"photocopying":171,"customer service":171,"claims processing":171,"payment processing":171,"report preparation":171,"appointment scheduling":171},[155,216,217,218,219,220,221,222,223],"Data Entry","Payment Processing","Filing","Faxing","Photocopying","Report Preparation","Appointment Scheduling","Customer Service",{"id":225,"slug":226,"title":227,"raw_title":13,"is_featured":14,"company":228,"raw_hiringOrganization_logo_url":13,"processed_city_gmaps":229,"processed_country_iso_code_gmaps":230,"processed_home_office":61,"processed_salary_min":231,"processed_salary_max":232,"processed_salary_currency":25,"processed_salary_source":26,"processed_working_hours":233,"processed_employment_types":65,"processed_it_skills":234,"processed_it_skills_labels":235,"processed_job_expertise_skills":236,"processed_job_expertise_skills_labels":237,"max_cpc":52,"actual_cpc":52},87379,"claims-adjuster-liablity-sedgwick-claims-management-services-inc","Claims Adjuster Liablity",{"name":16,"slug":17,"logo_url":13},[],[21],55000,75000,[28],{"microsoft office":31},[35],{"negotiation":39,"subrogation":39,"claims coding":31,"insurance laws":39,"reserve setting":39,"cost containment":39,"claims management":39,"claims settlement":39,"medical management":31,"medicare procedures":31,"insurance principles":39,"liability assessment":39,"social security procedures":31},[93,238,239,74,240,241,242,243,244,245,246,247,75],"Liability Assessment","Subrogation","Insurance Principles","Insurance Laws","Cost Containment","Medical Management","Social Security Procedures","Medicare Procedures","Claims Coding","Reserve Setting",{"id":249,"slug":250,"title":251,"raw_title":13,"is_featured":14,"company":252,"raw_hiringOrganization_logo_url":13,"processed_city_gmaps":253,"processed_country_iso_code_gmaps":254,"processed_home_office":22,"processed_salary_min":87,"processed_salary_max":255,"processed_salary_currency":25,"processed_salary_source":26,"processed_working_hours":256,"processed_employment_types":65,"processed_it_skills":257,"processed_it_skills_labels":258,"processed_job_expertise_skills":259,"processed_job_expertise_skills_labels":260,"max_cpc":52,"actual_cpc":52},87346,"workers-compensation-claims-team-lead-salt-lake-city-ut-sedgwick-claims-management-services-inc","Workers Compensation Claims Team Lead | Salt Lake City UT",{"name":16,"slug":17,"logo_url":13},[84],[21],115000,[28],{},[],{"hiring":39,"interviewing":39,"vendor management":39,"claims adjudication":39,"compliance knowledge":39,"litigation management":39,"performance management":39,"supervisory experience":39,"training and development":39,"jurisdictional knowledge (ca or nv)":39,"workers compensation claims management":39},[261,262,95,263,264,265,266,139,267,268,140],"Workers Compensation Claims Management","Supervisory Experience","Litigation Management","Vendor Management","Compliance Knowledge","Jurisdictional Knowledge (CA or NV)","Training and Development","Interviewing",{"id":270,"slug":271,"title":272,"raw_title":13,"is_featured":14,"company":273,"raw_hiringOrganization_logo_url":13,"processed_city_gmaps":274,"processed_country_iso_code_gmaps":275,"processed_home_office":61,"processed_salary_min":188,"processed_salary_max":276,"processed_salary_currency":25,"processed_salary_source":26,"processed_working_hours":277,"processed_employment_types":65,"processed_it_skills":278,"processed_it_skills_labels":279,"processed_job_expertise_skills":280,"processed_job_expertise_skills_labels":281,"max_cpc":52,"actual_cpc":52},87442,"disability-representative-sr-sedgwick-claims-management-services-inc-46","Disability Representative Sr",{"name":16,"slug":17,"logo_url":13},[123],[21],56160,[28],{"microsoft office":31},[35],{"fmla regulations":31,"claims management":39,"erisa regulations":31,"ada accommodations":31,"duration management":31,"medical terminology":31,"benefits calculation":31,"claims investigation":31,"disability case management":39,"vendor referral management":31,"return to work coordination":39,"medical documentation review":39,"social security application procedures":31},[282,93,283,284,285,286,287,288,289,290,291,70,292],"Disability Case Management","Medical Documentation Review","ERISA Regulations","FMLA Regulations","Medical Terminology","Duration Management","Social Security Application Procedures","Return to Work Coordination","ADA Accommodations","Benefits Calculation","Vendor Referral Management",{"id":294,"slug":295,"title":296,"raw_title":13,"is_featured":14,"company":297,"raw_hiringOrganization_logo_url":13,"processed_city_gmaps":298,"processed_country_iso_code_gmaps":300,"processed_home_office":61,"processed_salary_min":301,"processed_salary_max":301,"processed_salary_currency":25,"processed_salary_source":26,"processed_working_hours":302,"processed_employment_types":65,"processed_it_skills":303,"processed_it_skills_labels":304,"processed_job_expertise_skills":308,"processed_job_expertise_skills_labels":309,"max_cpc":52,"actual_cpc":52},87292,"intake-data-entry-sedgwick-claims-management-services-inc","Intake Data Entry",{"name":16,"slug":17,"logo_url":13},[299],"Elgin",[21],17,[28],{"typing":171,"windows":171,"microsoft office":171,"in-house databases":171},[35,305,306,307],"Windows","In-house databases","Typing",{"data entry":31,"data auditing":31,"phone handling":31,"customer service":31,"claims administration":171},[216,310,311,223,312],"Data Auditing","Phone Handling","Claims Administration",{"id":314,"slug":315,"title":316,"raw_title":13,"is_featured":14,"company":317,"raw_hiringOrganization_logo_url":13,"processed_city_gmaps":318,"processed_country_iso_code_gmaps":320,"processed_home_office":22,"processed_salary_min":321,"processed_salary_max":322,"processed_salary_currency":25,"processed_salary_source":26,"processed_working_hours":323,"processed_employment_types":65,"processed_it_skills":324,"processed_it_skills_labels":325,"processed_job_expertise_skills":326,"processed_job_expertise_skills_labels":327,"max_cpc":52,"actual_cpc":52},87259,"claims-associate-workers-comp-med-only-jurisdiction-midwest-licensing-required-tx-mi-fl-hybrid-role-sedgwick-claims-management-services-inc","Claims Associate - Workers Comp Med Only | Jurisdiction: Midwest | Licensing: Required TX, MI, FL (Hybrid Role)",{"name":16,"slug":17,"logo_url":13},[319],"Chicago",[21],41330,57866,[28],{},[],{"claims coding":171,"claims processing":171,"documentation filing":171,"regulatory compliance":171,"medical claims management":171,"reserve accuracy monitoring":171,"client relationship management":171,"workers compensation claims adjudication":171},[328,155,198,329,77,98,330,246],"Workers Compensation Claims Adjudication","Documentation Filing","Medical Claims Management",{"id":332,"slug":333,"title":272,"raw_title":13,"is_featured":14,"company":334,"raw_hiringOrganization_logo_url":13,"processed_city_gmaps":335,"processed_country_iso_code_gmaps":337,"processed_home_office":61,"processed_salary_min":231,"processed_salary_max":232,"processed_salary_currency":25,"processed_salary_source":26,"processed_working_hours":338,"processed_employment_types":65,"processed_it_skills":339,"processed_it_skills_labels":340,"processed_job_expertise_skills":341,"processed_job_expertise_skills_labels":342,"max_cpc":52,"actual_cpc":52},87283,"disability-representative-sr-sedgwick-claims-management-services-inc-40",{"name":16,"slug":17,"logo_url":13},[336],"Dubuque",[21],[28],{"microsoft office":31},[35],{"fmla regulations":31,"claims management":39,"erisa regulations":31,"ada accommodations":31,"duration management":31,"medical terminology":31,"benefits calculation":31,"claims investigation":31,"disability case management":39,"vendor referral management":31,"return to work coordination":39,"medical documentation review":39,"social security application procedures":31},[282,93,283,284,285,286,287,288,291,289,290,70,292],{"id":344,"slug":345,"title":272,"raw_title":13,"is_featured":14,"company":346,"raw_hiringOrganization_logo_url":13,"processed_city_gmaps":347,"processed_country_iso_code_gmaps":349,"processed_home_office":61,"processed_salary_min":188,"processed_salary_max":148,"processed_salary_currency":25,"processed_salary_source":26,"processed_working_hours":350,"processed_employment_types":65,"processed_it_skills":351,"processed_it_skills_labels":352,"processed_job_expertise_skills":353,"processed_job_expertise_skills_labels":354,"max_cpc":52,"actual_cpc":52},87288,"disability-representative-sr-sedgwick-claims-management-services-inc-42",{"name":16,"slug":17,"logo_url":13},[348],"Eden Prairie",[21],[28],{"microsoft office":31},[35],{"claims management":39,"erisa regulations":31,"duration management":31,"medical terminology":31,"claims investigation":31,"workers compensation":31,"benefits determination":39,"disability case management":39,"vendor referral management":31,"return to work coordination":39,"medical documentation analysis":39,"social security disability income (ssdi) procedures":31},[282,93,355,284,356,286,287,289,70,292,357,115],"Medical Documentation Analysis","Social Security Disability Income (SSDI) Procedures","Benefits Determination",{"id":359,"slug":360,"title":361,"raw_title":13,"is_featured":14,"company":362,"raw_hiringOrganization_logo_url":13,"processed_city_gmaps":363,"processed_country_iso_code_gmaps":365,"processed_home_office":22,"processed_salary_min":86,"processed_salary_max":87,"processed_salary_currency":25,"processed_salary_source":26,"processed_working_hours":366,"processed_employment_types":65,"processed_it_skills":367,"processed_it_skills_labels":368,"processed_job_expertise_skills":369,"processed_job_expertise_skills_labels":370,"max_cpc":52,"actual_cpc":52},87268,"workers-compensation-claims-examiner-sedgwick-claims-management-services-inc-3","Workers Compensation Claims Examiner",{"name":16,"slug":17,"logo_url":13},[364],"Concord",[21],[28],{},[],{"state filings":31,"reserve calculation":39,"claims investigation":39,"benefit determination":39,"litigation management":39,"settlement negotiation":39,"excess carrier reporting":31,"subrogation identification":39,"california jurisdictional knowledge":39,"workers compensation claims management":39},[261,371,263,96,70,372,373,374,375,376],"California Jurisdictional Knowledge","Benefit Determination","Reserve Calculation","Subrogation Identification","State Filings","Excess Carrier Reporting",{"id":378,"slug":379,"title":380,"raw_title":13,"is_featured":14,"company":381,"raw_hiringOrganization_logo_url":13,"processed_city_gmaps":382,"processed_country_iso_code_gmaps":384,"processed_home_office":22,"processed_salary_min":232,"processed_salary_max":125,"processed_salary_currency":25,"processed_salary_source":26,"processed_working_hours":385,"processed_employment_types":65,"processed_it_skills":386,"processed_it_skills_labels":387,"processed_job_expertise_skills":388,"processed_job_expertise_skills_labels":389,"max_cpc":52,"actual_cpc":52},87267,"workers-compensation-claims-team-lead-jurisdictions-co-ut-experience-preferred-dedicate-client-sedgwick-claims-management-services-inc","Workers Compensation Claims Team Lead | Jurisdictions: CO & UT Experience Preferred | Dedicate Client",{"name":16,"slug":17,"logo_url":13},[383],"Blue Ash",[21],[28],{},[],{"hiring":31,"training":31,"licensing":31,"claims processing":39,"vendor management":31,"claims adjudication":39,"litigation management":31,"performance management":31,"supervisory experience":31,"workers compensation claims":39,"jurisdictional knowledge (co & ut)":31},[94,95,262,263,264,155,390,156,139,140,138],"Jurisdictional Knowledge (CO & UT)",{"id":392,"slug":393,"title":394,"raw_title":13,"is_featured":14,"company":395,"raw_hiringOrganization_logo_url":13,"processed_city_gmaps":396,"processed_country_iso_code_gmaps":398,"processed_home_office":61,"processed_salary_min":399,"processed_salary_max":400,"processed_salary_currency":25,"processed_salary_source":26,"processed_working_hours":401,"processed_employment_types":65,"processed_it_skills":402,"processed_it_skills_labels":403,"processed_job_expertise_skills":404,"processed_job_expertise_skills_labels":405,"max_cpc":52,"actual_cpc":52},87291,"office-assistant-el-dorado-hills-ca-100-on-site-sedgwick-claims-management-services-inc","Office Assistant | El Dorado Hills, CA - 100% On-Site",{"name":16,"slug":17,"logo_url":13},[397],"El Dorado Hills",[21],29411,41163,[28],{"microsoft office":171},[35],{"data entry":171,"mail processing":171,"report printing":52,"clerical experience":52,"document preparation":171,"facsimile transmission":52,"quality program support":52,"office supply management":171},[406,177,407,408,409,410,411,412],"Clerical experience","Document preparation","Office supply management","Mail processing","Facsimile transmission","Report printing","Quality program support",{"id":414,"slug":415,"title":416,"raw_title":13,"is_featured":14,"company":417,"raw_hiringOrganization_logo_url":13,"processed_city_gmaps":418,"processed_country_iso_code_gmaps":420,"processed_home_office":61,"processed_salary_min":421,"processed_salary_max":87,"processed_salary_currency":25,"processed_salary_source":26,"processed_working_hours":422,"processed_employment_types":65,"processed_it_skills":423,"processed_it_skills_labels":424,"processed_job_expertise_skills":425,"processed_job_expertise_skills_labels":426,"max_cpc":52,"actual_cpc":431},87275,"workforce-absence-team-lead-sedgwick-claims-management-services-inc-7","Workforce Absence Team Lead",{"name":16,"slug":17,"logo_url":13},[419],"Dublin",[21],70000,[28],{"microsoft office":31},[35],{"quality review":39,"audit compliance":39,"reserve analysis":39,"claims management":39,"disability claims":39,"claims adjudication":39,"litigation management":39,"regulatory compliance":39,"performance management":39,"supervisory experience":31,"training and development":39,"vocational rehabilitation":39,"client relationship management":39},[93,427,262,136,428,95,429,263,430,77,98,139,267],"Disability Claims","Audit Compliance","Reserve Analysis","Vocational Rehabilitation",0.5,{"industry":433,"employment_type":462,"expertise_skills":468,"it_skills":538,"salary_currency":613,"processed_working_hours":618},[434,438,441,445,448,452,456,459],{"key":435,"label":436,"count":437},"insurance","Insurance",302,{"key":439,"label":93,"count":440},"claims management",196,{"key":442,"label":443,"count":444},"risk management","Risk Management",51,{"key":446,"label":312,"count":447},"claims administration",31,{"key":449,"label":450,"count":451},"risk administration","Risk Administration",28,{"key":453,"label":454,"count":455},"risk services","Risk Services",5,{"key":457,"label":458,"count":171},"financial services","Financial Services",{"key":460,"label":461,"count":52},"claims management services","Claims Management Services",[463,466],{"key":65,"label":464,"count":465},"PERMANENT",341,{"key":29,"label":467,"count":52},"CONTRACT",[469,472,475,477,480,483,486,488,490,493,496,500,503,505,508,510,514,517,520,524,528,531,533,535],{"key":470,"label":93,"slug":470,"count":471},"claims-management",125,{"key":473,"label":74,"slug":473,"count":474},"negotiation",63,{"key":476,"label":95,"slug":476,"count":474},"claims-adjudication",{"key":478,"label":98,"slug":478,"count":479},"regulatory-compliance",59,{"key":481,"label":239,"slug":481,"count":482},"subrogation",54,{"key":484,"label":96,"slug":484,"count":485},"settlement-negotiation",52,{"key":487,"label":263,"slug":487,"count":485},"litigation-management",{"key":489,"label":77,"slug":489,"count":444},"client-relationship-management",{"key":491,"label":286,"slug":491,"count":492},"medical-terminology",50,{"key":494,"label":70,"slug":494,"count":495},"claims-investigation",48,{"key":497,"label":498,"slug":497,"count":499},"customer-advisory","Customer advisory",44,{"key":501,"label":115,"slug":501,"count":502},"workers-compensation",42,{"key":504,"label":287,"slug":504,"count":502},"duration-management",{"key":506,"label":155,"slug":506,"count":507},"claims-processing",41,{"key":509,"label":282,"slug":509,"count":507},"disability-case-management",{"key":511,"label":512,"slug":511,"count":513},"erisa-regulations","Erisa Regulations",40,{"key":515,"label":288,"slug":515,"count":516},"social-security-application-procedures",37,{"key":518,"label":519,"slug":518,"count":516},"fmla-regulations","Fmla Regulations",{"key":521,"label":522,"slug":521,"count":523},"case-management","Case Management",33,{"key":525,"label":526,"slug":525,"count":527},"ada-accommodations","Ada Accommodations",30,{"key":529,"label":216,"slug":529,"count":530},"data-entry",29,{"key":532,"label":261,"slug":532,"count":530},"workers-compensation-claims-management",{"key":534,"label":139,"slug":534,"count":451},"performance-management",{"key":536,"label":537,"slug":536,"count":451},"return-to-work-coordination","Return To Work Coordination",[539,543,546,549,552,556,559,563,566,568,571,574,577,580,583,586,589,592,595,598,601,604,607,610],{"key":540,"label":541,"slug":540,"count":542},"ms-office","MS Office",222,{"key":544,"label":307,"slug":544,"count":545},"typing",20,{"key":547,"label":548,"slug":547,"count":301},"computer-keyboarding","Computer Keyboarding",{"key":550,"label":305,"slug":550,"count":551},"windows",16,{"key":553,"label":554,"slug":553,"count":555},"pc-literacy","Pc Literacy",12,{"key":557,"label":213,"slug":557,"count":558},"claims-management-systems",8,{"key":560,"label":561,"slug":560,"count":562},"python","Python",7,{"key":564,"label":565,"slug":564,"count":562},"sql","SQL",{"key":567,"label":193,"slug":567,"count":562},"claims-management-software",{"key":569,"label":570,"slug":569,"count":562},"pc-literate","Pc Literate",{"key":572,"label":573,"slug":572,"count":455},"ms-azure","MS Azure",{"key":575,"label":576,"slug":575,"count":455},"high-speed-internet","High-Speed Internet",{"key":578,"label":579,"slug":578,"count":455},"computer-literacy","Computer Literacy",{"key":581,"label":582,"slug":581,"count":455},"claims-systems","Claims Systems",{"key":584,"label":585,"slug":584,"count":39},"snowflake","Snowflake",{"key":587,"label":588,"slug":587,"count":39},"appraisal-software","Appraisal Software",{"key":590,"label":591,"slug":590,"count":39},"aws","Aws",{"key":593,"label":594,"slug":593,"count":39},"apis","Apis",{"key":596,"label":597,"slug":596,"count":31},"generative-ai","Generative Ai",{"key":599,"label":600,"slug":599,"count":31},"devops","Devops",{"key":602,"label":603,"slug":602,"count":31},"r","R",{"key":605,"label":606,"slug":605,"count":171},"db2","Db2",{"key":608,"label":609,"slug":608,"count":171},"ccc-one","Ccc One",{"key":611,"label":612,"slug":611,"count":171},"ms-word","MS Word",[614,616],{"key":25,"label":25,"count":615},350,{"key":617,"label":617,"count":52},"AUD",[619,620],{"key":28,"label":28,"count":465},{"key":621,"label":621,"count":622},"PART_TIME",10,{"name":16,"slug":17,"logo_url":13,"id":624,"jobs":625,"description_de":13,"description_en":13,"industry":13,"headquarters_city":13,"headquarters_country_iso":13,"latitude":13,"longitude":13,"website_url":13,"raw_street":13,"raw_city":13,"raw_zip_code":13,"raw_country":13,"raw_legal_form":13,"raw_bafin_id":13,"raw_trade_names":13,"raw_permissions":13,"translations":13},4564,[626,632,638,644,650,656,662,667,673,678,683,689,695,701,706,711,716,721,726,731,736,741,745,750,755,759,765,769,773,778,784,789,794,799,803,807,813,818,824,830,835,840,845,849,854,858,862,868,873,877,881,885,889,894,898,904,909,913,918,922,927,931,935,941,945,948,954,959,965,970,976,981,987,992,997,1003,1007,1011,1016,1021,1027,1031,1036,1041,1043,1049,1054,1058,1062,1066,1070,1076,1080,1084,1088,1094,1100,1105,1107,1109,1115,1120,1125,1130,1132,1136,1141,1145,1151,1156,1162,1163,1169,1174,1179,1185,1189,1194,1200,1204,1209,1214,1217,1222,1227,1233,1238,1242,1247,1251,1255,1258,1262,1268,1274,1279,1282,1288,1293,1298,1302,1303,1307,1313,1318,1322,1327,1329,1335,1339,1345,1350,1355,1360,1365,1367,1372,1374,1379,1382,1387,1392,1398,1404,1409,1415,1420,1425,1430,1434,1438,1442,1446,1452,1455,1461,1467,1472,1478,1484,1486,1491,1496,1501,1506,1511,1517,1521,1526,1530,1535,1540,1543,1549,1554,1560,1565,1571,1577,1582,1588,1594,1599,1605,1610,1615,1620,1625,1630,1635,1640,1645,1651,1656,1661,1666,1672,1678,1684,1688,1693,1698,1703,1705,1710,1715,1720,1725,1730,1733,1738,1743,1748,1753,1759,1764,1769,1775,1779,1784,1789,1795,1800,1805,1810,1814,1819,1824,1827,1833,1838,1843,1847,1852,1857,1862,1867,1872,1876,1881,1886,1891,1896,1900,1905,1911,1916,1920,1925,1931,1936,1941,1946,1951,1954,1956,1961,1963,1969,1975,1981,1985,1989,1994,1998,2003,2007,2011,2016,2020,2025,2030,2034,2037,2039,2043,2049,2054,2059,2064,2070,2073,2078,2083,2087,2092,2097,2103,2107,2111,2114,2119,2124,2128,2133,2138,2140,2145,2150,2155,2160,2165,2168,2173,2178,2181,2186,2191,2194,2198,2201,2206,2212,2217,2222,2227,2232,2237,2242,2247,2251,2256,2261,2266,2271,2276,2281,2286,2291,2296,2301,2303,2308,2313,2315,2321,2323,2327,2329,2333,2337,2342,2347,2353,2359,2365,2370,2373,2377,2380,2384,2388,2392,2395,2398,2403,2408,2412,2416,2420,2424,2429,2433,2437,2441,2445,2449,2454,2458,2463,2468,2472,2477,2482,2487,2491,2496,2501,2505,2510,2515,2518,2522,2526,2532,2537,2541,2547,2552,2557,2562,2567,2572,2577,2581,2586,2591,2595,2600,2605,2608,2612,2617,2622,2628,2633,2638,2643,2648,2653,2658,2663,2668,2673,2677,2682,2687,2692,2695,2699,2704,2708,2713,2717,2722,2727,2732,2737,2740,2745,2750,2754,2758,2761,2765,2770,2775,2778,2782,2785,2788,2791,2794,2798,2802,2807,2811,2817,2822,2827,2832,2837,2842,2847,2852,2858,2863,2869,2874,2879,2884,2889,2894,2899,2904,2909,2914,2919,2924,2929,2934,2939,2944,2947,2950,2954,2959,2965,2970,2974,2979,2984,2989,2994,2998,3003,3008,3013,3018,3024,3027,3032,3036,3041,3045,3050,3055,3060,3065,3070,3074,3078,3082,3087,3092,3098,3103,3108,3112,3116,3120,3125,3130,3135,3138,3141,3144,3148,3153,3158,3161,3166,3171,3176,3181,3186,3191,3196,3201,3206,3210,3215,3220,3225,3230,3235,3240,3245,3249,3255,3259,3263,3266,3271,3276,3281,3284,3289,3295,3300,3303,3307,3310,3314,3319,3324,3329,3333,3337,3342,3347,3351,3356,3361,3366,3371,3374,3379,3384,3389,3394,3399,3403,3408,3413,3416,3420,3425,3430,3435,3440,3444,3448],{"id":627,"slug":628,"title":629,"location":13,"raw_job_location_address_addressLocality":630,"raw_hiringOrganization_logo_url":13,"raw_description":631},87378,"vp-ai-engineering-enterprise-sedgwick-claims-management-services-inc","VP AI Engineering - Enterprise","Telecommuter FL","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 VP AI Engineering - Enterprise PRIMARY PURPOSE: The Vice President, Generative (Gen) AI Engineering Enterprise, provides executive leadership, strategic direction, and accountability for the enterprise data and AI engineering ecosystem that enables the organization’s most advanced analytics, data science, and generative AI initiatives. This role owns the vision, governance, and execution model for the enterprise data supply chain that powers machine learning platforms, feature stores, and production‑grade generative AI capabilities. As a senior leader, the Vice President establishes and scales the engineering strategy required to transform legacy and modern data assets into trusted, AI‑ready enterprise capabilities. The role ensures that data and AI engineering investments are aligned to business outcomes, regulatory expectations, and long‑term architectural sustainability across on‑premise and multi‑cloud environments, including Snowflake and AWS\u002FAzure AI ecosystems. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Defines and leads the enterprise strategy for data and generative AI engineering, establishing standards, roadmaps, and operating models that support analytics, machine learning, and AI at scale. Provides executive oversight for the design, delivery, and operation of enterprise ETL\u002FELT platforms that integrate legacy on‑premise systems (including mainframe, SQL Server, and DB2) with modern cloud data and AI platforms. Establishes governance and accountability for feature stores, analytically optimized datasets, and AI‑ready data products to ensure reproducibility, regulatory compliance, and production reliability. Sets direction for generative AI enablement, including enterprise approaches for vectorization, embeddings, retrieval‑augmented generation (RAG), and secure consumption of structured and unstructured data. Owns the enterprise Snowflake strategy, including architectural patterns, performance standards, cost governance, and integration with cloud‑based AI services across AWS and Azure. Leads cross‑functional collaboration with Technology, Security, Infrastructure, Legal, Risk, and Compliance leaders to ensure data and AI engineering practices meet security, privacy, and regulatory requirements. Establishes executive‑level operating metrics and financial discipline to ensure data and AI engineering investments deliver measurable business value and return on investment. Provides leadership and direction to engineering leaders and teams, setting priorities, removing organizational barriers, and ensuring consistent execution across portfolios and initiatives. Serves as a senior advisor to executive leadership on data, AI, and generative AI capabilities, risks, and opportunities, translating technical complexity into business‑level insights and decisions. Drives organizational readiness by shaping talent strategy, capability development, and succession planning for data and AI engineering roles across the enterprise. Job Responsibilities Lead AI engineering for enterprise functions including HR, Marketing, Finance, Legal, and other corporate functions. Identify and deliver high-value LLM, agentic AI, workflow automation, and knowledge-assistant use cases. Build reusable AI capabilities, agents, APIs, connectors, and workflow integrations rather than isolated point solutions. Own the enterprise administration and operational management of ChatGPT Enterprise and Claude. Manage user access, licenses, roles, permissions, workspaces, and enterprise configuration for these platforms. Establish and manage approved connectors and integrations to enterprise data and applications. Partner with Security, Privacy, Legal, and AI Governance to define appropriate access controls and data-use guardrails. Establish standards for enterprise use of GPTs, agents, projects, connectors, and other platform capabilities. Monitor adoption, utilization, license consumption, token\u002FAPI usage, and overall platform effectiveness. Partner closely with Finance and Procurement to manage AI platform spend, forecasting, chargeback\u002Fshowback, license optimization, and vendor commitments. Develop cost-management practices to identify unused licenses, excessive consumption, duplicated capabilities, and opportunities for optimization. Own relationships with OpenAI, Anthropic, and other relevant enterprise AI technology providers. Evaluate new platform capabilities and determine when they should be enabled, restricted, piloted, or adopted broadly. Ensure enterprise AI tools align with Sedgwick's broader AI architecture and do not create unmanaged technology or data silos. Establish operational dashboards for adoption, usage, cost, risk, and business value. Lead a small engineering\u002Fplatform team responsible for enterprise AI solutions, integrations, administration, and support. Partner with business leaders to drive responsible adoption and measurable productivity improvement from enterprise AI. Strong balance of technical depth, operational discipline, and business orientation ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. 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 in Computer Science, Data Engineering, Artificial Intelligence or a related field from an accredited college or university required. Masters Degree preferred. Qualifications 10+ years of engineering, platform, or enterprise technology experience with 5+ years in technical leadership. Strong hands-on understanding of LLMs, agentic AI, RAG, APIs, workflow automation, and enterprise integration. Experience building AI solutions for corporate functions such as HR, Marketing, Finance, or Legal. Experience administering enterprise SaaS or AI platforms at significant organizational scale. Strong understanding of identity, SSO, RBAC, connectors, APIs, data permissions, and enterprise security. Experience with ChatGPT Enterprise, Claude Enterprise, Microsoft Copilot, or comparable enterprise AI platforms strongly preferred. Strong AWS and\u002For Azure knowledge and understanding of how enterprise AI platforms integrate with cloud environments. Experience establishing AI governance, access controls, monitoring, and responsible-use standards. Strong financial management skills with experience managing technology consumption, licenses, vendor spend, and forecasts. Ability to work effectively across Engineering, Security, Finance, Procurement, Legal, HR, Marketing, and executive leadership. Experience Ten (10) years of progressive experience in data engineering, analytics platforms, or AI‑related technologies, including senior leadership responsibility for enterprise‑scale data or AI initiatives, or an equivalent combination of education and experience required. Skills & Knowledge Executive‑level expertise in modern data architectures, cloud data platforms, and AI enablement, including Snowflake and AWS\u002FAzure ecosystems Proven experience establishing enterprise governance models for data, analytics, and AI systems Strong understanding of machine learning and generative AI data requirements, including feature engineering, vector databases, and RAG‑based architectures Ability to set technical direction without direct hands‑on execution, guiding senior engineers and leaders through complex architectural and delivery decisions Experience managing large, cross‑functional initiatives with significant financial and organizational impact Strong financial acumen, including budgeting, investment prioritization, and ROI measurement for technology initiatives Exceptional executive communication skills, with the ability to influence senior leaders and align stakeholders across business and technology domains Demonstrated ability to lead through ambiguity, scale new capabilities, and drive enterprise change 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\u002FVisual: 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. Position is based in the U.S. and is 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. 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",{"id":633,"slug":634,"title":635,"location":13,"raw_job_location_address_addressLocality":636,"raw_hiringOrganization_logo_url":13,"raw_description":637},64278,"voc-field-case-manager-sedgwick-claims-management-services-inc","VOC Field Case Manager","Telecommuter OH","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 VOC Field Case Manager This Field Case Manager will cover our Cleveland, Akron, & Youngstown, OH region and must live in this area in order to be considered. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face to face interaction with injured workers and medical professionals. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure preferred; or Bachelor's degree in health or human services field required with a one of the following certifications: CCM, CDMS, CRC, CRRN, or COHN. Valid driver’s license required. High speed internet required. Employment may be contingent upon successful completion of a motor vehicle record (MVR) check. 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\u002FVisual: Hearing, vision and talking TAKING CARE OF YOU BY Offering flexibility and autonomy. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer a diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #fieldcasemanager #CCM #CDMS #CRC #CRRN #COHN #vocrehab #casemanagement 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 $73,000-$75,000. 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. 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",{"id":639,"slug":640,"title":641,"location":13,"raw_job_location_address_addressLocality":642,"raw_hiringOrganization_logo_url":13,"raw_description":643},64287,"rn-field-case-manager-sedgwick-claims-management-services-inc","RN Field Case Manager","Atlanta, GA - Perimeter Center","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 RN Field Case Manager This Field Case Manager will cover our Atlanta, GA and must live in this area in order to be considered. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face to face interaction with injured workers and medical professionals. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure preferred; or bachelor’s degree in health or human services field required with one of the following certifications: CCM, CDMS, or CRC. Valid driver’s license required. High speed internet required. Employment may be contingent upon successful completion of a motor vehicle record (MVR) check, where job related. 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\u002FVisual: Hearing, vision and talking TAKING CARE OF YOU BY Offering a blended work environment. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer a diverse and comprehensive benefits package including: Three Medical, and two dental plans to choose from. Tuition reimbursement eligible. 401K plan that matches 50% on every $ you put in up to the first 6% you save. 4 weeks PTO your first full year. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #fieldcasemanager 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",{"id":645,"slug":646,"title":647,"location":13,"raw_job_location_address_addressLocality":648,"raw_hiringOrganization_logo_url":13,"raw_description":649},64293,"auto-estimator-sedgwick-claims-management-services-inc","Auto Estimator","Austin TX - Boyer","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 Auto Estimator Staff Field Auto Appraiser: Open to Denver Colorado, East Lansing Michigan, Austin Texas, Hartford, CT and Rhode Island. PRIMARY PURPOSE: To handle field appraisal assignments for our corporate fleets and insurance clients with an emphasis on Auto's. Location: Denver Colorado, East Lansing Michigan, Austin Texas, and Rhode Island. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Set appointments same day, inspect within 24 hours and write estimate car side Depending on location - appraiser is expected to write 6 to 10 estimates per day Ensures proper vehicle tear down Determine repair time allotments and required labor operations Makes accurate repair\u002Freplace decisions Assess and applies pre-existing damage, completes accurate total loss evaluations Negotiates agreed price with shop decision maker and sets time bound expected completion date per Client Guidelines Review and assess the validity of all supplement request Proactively provides customers with information regarding their vehicle’s cost of repair estimate and explains claims\u002Frepair process Maintains accurate vehicle’s cost of repair estimate and explains claims\u002Frepair process Negotiates advanced fees for tow, tear down, and storage on all vehicles that are determined to a financial total loss at a repair facility or tow yard Provide extraordinary customer service to all parties involved in the claims process Other duties as assigned by management or as needed. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. When not in the field, assist quality assurance team and be available for desk appraisal work as well QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred (but not required). Licenses as required, as needed. Professional certifications as applicable to line-of-business preferred. If the employee is required to obtain licensing applicable to their role, they will have 60 days to complete the training and testing. Experience Four (4) years of insurance or body shop experience required. Skills & Knowledge Good technical knowledge of auto appraisals Knowledge of client operations and labor regulations Excellent oral and written communication PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Excellent interpersonal skills Excellent negotiation skills Good judgment and discretion skills Ability to manage multiple projects and set priorities Ability to work in a team environment Ability to meet or exceed Performance Competencies CCC One experience Must be able to pass state license for appraisal within 30 days of Hire Must have Reliable transportation required for travel to assigned work locations WORK ENVIRONMENT Must be able to work independently. This is a field appraisal position and you will be responsible for managing your local territory and scheduling your work day. 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 locally Auditory\u002FVisual: 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. Pay Transparency disclosure: 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 ($60,000 - $70,000 annually). 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. 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 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",{"id":651,"slug":652,"title":653,"location":13,"raw_job_location_address_addressLocality":654,"raw_hiringOrganization_logo_url":13,"raw_description":655},64295,"workers-compensation-claims-examiner-md-jurisdiction-knowledge-and-experience-baltimore-md-hybrid-scheduled-sedgwick-claims-management-services-inc","Workers Compensation Claims Examiner | MD Jurisdiction Knowledge and Experience | Baltimore, MD - Hybrid Scheduled","Baltimore, MD - St. Paul","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 Examiner | MD Jurisdiction Knowledge and Experience | Baltimore, MD - Hybrid Scheduled 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 examiner 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 Baltimore, MD Hybrid PRIMARY PURPOSE OF THE ROLE To analyze Lost-Time Workers Compensation 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 2 - 3 years of Workers Compensation claims management experience or equivalent combination of education and experience required. Jurisdiction Knowledge: MD Licensing: Not required TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Opportunity to work in an agile environment. 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\u002FVisual: 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 (60K - 68K). 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 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",{"id":657,"slug":658,"title":659,"location":13,"raw_job_location_address_addressLocality":660,"raw_hiringOrganization_logo_url":13,"raw_description":661},64297,"claims-assistant-bartlesville-ok-on-site-sedgwick-claims-management-services-inc","Claims Assistant - Bartlesville, OK ON-SITE","Bartlesville, OK - 5th","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 Assistant - Bartlesville, OK ON-SITE Ready to make an impact? Join us at our vibrant Centers of Excellence! 📍Location: Bartlesville, OK – 117 W 5th St., 3rd Floor (corner of 5th and Keeler) Why you’ll love being part of our team: Join a respected, rapidly growing insurance organization Make a real difference by guiding people through life’s most important moments Build your expertise in insurance operations and customer service Thrive in a supportive, team-focused environment with clear paths for growth and advancement If you’re ready to bring empathy, efficiency, and expertise to every interaction, we can’t wait to welcome you aboard! PRIMARY PURPOSE: To provide support to the claims staff and to perform other office tasks depending on the client program. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Sets up and enters new claims into claims management system. Inputs and reviews notes\u002Fdiaries in claims management system as instructed. Processes payments. Processes mail; handles filing, faxing and photocopying. Reviews, prepares, creates, and\u002For sends letters, reports, and forms. Answers and initiates telephone calls, sets up medical appointments, and may provide customer service as required. Other activities\u002Fprojects as assigned including the preparation and distribution of computer reports. 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 Six (6) months of clerical or customer service experience or equivalent combination of education and experience required. Skills & Knowledge Excellent oral and written communication PC literate, including Microsoft Office products Strong organizational 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\u002FVisual: 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",{"id":663,"slug":664,"title":665,"location":13,"raw_job_location_address_addressLocality":660,"raw_hiringOrganization_logo_url":13,"raw_description":666},64298,"service-center-representative-bartlesville-ok-on-site-sedgwick-claims-management-services-inc","Service Center Representative - Bartlesville, OK ON-SITE","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 Service Center Representative - Bartlesville, OK ON-SITE Ready to make an impact? Join us at one of our vibrant Centers of Excellence! 📍Location: Bartlesville, OK – 117 W 5th St., 3rd Floor (corner of 5th and Keeler) Why you’ll love being part of our team: Join a respected, rapidly growing insurance organization Make a real difference by guiding people through life’s most important moments Build your expertise in insurance operations and customer service Thrive in a supportive, team-focused environment with clear paths for growth and advancement If you’re ready to bring empathy, efficiency, and expertise to every interaction, we can’t wait to welcome you aboard! PRIMARY PURPOSE: Step into a vital role at the heart of the insurance claims process. As a Customer Experience Specialist, you’ll be the first point of contact for policyholders during some of their most important moments. Your mission is to provide clear, compassionate, and knowledgeable support—ensuring every caller feels heard, informed, and confident in the process. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Acts as primary liaison with callers; follows client specifications in assisting with questions and solving problems related to the claims application and servicing processes. Educates and informs the customer via multiple communication channels about documentation required to process a claim, required time frames, payment information, and claim status. Educates claimants\u002Fcallers on client requirements and benefit plans documenting all required details of the call in a concise professional manner. Enters verbal and written application information that meets both the internal and external customer’s requirements accurately into the claims management system. Assigns new claims to the appropriate claims handler. Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist\u002Fmanagement as needed. Attendance during scheduled work hours is required. 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. College courses preferred Experience At least one year of customer service experience (insurance or call center experience preferred) Skills & Knowledge Knowledge of medical terminology Understanding of claims management Strong communication skills with the ability to explain complex information clearly Proficiency with Microsoft Office and the ability to navigate multiple systems simultaneously Strong organizational skills Familiarity with insurance terminology and claims processes Strong organizational skills and the ability to multitask in a fast-paced environment Ability to support multiple clients across communication channels and utilize multiple systems simultaneously A collaborative mindset with the ability to work independently when needed 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\u002FVisual: 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",{"id":668,"slug":669,"title":670,"location":13,"raw_job_location_address_addressLocality":671,"raw_hiringOrganization_logo_url":13,"raw_description":672},64299,"office-assistant-sedgwick-claims-management-services-inc","Office Assistant","Bay City, MI - Uptown","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 Office Assistant PRIMARY PURPOSE: To support office administration functions. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Types form letters. Sets up, maintains and locates claim files. Processes packets. Conducts computer data entry and processing; documents claim files in the system correctly. Prepares spreadsheets and documents in software applications. Answers and initiates telephone calls as required. Maintains stationary supplies. Sends overnight and messenger outgoing mail. Processes returned letters and unidentified mail. Transmits facsimiles. Prints reports and documents. 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 Six (6) months clerical experience or equivalent combination of experience and education preferred. Skills & Knowledge Good oral and written communication PC literate, including Microsoft Office products 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\u002FVisual: 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",{"id":674,"slug":675,"title":676,"location":13,"raw_job_location_address_addressLocality":671,"raw_hiringOrganization_logo_url":13,"raw_description":677},64300,"outside-contents-evaluator-assistant-sedgwick-claims-management-services-inc","Outside Contents Evaluator Assistant","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 Outside Contents Evaluator Assistant PRIMARY PURPOSE: To complete the physical onsite inventory process including: driving to and from the loss location, physical inventory of contents, and uploading data from field work to server. ESSENTIAL FUNCTIONS and RESPONSIBILITIES • Assists in completing the physical onsite inventory of total loss contents items under the direction of Outside Contents Evaluator Associate. • Tracks time and logs file notes for all of that day’s field activity. • Oversees all necessary maintenance of crew vehicles, including: gas, oil changes, tire rotations, and any other necessary repairs. • Maintains daily care and maintenance of all equipment. • Conforms with and abides by all regulations, policies, work procedures, and instructions. 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. Experience One (1) year customer service experience or equivalent combination of education and experience preferred. Skills & Knowledge • Oral and written communication skills • PC literate, including Microsoft Office products • Good comprehensive decision making skills • Ability to read and comprehend policy language • 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: • Ability to stand and\u002For walk for long periods of time. • Ability to kneel, squat and\u002For bend. • Ability to work outdoors in hot and\u002For cold weather conditions. • Ability to climb, crawl, stoop, kneel, and\u002For reach overhead • Ability to lift\u002Fcarry up to 50 pounds and push\u002Fpull up to 100 pounds • Ability to drive up to 8 hours per day and\u002For ride for an extended period. • Must have continual use of manual dexterity. Auditory\u002FVisual: 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. 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 ($17 - $22 USD hourly). 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",{"id":679,"slug":680,"title":681,"location":13,"raw_job_location_address_addressLocality":660,"raw_hiringOrganization_logo_url":13,"raw_description":682},64301,"service-center-team-lead-sedgwick-claims-management-services-inc","Service Center Team Lead","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 Service Center Team Lead PRIMARY PURPOSE: To develop, implement and maintain the delivery of world-class service including quality assurance, client services, and workforce management ensuring departmental objectives are met. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Assesses and evaluates current team competencies to develop a baseline of service opportunities. Leads efforts to refine Service Center measures and tracking systems for program improvements. Maintains records of training activities, colleague progress and program effectiveness. Analyzes and resolves customer service issues. Supervises a Service Center unit (team) providing leadership, direction and support and monitors team's daily performance. Monitors workloads and status; supports colleagues by providing advice on handling complex issues; and identifies and resolves problems and issues. Works with team leadership to develop, implement and monitor staff development plans with a focus on overall customer service skills. Communicates with upper management regarding unit issues and resolutions. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Experience Four (4) years of call center or customer service experience or equivalent combination of education and experience required. Supervisory experience preferred. Skills & Knowledge Strong customer service skills including call center client processes and procedures Excellent team coaching, training, facilitation and development skills Excellent oral and written communication, including presentation skills Excellent customer service 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\u002FVisual: 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",{"id":684,"slug":685,"title":686,"location":13,"raw_job_location_address_addressLocality":687,"raw_hiringOrganization_logo_url":13,"raw_description":688},64303,"vice-president-client-services-claim-operations-must-reside-in-la-sedgwick-claims-management-services-inc","Vice President Client Services - Claim Operations (Must Reside in LA)","Baton Rouge, LA - Westfork","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 Vice President Client Services - Claim Operations (Must Reside in LA) PRIMARY PURPOSE: To be responsible for the administrative, managerial and client relationships associated with Client Services within the assigned region\u002FBusiness Unit. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Ensures contract compliance within an assigned region\u002FBusiness Unit. Responsible for financials including accounts receivable, invoicing and pricing support within an assigned region. Responsible for client knowledge including threatened status and relationship with the company within an assigned region. Ensures renewal process is handled timely; negotiates and supports new contracts within an assigned region. Ensures compliance with corporate guidelines. Responsible for business planning and budgeting within an assigned region. Plans for staffing needs including succession, bench-strength, and new business within an assigned region. Supports client relationships, builds executive relationships, and supports internal relationships. Supports business development and organization's quality program(s) and performs other duties as assigned. Travels as required. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university with major in Risk Management, Business Administration or Finance preferred. Advance degree with professional designation (i.e. CPCU, AIC, ARM) preferred. Experience Ten (10) years related experience or equivalent combination of experience and education required to include three (3) years Area Account Executive experience on national accounts and five (5) years claims\u002Fsupervisory experience. Skills & Knowledge In-depth understanding of workers compensation, liability and disability Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership\u002Fmanagement\u002Fmotivational skills Analytical and interpretive skills Strong organizational skills Excellent interpersonal skills Excellent negotiation and facilitation 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\u002FVisual: 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. #clientservices #claims #hybrid #LI-REMOTE #sedgwick 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",{"id":690,"slug":691,"title":692,"location":13,"raw_job_location_address_addressLocality":693,"raw_hiringOrganization_logo_url":13,"raw_description":694},64305,"auto-customer-case-coordinators-sedgwick-claims-management-services-inc","Auto Customer Case Coordinators","Bedford, TX - Highway 121","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 Auto Customer Case Coordinators Our teams connect! We collaborate in the office . Our Bedford office is located at: 2200 Highway 121 Suite 250 Bedford, TX 76021 Are you detail-oriented, process-driven, and possess strong communication skills? Are you customer- centric? Do you enjoy working on a computer navigating multiple systems? Are you seeking the beginning of a promising career with growth opportunity? We are hiring for Automotive Customer Case Coordinators. We help auto customers through the manufacturing claims process. We offer benefits on day one: 401K Medical, Dental, Vision Generous PTO package Business Casual Dress Code Position Purpose: This role is expected to communicate with customers, financial institutions, attorneys, and auto dealership personnel to coordinate various buyback vehicle activities or reimbursement activities on behalf of the client, including but not limited to: mailing, calling, emailing and faxing appropriate parties to complete required tasks. They must have an understanding and be compliant with the necessary paperwork and vehicle remarketing or reimbursement requirements of each Client’s guidelines and be able to complete tasks in a timely manner. Key Position Activities: Provide exceptional customer service at all times De-escalate parties with prolonged process issues Liaise between manufacturer, dealer, and other 3rd parties Administrative tasks\u002Fdata entry Build and maintain client\u002F3rd party relationships Strengthen clients’ brand & maintain trust between client and 3rd parties Update customer database systems with owner or vehicle record changes, diary note entries, and workflow case to completion Escalate customer, dealer or 3rd party issues to manager as appropriate Ensure quality of service on all phone calls Ability to multi-task with phone and computer Adhere to company policies and responsibly manage time & attendance Assist with other duties as assigned Understand and become proficient within our various case management systems Scope of Work: Daily contact with dealership personnel, financial institutions, and other 3rd parties to coordinate the remarketing or reimbursement related processes of vehicle buybacks or recall related activity on behalf of the client. This includes any necessary paperwork involved. Regular contact on each assigned case to ensure the highest level of quality service. Education and Experience Required: Type 40+ WPM, meet required data entry and customer service experience assessments Exceptional verbal communication & Phone de-escalation skills High School Diploma or GED required Bachelor’s degree preferred or some college course work completed 2+ years of customer service experience preferred Solid verbal communication skills with a professional telephone etiquette Basic math, reading, writing, organizational skills, and problem-solving capabilities Meet background verification requirements Proficient with Microsoft Office Proficient in Computer Skills Key Competencies: Demonstrates the ability to identify and understand the process needs, takes appropriate actions to ensure all parties involved needs are met and proactively searches for ways to increase Client satisfaction, with minimal to no direction from management. Demonstrates the ability to speak clearly and convey information orally, both on an individual basis and in a group. Demonstrates the ability to draft written communication, both on an individual basis and in a group. Demonstrates the ability to positively and confidently share opinions and feelings in the spirit of cooperation and team building. Accurately communicates with others regardless of their status or position. Demonstrates the ability to deal openly and honestly with customers and management while building credibility and maintaining trust. Exhibits confidence and collaboration for the needs of parties involved. Is perceived by other as being helpful and supportive. Other (i.e. physical requirements, travel, etc. that is not covered above: Position requires the following physical activity: Grasping – frequently apply pressure to an object with the fingers and palm Hearing – constantly perceiving the nature of sounds at normal speaking levels with or without correction Reaching – frequently extend hand (s) and arm (s) in any direction Repetitive motion – frequent substantial movements (motions) of the wrists, hands and\u002For fingers Seeing – constantly use visual acuity to determine the accuracy, neatness and thoroughness of the work assigned or to make general observations Sitting – frequently sit for sustained periods of time Talking – constantly expressing or exchanging ideas by means of the spoken word Visual acuity - Must have close visual acuity to perform activities such as, preparing and analyzing data and figures, viewing a computer terminal, extensive reading, filing papers, operating a vehicle, etc. 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 $20\u002Fhour USD - $25\u002Fhour USD. 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",{"id":696,"slug":697,"title":698,"location":13,"raw_job_location_address_addressLocality":699,"raw_hiringOrganization_logo_url":13,"raw_description":700},64314,"claims-examiner-workers-compensation-brea-ca-sedgwick-claims-management-services-inc","Claims Examiner - Workers Compensation -| Brea, CA","Brea, CA - Imperial","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 Compensation -| Brea, CA 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're looking for a claims professional with California workers' compensation experience who enjoys solving complex problems and delivering outstanding service. The ideal candidate has experience handling litigated and high-exposure claims, understands California jurisdictional requirements, and can confidently manage claims through investigation, benefit determination, settlement negotiation, and resolution. WORK LOCATIONS Brea, CA (Agile) PRIMARY PURPOSE OF THE ROLE To analyze complex or technically difficult California 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 RESPONSIBLITIES MAY INCLUDE 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. Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner. 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 workers compensation claims management experience or equivalent combination of education and experience required. Licensing \u002F Jurisdiction Knowledge: California jurisdictional knowledge required; SIP required or must be obtained within one year of hire date. 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\u002FVisual: 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 $80,000-$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. 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",{"id":702,"slug":703,"title":704,"location":13,"raw_job_location_address_addressLocality":699,"raw_hiringOrganization_logo_url":13,"raw_description":705},64316,"claims-representative-iap-workers-compensation-training-program-brea-ca-sedgwick-claims-management-services-inc","Claims Representative (IAP) - Workers Compensation Training Program | Brea, CA","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 Representative (IAP) - Workers Compensation Training Program | Brea, CA Are you looking for an impactful job that offers an opportunity to develop a professional career? A stable and consistent work environment in an office setting. A training program to learn how to investigate and resolve complex situations for employees and customers from some of the world’s most reputable brands. 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 including medical, dental, vision & 401k. PRIMARY PURPOSE OF THE ROLE: To be oriented and trained as a new industry professional. This role begins with a comprehensive 4-week concept-based learning and professional training program, followed by a dedicated onboarding experience before entering the on-the-job phase. You will be assigned a mentor and manager that will support and guide you on your career journey and be equipped with the foundational skills needed for a successful career in claims adjusting. While in the program, you’ll have the opportunity to grow and advance within the industry. Next Class Date: October 12, 2026 Location: Brea, CA - Onsite ARE YOU AN IDEAL CANDIDATE? We are seeking enthusiastic and service-oriented individuals for an entry-level trainee position who are: Strong Communicators Empathetic Multi-Taskers Accountable Structured Thinkers Ambitious Agile Learners Team Collaborators ESSENTIAL RESPONSIBLITIES INCLUDE Attendance and completion of designated claims professional training program. Adjusting various levels of workers’ compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim. Communicating effectively with injured workers, insureds\u002Femployers, medical providers, attorneys and carrier representatives, primarily through telephonic, video conference and email. Thoroughly investigating new and existing claims by gathering relevant information including medical records, employer reports, and witness statements. Investigating employer\u002Femployee relationships, policy verification, coverage and any potential for subrogation issues or fraud indicators. Determining coverage, compensability and appropriate benefits in accordance with jurisdictional guidelines and carrier program requirements. Documenting claims files and properly coding claim activity. Preparing detailed reports documenting findings and recommendations. Administering claim benefits i.e., indemnity and medical benefits, through maintenance of calendared claim-related action items, ensuring state compliance. Participating in virtual and\u002For in-person meetings, claim reviews and business functions as needed for educational training, claim discussions and various meetings. QUALIFICATIONS Education Requirement – High School Diploma or GED. Bachelor's degree preferred and 2 years of customer service experience and\u002For combination of education and experience. 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\u002FVisual: 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 $27.69\u002Fhr. 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. #claims #entrylevel 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",{"id":707,"slug":708,"title":709,"location":13,"raw_job_location_address_addressLocality":699,"raw_hiringOrganization_logo_url":13,"raw_description":710},64317,"workers-compensation-claims-examiner-brea-ca-sign-on-bonus-eligible-sedgwick-claims-management-services-inc","Workers Compensation Claims Examiner | Brea, CA | Sign-On Bonus Eligible","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 Examiner | Brea, CA | Sign-On Bonus Eligible 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. OFFICE LOCATIONS Brea, CA - Hybrid (2 days onsite) 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 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 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. 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. Licensing \u002F Jurisdiction Knowledge: California jurisdictional knowledge required; SIP required or must be obtained within one (1) year of start date. 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\u002FVisual: 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 $85,000 - $105,000 per year. 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. #Claims #ClaimsExaminer #Hybrid #LI-Hybrid #LI-Remote #LI-AM1 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",{"id":712,"slug":713,"title":714,"location":13,"raw_job_location_address_addressLocality":699,"raw_hiringOrganization_logo_url":13,"raw_description":715},64318,"claims-examiner-workers-compensation-brea-ca-sedgwick-claims-management-services-inc-2","Claims Examiner- Workers Compensation | Brea, CA","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 Compensation | Brea, CA (Hybrid) 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. OFFICE LOCATIONS Brea, CA - Hybrid (2 days onsite) 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 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 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. 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. Licensing \u002F Jurisdiction Knowledge: California jurisdictional knowledge required; SIP required or must be obtained within one (1) year of start date. 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 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\u002FVisual: Hearing, vision and talking NOTE: Credit security clearance, confirmed via a background credit check, is required for this position. 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 $80,000 - $110,000 per year. 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. #Claims #ClaimsExaminer #Hybrid #LI-Hybrid #LI-Remote #LI-AM1 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",{"id":717,"slug":718,"title":719,"location":13,"raw_job_location_address_addressLocality":699,"raw_hiringOrganization_logo_url":13,"raw_description":720},64320,"workers-compensation-claims-examiner-remote-must-live-in-ca-sedgwick-claims-management-services-inc","Workers Compensation Claims Examiner | REMOTE | Must Live in CA","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 Examiner | REMOTE | Must Live in CA 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 workers compensation 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? Seeking a seasoned California Workers Compensation Examiner who values strong client partnerships, enjoys a reasonable caseload, and works within a well‑managed intake environment. OFFICE LOCATION: BREA, CA | REMOTE - MUST RESIDE IN CA PRIMARY PURPOSE OF THE ROLE: To analyze Workers Compensation 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. ESSENTIAL RESPONSIBLITIES 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: 4 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. Licensing \u002F Jurisdiction Knowledge: California workers compensation jurisdictional knowledge required, SIP required or must be obtained within one (1) year of employment TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Career development and promotional growth opportunities.  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\u002FVisual: 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 $80,000-$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. 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 #LI-HYBRID #CLAIMS #CLAIMSEXAMINER 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",{"id":722,"slug":723,"title":724,"location":13,"raw_job_location_address_addressLocality":699,"raw_hiringOrganization_logo_url":13,"raw_description":725},64321,"claims-team-lead-supervisor-workers-compensation-brea-ca-sedgwick-claims-management-services-inc","Claims Team Lead (Supervisor) - Workers Compensation | Brea, CA","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 Team Lead (Supervisor) - Workers Compensation | Brea, CA 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. OFFICE LOCATIONS Brea, CA - Hybrid (3 days in office, 2 days remote) PRIMARY PURPOSE OF THE ROLE: Oversees multiple teams of examiners and technical staff handling workers compensation claims for clients. Manages workloads, provides training, and monitors individual claim activities. Offers technical and jurisdictional guidance on claims adjudication and maintains regular diaries, especially for complex or high-exposure case. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Supervises multiple teams of examiners and technical operations colleagues, delegating duties as needed and ensuring proper licensing and documentation standards. Provides technical and jurisdictional guidance on claims adjudication, including quality reviews and reserve evaluations for high-cost or complex claims. Acts as a second-level appeal authority for client and claimant issues, implementing final decisions. Identifies trends, issues, and opportunities for process improvement; advises management and coordinates related projects. Monitors third-party and sensitive claims, including litigated and vocational rehabilitation cases. Maintains professional client relationships, offering recommendations and written summaries as needed. Ensures accurate claim coding and documentation by examiners. QUALIFICATIONS Education & Licensing: 6 years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience. 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. Licensing \u002F Jurisdiction Knowledge: California workers compensation claim handling experience | SIP Certified 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 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\u002FVisual: 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 $105,000-$118,000\u002Fyr. 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. #Hybrid #Claims #Supervisor 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",{"id":727,"slug":728,"title":729,"location":13,"raw_job_location_address_addressLocality":699,"raw_hiringOrganization_logo_url":13,"raw_description":730},64322,"workers-compensation-claims-team-lead-hybrid-brea-ca-sedgwick-claims-management-services-inc","Workers Compensation Claims Team Lead | Hybrid |Brea, CA","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 Team Lead | Hybrid |Brea, CA 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? 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. OFFICE LOCATIONS: HYBRID - Brea, CA PRIMARY PURPOSE OF THE ROLE: Oversees multiple teams of examiners and technical staff handling workers compensation claims for clients. Manages workloads, provides training, and monitors individual claim activities. Offers technical and jurisdictional guidance on claims adjudication and maintains regular diaries, especially for complex or high-exposure case. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Supervises multiple teams of examiners and technical operations colleagues, delegating duties as needed and ensuring proper licensing and documentation standards. Provides technical and jurisdictional guidance on claims adjudication, including quality reviews and reserve evaluations for high-cost or complex claims. Acts as a second-level appeal authority for client and claimant issues, implementing final decisions. Identifies trends, issues, and opportunities for process improvement; advises management and coordinates related projects. Monitors third-party and sensitive claims, including litigated and vocational rehabilitation cases. Maintains professional client relationships, offering recommendations and written summaries as needed. Ensures accurate claim coding and documentation by examiners. QUALIFICATIONS Education & Licensing: 6 years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience. 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. Licensing \u002F Jurisdiction Knowledge: SIP & California Workers Compensation claims handling 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. 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\u002FVisual: 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 $105,000-115,000K\u002Fyr. 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. #claims #claimsteamlead #supervisor #LI-HYBRID 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",{"id":732,"slug":733,"title":641,"location":13,"raw_job_location_address_addressLocality":734,"raw_hiringOrganization_logo_url":13,"raw_description":735},64339,"rn-field-case-manager-sedgwick-claims-management-services-inc-3","Canonsburg, PA - Town Center","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 RN Field Case Manager This Field Case Manager will cover West Pittsburg, PA region (including some of Ohio) and must live in this area in order to be considered. must apply for and or hold an Ohio RN license . PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face to face interaction with injured workers and medical professionals. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure preferred; or bachelor’s degree in health or human services field required with one of the following certifications: CCM, CDMS, or CRC. Valid driver’s license required. High speed internet required. Employment may be contingent upon successful completion of a motor vehicle record (MVR) check. 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\u002FVisual: Hearing, vision and talking TAKING CARE OF YOU BY Offering a blended work environment. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer a diverse and comprehensive benefits package including: Three Medical, and two dental plans to choose from. Tuition reimbursement eligible. 401K plan that matches 50% on every $ you put in up to the first 6% you save. 4 weeks PTO your first full year. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #fieldcasemanager 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",{"id":737,"slug":738,"title":272,"location":13,"raw_job_location_address_addressLocality":739,"raw_hiringOrganization_logo_url":13,"raw_description":740},64341,"disability-representative-sr-sedgwick-claims-management-services-inc","Cedar Rapids, IA - 1st","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 Disability Representative Sr PRIMARY PURPOSE: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed. Determines benefits due pursuant to a disability plan, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases to team lead and clinical case management for additional review when appropriate. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Ability to manage ambiguity Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement autonomously within established procedures 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 $19.74 - $24.00. 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",{"id":742,"slug":743,"title":272,"location":13,"raw_job_location_address_addressLocality":739,"raw_hiringOrganization_logo_url":13,"raw_description":744},64342,"disability-representative-sr-sedgwick-claims-management-services-inc-2","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 Disability Representative Sr We offer a hybrid work environment with on-site collaboration. Candidates must be located near our Centers of Excellence in Cedar Rapids, Iowa. 333 1st Street SE Ste. 200 Cedar Rapids IA 52401 PRIMARY PURPOSE: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed. Determines benefits due pursuant to a disability plan, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases to team lead and clinical case management for additional review when appropriate. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Ability to manage ambiguity Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement autonomously within established procedures 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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",{"id":746,"slug":747,"title":748,"location":13,"raw_job_location_address_addressLocality":739,"raw_hiringOrganization_logo_url":13,"raw_description":749},64343,"disability-representative-sedgwick-claims-management-services-inc","Disability Representative","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 Disability Representative Disability Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near one of our dynamic Centers of Excellence Cedar Rapids, IA : 333 1st Street SE Ste.200 Cedar Rapids IA 52401 ✨ What we offer: A stable, consistent work environment—both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic and empathetic candidates that want to grow a career. Ideal candidates will thrive in a collaborative team environment, show motivation, and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused PRIMARY PURPOSE: Provides disability case management and routine claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims; coordinates investigative efforts, thoroughly reviewing contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic and empathetic candidates that want to grow a career. Ideal candidates will thrive in a collaborative team environment, show motivation, and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes claim determinations, based on the information received, to approve routine disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes routine medical information (i.e. attending physical statements, office notes, off work notes, etc.) or consults with a nurse to determine if the claimant is disabled as defined by the disability plan. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians) regularly. Determines benefits due, makes timely claims payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages routine disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases as appropriate to team lead and clinical case management to assist with claim determination. Meets the organization’s quality program(s) minimum requirements. Maintains professional client relationships and provides excellent customer service. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. Experience Two (2) years of related experience or equivalent combination of education and experience required. One (1) year of office or customer service experience required. One (1) year of benefits or claims management experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement with limited supervision 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required Auditory\u002FVisual: 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",{"id":751,"slug":752,"title":753,"location":13,"raw_job_location_address_addressLocality":739,"raw_hiringOrganization_logo_url":13,"raw_description":754},64344,"leave-of-absence-coordinator-sedgwick-claims-management-services-inc","Leave of Absence Coordinator","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 Leave of Absence Coordinator Leave of Absence Coordinator Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near one of our dynamic Centers of Excellence📍 Cedar Rapids, IA : 333 1st Street SE Ste. 200 Cedar Rapids IA 52401 ✨ What we offer: A stable, consistent work environment—both in-office and virtual $19.31 per hour A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? PRIMARY PURPOSE: Analyzes reported leave requests including Family Medical Leave (FMLA), unpaid state, military and company-specific, to make determinations based on client plans, state and federal regulations. Ensures that on-going claim management is within company service standards and industry best practices. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic and empathetic candidates that want to grow a career. Ideal candidates will thrive in a collaborative team environment, show motivation, and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Establishes FMLA and other unpaid state, military, and\u002For company-specific leave claims; tracks and codes documentation in accordance with internal workflow processes. Analyzes FMLA and other unpaid claims to determine eligibility and certification in compliance with client plans, state and federal regulations. Reviews claim information received to identify action plan, determine benefits due, and make timely case decisions based on plan descriptions and service expectations as established by the client. Communicates decisions and on-going expectations clearly and professionally with claimants and clients by phone, written correspondence and\u002For claims system. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. Experience One (1) year of administrative\u002Fgeneral office experience or equivalent combination of education and experience required. FMLA administration experience preferred. Skills & Knowledge Knowledge of state and federal FMLA regulations Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical and interpretive skills Strong organizational and multitasking skills Excellent interpersonal skills Ability to exercise judgement in accordance with well-defined policies and procedures Ability to work in a team environment Ability to meet or exceed performance competencies as required by program 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 19.31. 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. #entrylevel #claimsexaminer 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",{"id":756,"slug":757,"title":753,"location":13,"raw_job_location_address_addressLocality":739,"raw_hiringOrganization_logo_url":13,"raw_description":758},64346,"leave-of-absence-coordinator-sedgwick-claims-management-services-inc-2","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 Leave of Absence Coordinator Leave of Absence Coordinator Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near our dynamic Centers of Excellence📍 Cedar Rapids, IA : 333 1st Street SE Ste. 200 Cedar Rapids IA 52401 ✨ What we offer: A stable, consistent work environment—both in-office and virtual $19.31 per hour A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? PRIMARY PURPOSE: Analyzes reported leave requests including Family Medical Leave (FMLA), unpaid state, military and company-specific, to make determinations based on client plans, state and federal regulations. Ensures that on-going claim management is within company service standards and industry best practices. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic and empathetic candidates that want to grow a career. Ideal candidates will thrive in a collaborative team environment, show motivation, and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Establishes FMLA and other unpaid state, military, and\u002For company-specific leave claims; tracks and codes documentation in accordance with internal workflow processes. Analyzes FMLA and other unpaid claims to determine eligibility and certification in compliance with client plans, state and federal regulations. Reviews claim information received to identify action plan, determine benefits due, and make timely case decisions based on plan descriptions and service expectations as established by the client. Communicates decisions and on-going expectations clearly and professionally with claimants and clients by phone, written correspondence and\u002For claims system. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. Experience One (1) year of administrative\u002Fgeneral office experience or equivalent combination of education and experience required. FMLA administration experience preferred. Skills & Knowledge Knowledge of state and federal FMLA regulations Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical and interpretive skills Strong organizational and multitasking skills Excellent interpersonal skills Ability to exercise judgement in accordance with well-defined policies and procedures Ability to work in a team environment Ability to meet or exceed performance competencies as required by program 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 19.31. 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. #entrylevel #claimsexaminer 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",{"id":760,"slug":761,"title":762,"location":13,"raw_job_location_address_addressLocality":763,"raw_hiringOrganization_logo_url":13,"raw_description":764},64347,"workforce-absence-avp-operations-sedgwick-claims-management-services-inc","Workforce Absence AVP Operations","Chicago, IL - Jackson","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 Workforce Absence AVP Operations Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Dubuque, IA : 4141 Westmark Drive, Dubuque, IA 52002 Cedar Rapids, IA : 333 1st Street SE Ste. 200 Cedar Rapids IA 52401 Coralville, IA: 3273 Ridgeway Drive Coralville IA 52241 Dublin, OH : 5500 Glendon Court Dublin OH 43016 New Albany, OH : 7795 Walton Parkway New Albany, OH 43054 Chicago, IL : 175 W. Jackson Blvd. 12th Fl. Chicago IL 60604 Indianapolis, IN: 8909 Purdue Road Suite 501 Indianapolis, IN 46268 Irving, TX: 2201 W. Royal Lane Suite 125 Irving, TX 75063 Southfield, MI : 300 Galleria Officentre Southfield MI 48034 Orlando, FL : 12650 Ingenuity Dr Orlando FL 32826 Eden Prairie, MN : 11000 Prairie Lakes Drive Eden Prairie, MN 55344 West Hills, CA : 8521 Fallbrook Ave West Hills, CA 91304 South Portland, ME: 600 Sable Ste. 220 Oaks Drive, South Portland, ME 04106 PRIMARY PURPOSE: To be responsible for the technical and operational functions for assigned office(s) including compliance with company standards and industry best practices; to ensure consistent delivery of quality services including direct operational responsibility of an office in the location where the manager resides; to handle the staffing and training needs, as well as staff development, career and succession planning; and to be responsible for budget preparation and profit and loss management for assigned office(s). Has direct and\u002For indirect responsibility for 100-299 colleagues. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Responsible for overall operations management for all locations\u002Foffices within an area. Establishes policy and procedures to assure compliance to best practices, claims management services standards, state regulations, and client service requirements. Establishes business plan with goals and objectives for the assigned area and locations\u002Foffices. Monitors management reports relating to the area\u002Foffice performance. Assists with the coordination of sales and client service efforts. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned, Supports the organization's quality program(s). Travels as required. SUPERVISORY RESPONSIBILITIES 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 reviews. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. CPCU, ARM, AIM, and\u002For AIC certifications preferred. Licenses as required. Experience Ten (10) years claims management experience or equivalent combination of education and experience required to include four (4) years supervisory experience. Skills & Knowledge Strong technical claims knowledge Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership\u002Fmanagement\u002Fmotivational skills 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\u002FVisual: 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 $125,000.00 - $140,000.00 USD Annual. 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",{"id":766,"slug":767,"title":272,"location":13,"raw_job_location_address_addressLocality":763,"raw_hiringOrganization_logo_url":13,"raw_description":768},64351,"disability-representative-sr-sedgwick-claims-management-services-inc-5","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 Disability Representative Sr Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Chicago, IL : 175 W. Jackson Blvd. 12th Fl. Chicago IL 60604 PRIMARY PURPOSE: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed. Determines benefits due pursuant to a disability plan, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases to team lead and clinical case management for additional review when appropriate. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Ability to manage ambiguity Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement autonomously within established procedures 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 $24.00 - $26.00 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",{"id":770,"slug":771,"title":753,"location":13,"raw_job_location_address_addressLocality":763,"raw_hiringOrganization_logo_url":13,"raw_description":772},64353,"leave-of-absence-coordinator-sedgwick-claims-management-services-inc-4","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 Leave of Absence Coordinator Leave of Absence Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near our dynamic Center of Excellence📍 Chicago, IL 175 W. Jackson Blvd. 12th Fl. Chicago IL 60604. ✨ What we offer: A stable, consistent work environment—both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? PRIMARY PURPOSE OF THE ROLE: To analyze reported leave requests and determine paid leave benefits due based on client paid leave plans, policies, state and federal regulations and to make timely calculations, payments and\u002For adjustments for client paid leave plans ensuring that on-going claim management is within company service standards and industry best practices. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic and empathetic candidates that want to grow a career. Ideal candidates will thrive in a collaborative team environment, show motivation, and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Establishes FMLA claims; tracks and codes documentation in accordance with internal workflow processes. Analyzes FMLA and other paid leave claims to determine eligibility, certification, payment calculations, payments and\u002For adjustments in compliance with client paid leave plans, policies, and state and federal regulations. Identifies action plan, determines benefits due, and makes timely case decisions based on service expectations as established by the client. Communicates decisions and on-going expectations with claimants and clients. Maintains professional client relationships. Attendance during scheduled work hours is required. QUALIFICATIONS Education & Licensing: High school diploma or GED required. Skills: Strong oral and written communication, computer literate – including Microsoft Office, organizational skills required PC literate, including Microsoft Office products, Windows environment. Must meet minimum typing requirements. Experience: Clerical or customer service experience or equivalent combination of education and experience preferred TAKING CARE OF YOU Entry-level colleagues are offered a world class training program with a comprehensive curriculum An assigned mentor and manager that will support and guide you on your career journey Career development and promotional growth opportunities A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 $19.31. 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",{"id":774,"slug":775,"title":776,"location":13,"raw_job_location_address_addressLocality":654,"raw_hiringOrganization_logo_url":13,"raw_description":777},87242,"telephonic-case-manager-sedgwick-claims-management-services-inc-3","Telephonic Case Manager","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 Telephonic Case Manager Please Note: This is a hybrid position requiring onsite attendance at our Baltimore - St. Paul office (7 St. Paul Street, Suite 450 Baltimore, MD 21202) on Tuesdays and Thursdays each week, with remote work available on the remaining business days. PRIMARY PURPOSE OF THE ROLE: While partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy, communication and coordination of medical services. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Performs initial and ongoing clinical assessment via telephone calls to evaluate the injured worker's injury, medical treatment, psychosocial needs, cultural implications and support systems. Effectively communicates and builds relationships with the claims’ examiner, client, injured worker, attorney and supervisor. Identifies issues related to delayed recovery and\u002For return to work and problem solves with a creative thinking approach Negotiates treatment and disability duration with providers through use of medical and disability duration guidelines, adhering to quality. Identifies opportunities to expedite care for cost containment and timely medical recovery. Provides recommendations for alternate clinical resources to support claim resolution. Maintains client's privacy and confidentiality, promotes client safety and advocacy; and adheres to ethical, legal, accreditation and regulatory standards. EDUCATION AND LICENSING Current unrestricted RN license(s) in a state or territory of the United States required. Bachelor's degree in nursing (BSN) from accredited college or university or equivalent work experience preferred. Certification in case management, rehabilitation nursing or a related specialty is highly preferred. TAKING CARE OF YOU BY Offering flexibility and autonomy. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. Thrives when everyone is working towards the same vision\u002Fgoals. We offer a diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day. NEXT STEPS If your application is selected to advance to the next round, recruiter will be in touch. #nurse #casemangementspecialist 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 $70,000 - $88,000\u002Fyear. 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",{"id":779,"slug":780,"title":781,"location":13,"raw_job_location_address_addressLocality":782,"raw_hiringOrganization_logo_url":13,"raw_description":783},64356,"claims-examiner-workers-compensation-hybrid-concord-ca-sedgwick-claims-management-services-inc","Claims Examiner - Workers Compensation (HYBRID - Concord, CA)","Concord, CA - Willow Pass","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 Compensation (HYBRID - Concord, CA) 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. OFFICE LOCATIONS Concord, CA PRIMARY PURPOSE OF THE ROLE: To analyze workers' compensation 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. ESSENTIAL RESPONSIBLITIES 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: 5 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. Licensing \u002F Jurisdiction Knowledge: California workers' compensation experience required | SIP 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 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\u002FVisual: 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 $80,000 -$85,000\u002Fyr. 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 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",{"id":785,"slug":786,"title":787,"location":13,"raw_job_location_address_addressLocality":782,"raw_hiringOrganization_logo_url":13,"raw_description":788},64357,"general-adjuster-property-sedgwick-claims-management-services-inc","General Adjuster - Property","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 General Adjuster - Property 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 adjuster 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? You bring expertise in large-loss property claims, strong investigative and negotiation skills, and the ability to confidently manage multimillion-dollar exposures from initial investigation through final resolution. WORK LOCATIONS This role requires availability during Pacific Time Zone business hours. See posting for eligible locations. PRIMARY PURPOSE OF THE ROLE To handle large losses or claims regionally exceeding $10M, including having the ability to address most complex adjustment issues pertaining to damages and coverage; to assist on even larger losses and manage smaller and non-complex National Accounts. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Examines claim forms and other records to determine insurance coverage. Administers and reconciles complex catastrophic claims for property. Interviews, telephones, or corresponds with claimant and witnesses regarding claim. Consults police and hospital records; and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance. Estimates cost of repair, replacement, or compensation. Prepares report of findings and negotiates settlement with claimant. Recommends litigation by legal department when settlement cannot be negotiated. Attends litigation hearings. Revises case reserves in assigned claims files to cover probable costs. Prepares loss experience reports to help determine profitability and calculates adequate future rates. Interacts with excess carrier to determine coverages, excess insurance levels, and potential reimbursements. QUALIFICATIONS Education & Licensing: High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Must have earned the IIA-AIC designation. Appropriate state adjuster license is required. Experience: Eight (8) years of related experience or equivalent combination of education and experience required. TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Opportunity to work in an agile environment. 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, travel as required Auditory\u002FVisual: Hearing, vision and talking NOTE Employment may be contingent upon successful completion of a motor vehicle record (MVR) check, where job-related. 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 $120,000 - $145,000. 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. #claims #hybrid #LI-REMOTE 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",{"id":790,"slug":791,"title":792,"location":13,"raw_job_location_address_addressLocality":782,"raw_hiringOrganization_logo_url":13,"raw_description":793},64358,"liability-claims-examiner-sedgwick-claims-management-services-inc","Liability Claims Examiner","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 Liability Claims Examiner 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 address and handle high end General Liability cases with serious injuries, complex coverage scenarios and legal inquiries or disputes; to develop a strategy to bring a case to satisfactory resolution. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Reviews\u002Facts on reports\u002Fforms; responds to inquiries; seeks legal opinion and early resolution; and communicates resolution to appropriate parties. Handles high end cases with serious injuries and\u002For complex coverage scenarios. Responds to decisions, agreement, and\u002For court order; creates action plan; determines need for examination; gains client authorization. Identifies cases for settlements\u002Fredemptions. Gathers\u002Fdocuments additional information and coordinates with client designees. Requests legal\u002Fprivate 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\u002Fadjusts 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. Experience Four (4) years of liability litigation claims management experience or equivalent combination of education and experience required. 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\u002FVisual: Hearing, vision and talking 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 $85,000 - $105,000. 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. #Claims #ClaimsExaminer #Hybrid #LI-Hybrid #LI-AM1 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",{"id":795,"slug":796,"title":748,"location":13,"raw_job_location_address_addressLocality":797,"raw_hiringOrganization_logo_url":13,"raw_description":798},64359,"disability-representative-sedgwick-claims-management-services-inc-3","Coralville, IA - Ridgeway","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 Disability Representative Disability Representative Our teams thrive together! We collaborate onsite and embrace a flexible hybrid work arrangement. All candidates must live near our Center of Excellence in Coralville, IA:📍 273 Ridgeway Drive, Coralville, IA 52241 ✨ What we offer: A stable, consistent work environment—both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? PRIMARY PURPOSE: To process claims and determine benefits due pursuant to a disability plan; to make timely payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets; and to ensure the ongoing processing of claims. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes claim determinations to approve non-complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Determines benefits due, makes timely claims payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status either by phone, written correspondence and\u002For claims system. Refers cases as appropriate to team lead; maintains professional client relationships. 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. College preferred. Experience Two (2) years of related experience or equivalent combination of education and experience required to include one (1) year general office or customer service experience. One (1) year of benefits or claims management experience preferred. Skills & Knowledge Excellent oral and written communication PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational 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\u002FVisual: 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. 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 21.82. 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",{"id":800,"slug":801,"title":272,"location":13,"raw_job_location_address_addressLocality":797,"raw_hiringOrganization_logo_url":13,"raw_description":802},64361,"disability-representative-sr-sedgwick-claims-management-services-inc-6","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 Disability Representative Sr PRIMARY PURPOSE: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed. Determines benefits due pursuant to a disability plan, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases to team lead and clinical case management for additional review when appropriate. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Ability to manage ambiguity Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement autonomously within established procedures 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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",{"id":804,"slug":805,"title":753,"location":13,"raw_job_location_address_addressLocality":797,"raw_hiringOrganization_logo_url":13,"raw_description":806},64362,"leave-of-absence-coordinator-sedgwick-claims-management-services-inc-5","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 Leave of Absence Coordinator Leave of Absence Coordinator Our teams thrive together! We collaborate onsite and embrace a flexible hybrid work arrangement. All candidates must live near our Center of Excellence in Coralville, IA:📍 273 Ridgeway Drive, Coralville, IA 52241 ✨ What we offer: A stable, consistent work environment—both in-office and virtual $19.31 per hour A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? PRIMARY PURPOSE OF THE ROLE: Analyzes reported leave requests including Family Medical Leave (FMLA), unpaid state, military and company-specific, to make determinations based on client plans, state and federal regulations. Ensures that on-going claim management is within company service standards and industry best practices. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic and empathetic candidates that want to grow a career. Ideal candidates will thrive in a collaborative team environment, show motivation, and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Establishes FMLA and other unpaid state, military, and\u002For company-specific leave claims; tracks and codes documentation in accordance with internal workflow processes. Analyzes FMLA and other unpaid claims to determine eligibility and certification in compliance with client plans, state and federal regulations. Reviews claim information received to identify action plan, determine benefits due, and make timely case decisions based on plan descriptions and service expectations as established by the client. Communicates decisions and on-going expectations clearly and professionally with claimants and clients by phone, written correspondence and\u002For claims system. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. State certification or licensing in statutory leaves is beneficial. Experience One (1) year of administrative\u002Fgeneral office experience or equivalent combination of education and experience required. FMLA administration experience preferred. Skills & Knowledge Knowledge of state and federal FMLA regulations Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical and interpretive skills Strong organizational and multitasking skills Excellent interpersonal skills Ability to exercise judgement in accordance with well-defined policies and procedures Ability to work in a team environment Ability to meet or exceed performance competencies as required by program 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 $19.31 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",{"id":808,"slug":809,"title":810,"location":13,"raw_job_location_address_addressLocality":811,"raw_hiringOrganization_logo_url":13,"raw_description":812},64368,"auto-field-appraiser-denton-texas-sedgwick-claims-management-services-inc","Auto Field Appraiser- Denton, Texas","Dallas, TX - Mockingbird","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 Auto Field Appraiser- Denton, Texas PRIMARY PURPOSE: To handle field appraisal assignments for our corporate fleets and insurance clients with an emphasis on Auto's. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Set appointments same day, inspect within 24 hours and write estimate car side Depending on location - appraiser is expected to write 6 to 10 estimates per day Ensures proper vehicle tear down Determine repair time allotments and required labor operations Makes accurate repair\u002Freplace decisions Assess and applies pre-existing damage, completes accurate total loss evaluations Negotiates agreed price with shop decision maker and sets time bound expected completion date per Client Guidelines Review and assess the validity of all supplement request Proactively provides customers with information regarding their vehicle’s cost of repair estimate and explains claims\u002Frepair process Maintains accurate vehicle’s cost of repair estimate and explains claims\u002Frepair process Negotiates advanced fees for tow, tear down, and storage on all vehicles that are determined to a financial total loss at a repair facility or tow yard Provide extraordinary customer service to all parties involved in the claims process Other duties as assigned by management or as needed. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. When not in the field, assist quality assurance team and be available for desk appraisal work as well QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred (but not required). Licenses as required, as needed. Professional certifications as applicable to line-of-business preferred. If the employee is required to obtain licensing applicable to their role, they will have 60 days to complete the training and testing. Experience Four (4) years of insurance or body shop experience required. Skills & Knowledge Good technical knowledge of auto appraisals Knowledge of client operations and labor regulations Excellent oral and written communication PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Excellent interpersonal skills Excellent negotiation skills Good judgment and discretion skills Ability to manage multiple projects and set priorities Ability to work in a team environment Ability to meet or exceed Performance Competencies CCC One experience WORK ENVIRONMENT Must be able to work independently. This is a field appraisal position and you will be responsible for managing your local territory and scheduling your work day. 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 locally Auditory\u002FVisual: 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. Pay Transparency disclosure: 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 ($55,000 - $65,000 annually). 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. 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",{"id":814,"slug":815,"title":641,"location":13,"raw_job_location_address_addressLocality":816,"raw_hiringOrganization_logo_url":13,"raw_description":817},64369,"rn-field-case-manager-sedgwick-claims-management-services-inc-4","CS- Denver, CO - 14th","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 RN Field Case Manager This Field Case Manager will cover our Denver, CO area and must live in this area in order to be considered. Must be an RN and prefers 1.5 years of prior Field Case Manager workers compensation experience. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face to face interaction with injured workers and medical professionals. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure required. Valid driver’s license required. High speed internet required. Employment may be contingent upon successful completion of a motor vehicle record (MVR) check, where job related .Employment may be contingent upon successful completion of a motor vehicle record (MVR) check, where job related. 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\u002FVisual: Hearing, vision and talking TAKING CARE OF YOU BY Offering a blended work environment. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer a diverse and comprehensive benefits package including: Three Medical, and two dental plans to choose from. Tuition reimbursement eligible. 401K plan that matches 50% on every $ you put in up to the first 6% you save. 4 weeks PTO your first full year. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #fieldcasemanager 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 $85,000-$92,000 - Quarterly Bonus 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. 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",{"id":819,"slug":820,"title":821,"location":13,"raw_job_location_address_addressLocality":822,"raw_hiringOrganization_logo_url":13,"raw_description":823},64370,"field-case-manager-sedgwick-claims-management-services-inc-3","Field Case Manager","Telecommuter MI","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 Field Case Manager This Feidl Case Manager will cover our Detroit, MI region and must live in this area in order to be considered. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; through advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face-to-face interaction with injured workers and medical professionals. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure preferred; or bachelor’s degree in health or human services field required with one of the following certifications: CCM, CDMS, or CRC. Valid driver’s license required. High speed internet required. Employment may be contingent upon successful completion of a motor vehicle record (MVR) check, where job related. 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\u002FVisual: Hearing, vision and talking TAKING CARE OF YOU BY Offering a blended work environment. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer a diverse and comprehensive benefits package including: Three Medical, and two dental plans to choose from. Tuition reimbursement eligible. 401K plan that matches 50% on every $ you put in up to the first 6% you save. 4 weeks PTO your first full year. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #fieldcasemanager 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",{"id":825,"slug":826,"title":827,"location":13,"raw_job_location_address_addressLocality":828,"raw_hiringOrganization_logo_url":13,"raw_description":829},64373,"ada-accommodation-coordinator-sedgwick-claims-management-services-inc","ADA Accommodation Coordinator","Dublin, OH - Glendon - 5500","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 Coordinator Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Dubuque, IA : 4141 Westmark Drive, Dubuque, IA 52002 Cedar Rapids, IA : 333 1st Street SE Ste. 200 Cedar Rapids IA 52401 Coralville, IA: 3273 Ridgeway Drive Coralville IA 52241 Dublin, OH : 5500 Glendon Court Dublin OH 43016 New Albany, OH : 7795 Walton Parkway New Albany, OH 43054 Indianapolis, IN: 8909 Purdue Road Suite 501 Indianapolis, IN 46268 Irving, TX: 2201 W. Royal Lane Suite 125 Irving, TX 75063 Southfield, MI : 300 Galleria Officentre Southfield MI 48034 Orlando, FL : 12650 Ingenuity Dr Orlando FL 32826 PRIMARY PURPOSE: To process claims and determine accommodation options following written guidelines and procedures pursuant to ADA, state and\u002For client requirements; to make timely referrals for appropriate disability and federal\u002Fstate leave of absence eligibility review; and to ensure the ongoing processing of claims. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Informs claimants of documentation required to process claims, required time frames, and claims status either by phone, written correspondence and\u002For claims system. Reviews medical information to determine if the claimant meets the requirements under ADA, state, and\u002For client requirements for a qualifying condition. Makes claim determinations to approve non-complex ADA claims or makes a recommendation to team lead to deny claims based on the ADA, state, and\u002For client requirements. Processes ADA claims ensuring compliance with duration control guidelines, ADA and state regulations, and\u002For client-specific process provisions. Determines accommodation options; makes timely claims referrals for appropriate disability or federal\u002Fstate leave of absence eligibility reviews where applicable. Conducts initial employee interview per process guidelines. Utilizes the appropriate clinical and vocational resources in case assessment (i.e. duration guidelines, in-house clinicians, ADA job accommodation specialists). Refers cases as appropriate to team lead. Maintains professional client relationships. 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 Two (2) years of related experience or equivalent combination of education and experience required. One (1) year of benefits or claims management experience preferred. Skills & Knowledge Excellent oral and written communication skills PC literate, including Microsoft Office products. Analytical and interpretive skills Strong organizational skills Excellent interpersonal skills Good 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\u002FVisual: 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. #disabilitycoordinator 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",{"id":831,"slug":832,"title":833,"location":13,"raw_job_location_address_addressLocality":828,"raw_hiringOrganization_logo_url":13,"raw_description":834},64374,"benefits-liaison-sedgwick-claims-management-services-inc","Benefits Liaison","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 Benefits Liaison PRIMARY PURPOSE: To coordinate activities of absence programs for specific client; to assist\u002Fsupport Benefits Program Manager; to implement customer surveys; to assist in client training and benefits fairs; and to prepare reports for program administration. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Serves as liaison between Company and client human resources (HR) and employees in management of the absence programs. Communicates with client, employee, healthcare providers and Company operations team to coordinate resolution of escalated issues involving absence program. Assists manager in evaluating results of absence programs and best practice in absence administration; assists in assessing effectiveness of absence plan administration, communication and documentation; assists in development of management reports; assists in preparation of reports assessing financial impact of program administration. Maintains records and files pertinent to absence programs. Monitors satisfaction with leave and disability administration via periodic customer surveys and recommends needed changes. Works with appropriate stakeholders for client and Company to ensure continuous performance and process improvement. Maintains knowledge of legal requirements and best practices relevant to absence programs and administration. Works with management to update and maintain absence program procedures relating to administration, compliance requirements, audits of leaves; employee handbook and other program-related documents. Assists with client training and development of communications; assists in administration of benefits fairs as needed. Assists client in reviewing and requesting approvals from Company operations team to conduct Independent Medical Examinations (IMEs) and Functional Capacity Evaluations (FCEs). ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as needed. QUALIFICATIONS Education & Licensing Bachelor's degree or equivalent from an accredited college or university preferred. Experience Six (6) years absence management experience or equivalent combination of education and experience required. Demonstrated progressive responsibilities strongly preferred. Project management, office operations management, disability\u002Fabsence management, insurance-related and\u002For statistical analysis experience preferred. Skills & Knowledge Knowledge of legal requirements and best practices relevant to absence programs and administration Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Negotiation skills Good interpersonal skills Self motivated with ability to work independently 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\u002FVisual: 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",{"id":836,"slug":837,"title":838,"location":13,"raw_job_location_address_addressLocality":828,"raw_hiringOrganization_logo_url":13,"raw_description":839},64375,"claims-assistant-sedgwick-claims-management-services-inc","Claims Assistant","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 Assistant PRIMARY PURPOSE: To provide support to the claims staff and to perform other office tasks depending on the client program. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Sets up and enters new claims into claims management system. Inputs and reviews notes\u002Fdiaries in claims management system as instructed. Processes payments. Processes mail; handles filing, faxing and photocopying. Reviews, prepares, creates, and\u002For sends letters, reports, and forms. Answers and initiates telephone calls, sets up medical appointments, and may provide customer service as required. Other activities\u002Fprojects as assigned including the preparation and distribution of computer reports. 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 Six (6) months of clerical or customer service experience or equivalent combination of education and experience required. Skills & Knowledge Excellent oral and written communication PC literate, including Microsoft Office products Strong organizational 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\u002FVisual: 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",{"id":841,"slug":842,"title":843,"location":13,"raw_job_location_address_addressLocality":828,"raw_hiringOrganization_logo_url":13,"raw_description":844},64376,"claims-assistant-entry-level-sedgwick-claims-management-services-inc","Claims Assistant | Entry Level","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 Assistant | Entry Level Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career? A stable and consistent work environment in an office setting 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 OF THE ROLE: To provide excellent customer service and internal support to an assigned team. ARE YOU AN IDEAL CANDIDATE? To provide support to the claims staff and to perform other office tasks depending on the client program. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Sets up and enters new claims into claims management system. Inputs and reviews notes\u002Fdiaries in claims management system as instructed. Processes payments. Processes mail; handles filing, faxing and photocopying. Reviews, prepares, creates, and\u002For sends letters, reports, and forms. Answers and initiates telephone calls, sets up medical appointments, and may provide customer service as required. Other activities\u002Fprojects as assigned including the preparation and distribution of computer reports. Perform administrative tasks QUALIFICATIONS Education & Licensing: High school diploma or GED required. Experience: Six (6) months of clerical or customer service 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. 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 ($20 - $21\u002Fhr). 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",{"id":846,"slug":847,"title":833,"location":13,"raw_job_location_address_addressLocality":848,"raw_hiringOrganization_logo_url":13,"raw_description":834},64377,"benefits-liaison-sedgwick-claims-management-services-inc-2","Dublin, OH - Glendon 5555",{"id":850,"slug":851,"title":852,"location":13,"raw_job_location_address_addressLocality":828,"raw_hiringOrganization_logo_url":13,"raw_description":853},64379,"workforce-absence-team-lead-sr-sedgwick-claims-management-services-inc","Workforce Absence Team Lead Sr","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 Workforce Absence Team Lead Sr Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Dubuque, IA : 4141 Westmark Drive, Dubuque, IA 52002 Cedar Rapids, IA : 333 1st Street SE Ste. 200 Cedar Rapids IA 52401 Coralville, IA: 3273 Ridgeway Drive Coralville IA 52241 Dublin, OH : 5500 Glendon Court Dublin OH 43016 New Albany, OH : 7795 Walton Parkway New Albany, OH 43054 Chicago, IL : 175 W. Jackson Blvd. 12th Fl. Chicago IL 60604 Indianapolis, IN: 8909 Purdue Road Suite 501 Indianapolis, IN 46268 Irving, TX: 2201 W. Royal Lane Suite 125 Irving, TX 75063 Southfield, MI : 300 Galleria Officentre Southfield MI 48034 Orlando, FL : 12650 Ingenuity Dr Orlando FL 32826 Eden Prairie, MN : 11000 Prairie Lakes Drive Eden Prairie, MN 55344 West Hills, CA : 8521 Fallbrook Ave West Hills, CA 91304 South Portland, ME: 600 Sable Ste. 220 Oaks Drive, South Portland, ME 04106 PRIMARY PURPOSE: The Senior Workforce Absence Team Lead is responsible for overseeing the daily operations of examiners and technical staff managing claims across multiple client programs. This role requires strong client-facing capabilities, strategic oversight, and operational excellence to ensure quality, compliance, and efficiency in claims handling. The Senior Workforce Absence Team Lead serves as a liaison between internal teams and clients, providing technical guidance, mentoring staff, and driving continuous improvement across diverse programs. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Client Relationship Management Acts as a primary operational contact for clients across multiple programs. Leads and participates in client meetings (weekly, monthly, quarterly) to support project initiatives and strategic alignment. Maintains proactive communication, manage claim inquiries, and track action items to ensure timely resolution. Prepares formal correspondence, summaries, and recommendations to support client needs. Team Leadership & Oversight Supervises a team of examiners and\u002For technical staff, ensuring balanced workloads and high performance. Provides technical and jurisdictional guidance, especially on complex or high-exposure claims. Monitors claim coding and documentation accuracy; ensure consistent quality across programs. Delivers training, mentorship, and performance feedback to support team development. Operational Excellence Reviews and analyzes management reports to identify trends and performance gaps. Conducts quality audits to ensure compliance with service standards and contractual obligations. Oversees claim processes and ensure updates are reflected in client communications and documentation. Develops and implements action plans to address operational challenges and improve outcomes. Performance Monitoring & Reporting Tracks team performance against KPIs and service guarantees. Prepares and presents reports on claims trends, operational metrics, and improvement initiatives. Supports stewardship efforts by contributing to client-facing performance reviews and ensuring program alignment. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Travels as required. SUPERVISORY RESPONSIBILITIES Provides support, guidance, leadership and motivation to promote maximum performance for two or more colleagues. 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. Experience Six (6) years of related claim experience or equivalent combination of education and experience required, including at least two (2) years of multi-client claims supervisory experience. Skills & Knowledge Proven experience in claims management and team leadership Strong client-facing communication and relationship-building skills Expertise in jurisdictional and technical claims adjudication Analytical mindset with the ability to interpret data and drive performance improvements Ability to manage multiple programs with agility and strategic focus Excellent oral and written communication skills, including presentation skills PC literate, including Microsoft Office products 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 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\u002FVisual: 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 $64,000.00 - $75,000.00 USD Annual. 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",{"id":855,"slug":856,"title":272,"location":13,"raw_job_location_address_addressLocality":828,"raw_hiringOrganization_logo_url":13,"raw_description":857},64380,"disability-representative-sr-sedgwick-claims-management-services-inc-7","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 Disability Representative Sr Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Dublin, OH : 5500 Glendon Court Dublin OH 43016 PRIMARY PURPOSE: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed. Determines benefits due pursuant to a disability plan, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases to team lead and clinical case management for additional review when appropriate. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Ability to manage ambiguity Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement autonomously within established procedures 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 $23.00 -$25.00 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",{"id":859,"slug":860,"title":748,"location":13,"raw_job_location_address_addressLocality":828,"raw_hiringOrganization_logo_url":13,"raw_description":861},64382,"disability-representative-sedgwick-claims-management-services-inc-4","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 Disability Representative Disability Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near our Dynamic Center of Excellence📍 Dublin, OH 5500 Glendon Ct #100, Dublin, OH 43016 ✨ What we offer: A stable, consistent work environment—both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? PRIMARY PURPOSE OF THE ROLE: To process claims and determine benefits due pursuant to a disability plan; to make timely payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets; and to ensure the ongoing processing of claims. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic and empathetic candidates that want to grow a career. Ideal candidates will thrive in a collaborative team environment, show motivation, and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Makes claim determinations to approve non-complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Determines benefits due, makes timely claims payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status either by phone, written correspondence and\u002For claims system. QUALIFICATIONS Education & Licensing: High school diploma or GED required. Skills: Strong oral and written communication, computer literate – including Microsoft Office, organizational skills required PC literate, including Microsoft Office products, Windows environment. Must meet minimum typing requirements. Experience: Clerical or customer service experience or equivalent combination of education and experience preferred TAKING CARE OF YOU Entry-level colleagues are offered a world class training program with a comprehensive curriculum. An assigned mentor and manager that will support and guide you on your career journey. Career development and promotional growth opportunities A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more. Work environment requirements: Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking. Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 21.82. 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",{"id":863,"slug":864,"title":865,"location":13,"raw_job_location_address_addressLocality":866,"raw_hiringOrganization_logo_url":13,"raw_description":867},64385,"absence-management-team-lead-coding-team-sedgwick-claims-management-services-inc","Absence Management Team Lead - Coding Team","Dubuque, IA - Westmark","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 Absence Management Team Lead - Coding Team Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Dubuque, IA : 4141 Westmark Drive, Dubuque, IA 52002 Dublin, OH : 5500 Glendon Court Dublin OH 43016 PRIMARY PURPOSE: To supervise the operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor individual claim activities; to provide technical\u002Fjurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims within the teams including frequent diaries on complex or high exposure claims. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Supervises multiple teams of examiners and\u002For several technical operations colleagues for a wide span of control; may delegate some duties to others within the unit. Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. Provides technical\u002Fjurisdictional direction to examiner reports on claims adjudication. Compiles, reviews, and analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal. Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner. Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client. Assures that direct reports are properly licensed in the jurisdictions serviced. Ensures claims files are coded correctly and adequate documentation is made by claims examiners. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred. Experience Six (6) years of claims experience or equivalent combination of education and experience required. Two (2) years of claims supervisory experience preferred. Skills & Knowledge Thorough knowledge of claims management procedures and processes for disability Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership\u002Fmanagement\u002Fmotivational skills 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\u002FVisual: 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",{"id":869,"slug":870,"title":871,"location":13,"raw_job_location_address_addressLocality":866,"raw_hiringOrganization_logo_url":13,"raw_description":872},64386,"care-team-representative-sedgwick-claims-management-services-inc","Care Team Representative","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 Care Team Representative Entry-level, Care Team Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near one of our dynamic Centers of Excellence📍 Dubuque, IA: 4141 Westmark Avenue, Dubuque IA 52002 ✨ What we offer: A stable, consistent work environment—both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? See what a day in the life of a Care Team Representative is like: SED23026 - Mariah_01-09-24 (vidyard.com) &https:\u002F\u002Fshare.vidyard.com\u002Fwatch\u002FVCLjdFEUwPccjWaBtjLmwX Learn more about our Care Team: Care Team (ceros.com) PRIMARY PURPOSE: To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not limited to, expediting the claims process and providing detailed claim notes on all calls, resolving issues with one call\u002Fone person response, and directing calls to appropriate escalation path as needed. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Acts as primary liaison with callers from multiple client accounts within a shared services environment. Follows specifications in assisting with questions and solving problems related to the claims application and servicing processes. Performs claim intake and full-service customer support within regulatory requirements, company, and client expectations at all times. Educates and informs the customer about documentation required to file\u002Fprocess a claim, required time frames, payment information, and claim status. Educates claimants\u002Fcallers on client requirements and benefit plans documenting all required details of the call in a concise professional manner. Enters verbal and written claim information that meets both the internal and external customer’s requirements accurately into the appropriate system. Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist\u002Fmanagement as needed. Attendance during scheduled work hours is required. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. Experience One (1) year customer service experience or equivalent combination of education and experience required. Inbound call center experience preferred. Skills & Knowledge Excellent verbal and written communication skills PC literate, including Microsoft Office products, Windows environment Must meet minimum typing requirements Strong organizational skills Good interpersonal skills Ability to multi task in fast paced environment Ability to support multiple clients across communication channels and utilize multiple systems simultaneously Ability to work in a team environment and\u002For independently Ability to meet or exceed Performance Competencies Ability to meet all attendance expectations 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\u002FVisual: 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 (17.85). 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.  #entrylevel #contactcenterrep 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",{"id":874,"slug":875,"title":827,"location":13,"raw_job_location_address_addressLocality":866,"raw_hiringOrganization_logo_url":13,"raw_description":876},64387,"ada-accommodation-coordinator-sedgwick-claims-management-services-inc-2","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 Coordinator Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Dubuque, IA : 4141 Westmark Drive, Dubuque, IA 52002 Dublin, OH : 5500 Glendon Court Dublin OH 43016 Irving, TX: 2201 W. Royal Lane Suite 125 Irving, TX 75063 Memphis, TN : 8125 Sedgwick Way, Memphis TN 38125 Southfield, MI : 300 Galleria Officentre Southfield MI 48034 Orlando, FL : 12650 Ingenuity Dr Orlando FL 32826 PRIMARY PURPOSE: To process claims and determine accommodation options following written guidelines and procedures pursuant to ADA, state and\u002For client requirements; to make timely referrals for appropriate disability and federal\u002Fstate leave of absence eligibility review; and to ensure the ongoing processing of claims. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Informs claimants of documentation required to process claims, required time frames, and claims status either by phone, written correspondence and\u002For claims system. Reviews medical information to determine if the claimant meets the requirements under ADA, state, and\u002For client requirements for a qualifying condition. Makes claim determinations to approve non-complex ADA claims or makes a recommendation to team lead to deny claims based on the ADA, state, and\u002For client requirements. Processes ADA claims ensuring compliance with duration control guidelines, ADA and state regulations, and\u002For client-specific process provisions. Determines accommodation options; makes timely claims referrals for appropriate disability or federal\u002Fstate leave of absence eligibility reviews where applicable. Conducts initial employee interview per process guidelines. Utilizes the appropriate clinical and vocational resources in case assessment (i.e. duration guidelines, in-house clinicians, ADA job accommodation specialists). Refers cases as appropriate to team lead. Maintains professional client relationships. 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 Two (2) years of related experience or equivalent combination of education and experience required. One (1) year of benefits or claims management experience preferred. Skills & Knowledge Excellent oral and written communication skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Excellent interpersonal skills Good 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\u002FVisual: 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",{"id":878,"slug":879,"title":416,"location":13,"raw_job_location_address_addressLocality":828,"raw_hiringOrganization_logo_url":13,"raw_description":880},64388,"workforce-absence-team-lead-sedgwick-claims-management-services-inc-2","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 Workforce Absence Team Lead Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Dublin, OH : 5500 Glendon Court Dublin OH 43016 PRIMARY PURPOSE: To supervise the operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor individual claim activities; to provide technical\u002Fjurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims within the teams including frequent diaries on complex or high exposure claims. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Supervises multiple teams of examiners and\u002For several technical operations colleagues for a wide span of control; may delegate some duties to others within the unit. Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. Provides technical\u002Fjurisdictional direction to examiner reports on claims adjudication. Compiles, reviews, and analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal. Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner. Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client. Assures that direct reports are properly licensed in the jurisdictions serviced. Ensures claims files are coded correctly and adequate documentation is made by claims examiners. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred. Experience Six (6) years of claims experience or equivalent combination of education and experience required. Two (2) years of claims supervisory experience preferred. Skills & Knowledge Thorough knowledge of claims management procedures and processes for disability Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership\u002Fmanagement\u002Fmotivational skills 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\u002FVisual: 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 $60,000.00 - $63,000.00 USD Annual. 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",{"id":882,"slug":883,"title":748,"location":13,"raw_job_location_address_addressLocality":866,"raw_hiringOrganization_logo_url":13,"raw_description":884},64392,"disability-representative-sedgwick-claims-management-services-inc-5","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 Disability Representative Disability Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near one of our dynamic Centers of Excellence📍 Dubuque, IA : 4141 Westmark Drive, Dubuque, IA 52002 ✨ What we offer: A stable, consistent work environment—both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic and empathetic candidates that want to grow a career. Ideal candidates will thrive in a collaborative team environment, show motivation, and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused. PRIMARY PURPOSE: Provides disability case management and routine claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims; coordinates investigative efforts, thoroughly reviewing contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes claim determinations, based on the information received, to approve routine disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes routine medical information (i.e. attending physical statements, office notes, off work notes, etc.) or consults with a nurse to determine if the claimant is disabled as defined by the disability plan. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians) regularly. Determines benefits due, makes timely claims payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages routine disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases as appropriate to team lead and clinical case management to assist with claim determination. Meets the organization’s quality program(s) minimum requirements. Maintains professional client relationships and provides excellent customer service. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. Experience Two (2) years of related experience or equivalent combination of education and experience required. One (1) year of office or customer service experience required. One (1) year of benefits or claims management experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement with limited supervision 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required Auditory\u002FVisual: Hearing, vision and talking TAKING CARE OF YOU Entry-level colleagues are offered a world class training program with a comprehensive curriculum. An assigned mentor and manager that will support and guide you on your career journey. Career development and promotional growth opportunities A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more. 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. #claimsexaminer #entrylevel 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",{"id":886,"slug":887,"title":272,"location":13,"raw_job_location_address_addressLocality":866,"raw_hiringOrganization_logo_url":13,"raw_description":888},64393,"disability-representative-sr-sedgwick-claims-management-services-inc-8","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 Disability Representative Sr We offer a hybrid work environment with on-site collaboration. Candidates must be located near our Center of Excellence in Dubuque, Iowa 4141 Westmark Drive, Dubuque, IA 52002 PRIMARY PURPOSE: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed. Determines benefits due pursuant to a disability plan, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases to team lead and clinical case management for additional review when appropriate. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Ability to manage ambiguity Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement autonomously within established procedures 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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",{"id":890,"slug":891,"title":892,"location":13,"raw_job_location_address_addressLocality":866,"raw_hiringOrganization_logo_url":13,"raw_description":893},64394,"workforce-absence-payroll-coordinator-sedgwick-claims-management-services-inc-2","Workforce Absence Payroll Coordinator","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 Workforce Absence Payroll Coordinator Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Dubuque, IA : 4141 Westmark Drive, Dubuque, IA 52002 Cedar Rapids, IA : 333 1st Street SE Ste. 200 Cedar Rapids IA 52401 Dublin, OH : 5500 Glendon Court Dublin OH 43016 PRIMARY PURPOSE: To process payroll actions based on changes in leave status; to ensure the accurate and timely entry of data; and to support delivery of the highest quality of customer service as a point of contact for internal and external customers and clients. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Ensures data integrity by accurately interpreting the leave and disability claims data coding hierarchy and applying the correct leave and disability codes into the payroll and time and attendance system. Review reports for claim accuracy; processes and balances colleague time card file based on client's paid time off policy. Responds to inquiries from Human Resources and internal business partners regarding plan provisions and administrative procedures Assists department in evaluating results of absence programs and best practices in absence administration. Assists management with special projects as assigned. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing Bachelor’s degree with business or computer related courses from an accredited university or college preferred. Experience Two (2) years of administrative support experience or equivalent combination of education and experience required. Human Resources\u002FPayroll experience preferred. Skills & Knowledge Working knowledge of leave of absence, workers' compensation, and disability leave regulations Oral and written communication 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\u002FVisual: 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",{"id":895,"slug":896,"title":416,"location":13,"raw_job_location_address_addressLocality":866,"raw_hiringOrganization_logo_url":13,"raw_description":897},64396,"workforce-absence-team-lead-sedgwick-claims-management-services-inc-4","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 Workforce Absence Team Lead PRIMARY PURPOSE: To supervise the operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor individual claim activities; to provide technical\u002Fjurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims within the teams including frequent diaries on complex or high exposure claims. Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Dubuque, IA : 4141 Westmark Drive, Dubuque, IA 52002 ESSENTIAL FUNCTIONS and RESPONSIBILITIES Supervises multiple teams of examiners and\u002For several technical operations colleagues for a wide span of control; may delegate some duties to others within the unit. Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. Provides technical\u002Fjurisdictional direction to examiner reports on claims adjudication. Compiles, reviews, and analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal. Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner. Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client. Assures that direct reports are properly licensed in the jurisdictions serviced. Ensures claims files are coded correctly and adequate documentation is made by claims examiners. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred. Experience Six (6) years of claims experience or equivalent combination of education and experience required. Two (2) years of claims supervisory experience preferred. Skills & Knowledge Thorough knowledge of claims management procedures and processes for disability Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership\u002Fmanagement\u002Fmotivational skills 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\u002FVisual: 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",{"id":899,"slug":900,"title":901,"location":13,"raw_job_location_address_addressLocality":902,"raw_hiringOrganization_logo_url":13,"raw_description":903},64400,"absence-management-team-lead-sedgwick-claims-management-services-inc","Absence Management Team Lead","Eden Prairie, MN - Prairie Lakes","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 Absence Management Team Lead PRIMARY PURPOSE: To supervise the operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor individual claim activities; to provide technical\u002Fjurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims within the teams including frequent diaries on complex or high exposure claims. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Supervises multiple teams of examiners and\u002For several technical operations colleagues for a wide span of control; may delegate some duties to others within the unit. Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. Provides technical\u002Fjurisdictional direction to examiner reports on claims adjudication. Compiles, reviews, and analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal. Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner. Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client. Assures that direct reports are properly licensed in the jurisdictions serviced. Ensures claims files are coded correctly and adequate documentation is made by claims examiners. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred. Experience Six (6) years of claims experience or equivalent combination of education and experience required. Two (2) years of claims supervisory experience preferred. Skills & Knowledge Thorough knowledge of claims management procedures and processes for disability Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership\u002Fmanagement\u002Fmotivational skills 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\u002FVisual: 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 $60,000-$64,000 annual salary, $1,000 SIPP bonus eligibility. 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",{"id":905,"slug":906,"title":907,"location":13,"raw_job_location_address_addressLocality":902,"raw_hiringOrganization_logo_url":13,"raw_description":908},64401,"claims-examiner-liability-premises-amp-slipsfalls-nationwide-jurisdiction-licensing-home-state-required-hybrid-eden-prairie-mn-sedgwick-claims-management-services-inc","Claims Examiner - Liability | Premises & Slips\u002FFalls | Nationwide Jurisdiction | Licensing: Home State Required (Hybrid - Eden Prairie, MN)","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 | Premises & Slips\u002FFalls | Nationwide Jurisdiction | Licensing: Home State Required (Hybrid - Eden Prairie, MN) 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? 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 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. OFFICE LOCATION: Candidates who reside within 25 miles of a Sedgwick office will be expected to work a hybrid schedule, combining remote and in-office work. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 5 years of claims management experience or equivalent combination of education and experience required. Licensing \u002F Jurisdiction Knowledge: Nationwide jurisdiction, home state licensing required - NY license is a plus. 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, travel as required Auditory\u002FVisual: 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 ($60k-$75k). 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. 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",{"id":910,"slug":911,"title":272,"location":13,"raw_job_location_address_addressLocality":902,"raw_hiringOrganization_logo_url":13,"raw_description":912},64403,"disability-representative-sr-sedgwick-claims-management-services-inc-9","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 Disability Representative Sr We offer a hybrid work environment with on-site collaboration. Candidates must be located near our Center of Excellence in Eden Prairie, Minnesota. 11000 Prairie Lakes Drive Eden Prairie, MN 55344 PRIMARY PURPOSE: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed. Determines benefits due pursuant to a disability plan, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases to team lead and clinical case management for additional review when appropriate. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Ability to manage ambiguity Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement autonomously within established procedures 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 $21.00 - $25.00 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",{"id":914,"slug":915,"title":916,"location":13,"raw_job_location_address_addressLocality":902,"raw_hiringOrganization_logo_url":13,"raw_description":917},64404,"director-operations-sedgwick-claims-management-services-inc","Director Operations","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 Director Operations Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Eden Prairie, MN : 11000 Prairie Lakes Drive Eden Prairie, MN 55344 PRIMARY PURPOSE: To be responsible for the technical and operational functions within assigned office(s) including compliance with company standards and industry best practices; to ensure consistent delivery of quality services including direct operational responsibility of an office in the location where the manager resides; to be responsible for staffing and training needs; and to be responsible for budget preparation and profit and loss management for assigned offices. Has direct and\u002For indirect responsibility for 50-99 colleagues. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Responsible for overall operations management for all assigned locations\u002Foffices. Establishes policy and procedures to assure compliance to best practices, claims management services standards, state regulations, and client service requirements. Establishes business plan with goals and objectives for the partnership and locations\u002Foffices. Monitors management reports relating to the partner\u002Foffice performance. Assists with the coordination of sales and client service efforts. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. CPCU, ARM, AIM, and\u002For AIC certifications preferred. Licenses as required. Experience Ten (10) years of related experience or equivalent combination of education and experience required to include seven (7) years of claims management experience and four (4) years of supervisory experience. Skills & Knowledge Strong technical claims knowledge Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership\u002Fmanagement\u002Fmotivational skills 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\u002FVisual: 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 $100,000.00-$114,000.00 annual salary, bonus eligibility, $3,500.00. 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",{"id":919,"slug":920,"title":748,"location":13,"raw_job_location_address_addressLocality":902,"raw_hiringOrganization_logo_url":13,"raw_description":921},64405,"disability-representative-sedgwick-claims-management-services-inc-6","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 Disability Representative Disability Representative Our teams thrive together! We collaborate onsite and embrace a flexible hybrid work arrangement. All candidates must live near our Center of Excellence in Eden Prairie, MN:📍 11000 Prairie Lakes Dr, Eden Prairie, MN 55344 ✨ What we offer: A stable, consistent work environment—both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? PRIMARY PURPOSE OF THE ROLE: To process claims and determine benefits due pursuant to a disability plan; to make timely payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets; and to ensure the ongoing processing of claims. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic and empathetic candidates that want to grow a career. Ideal candidates will thrive in a collaborative team environment, show motivation, and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Makes claim determinations to approve non-complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Determines benefits due, makes timely claims payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status either by phone, written correspondence and\u002For claims system. QUALIFICATIONS Education & Licensing: High school diploma or GED required. Skills: Strong oral and written communication, computer literate – including Microsoft Office, organizational skills required PC literate, including Microsoft Office products, Windows environment. Must meet minimum typing requirements. Experience: Clerical or customer service experience or equivalent combination of education and experience preferred TAKING CARE OF YOU Entry-level colleagues are offered a world class training program with a comprehensive curriculum. An assigned mentor and manager that will support and guide you on your career journey. Career development and promotional growth opportunities A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more. Work environment requirements: Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking. Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 (19.50 - 21.82). 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",{"id":923,"slug":924,"title":925,"location":13,"raw_job_location_address_addressLocality":902,"raw_hiringOrganization_logo_url":13,"raw_description":926},64406,"disability-representative-sr-sedgwick-claims-management-services-inc-10","Disability Representative Sr.","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 Disability Representative Sr. PRIMARY PURPOSE: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed. Determines benefits due pursuant to a disability plan, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases to team lead and clinical case management for additional review when appropriate. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Ability to manage ambiguity Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement autonomously within established procedures 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 $23.00-$24.00 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",{"id":928,"slug":929,"title":272,"location":13,"raw_job_location_address_addressLocality":739,"raw_hiringOrganization_logo_url":13,"raw_description":930},87253,"disability-representative-sr-sedgwick-claims-management-services-inc-32","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 Disability Representative Sr PRIMARY PURPOSE: To provide disability case management and claim determinations based on complex medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims; coordinating investigative efforts, thoroughly reviewing contested claims, negotiating return to work with or without job accommodations, and evaluating and arranging appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Analyzes, approves and authorizes assigned claims and determines benefits due pursuant to a disability plan. Reviews and analyzes complex medical information (i.e. diagnostic tests, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians). Communicates with the claimants providers to set expectations regarding return to work. Determines benefits due, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Medically manages disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly with claimant and client on all aspects of claims process either by phone and\u002For written correspondence. Informs claimants of documentation required to process claims, required time frames, payment information and claims status either by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimants physician and employer. Refers cases as appropriate to team lead and clinical case management. Maintains professional client relationships. 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 university or college preferred. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience required. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Ability to work in a team environment Excellent negotiation skills 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\u002FVisual: 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 pay for this role is $22.00 - $24.00\u002Fhr. 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",{"id":932,"slug":933,"title":753,"location":13,"raw_job_location_address_addressLocality":902,"raw_hiringOrganization_logo_url":13,"raw_description":934},64408,"leave-of-absence-coordinator-sedgwick-claims-management-services-inc-6","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 Leave of Absence Coordinator Leave of Absence Coordinator Our teams thrive together! We collaborate onsite and embrace a flexible hybrid work arrangement. All candidates must live near our Center of Excellence in Eden Prairie, MN:📍 11000 Prairie Lakes Dr, Eden Prairie, MN 55344 ✨ What we offer: A stable, consistent work environment—both in-office and virtual $19.31 per hour A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us PRIMARY PURPOSE OF THE ROLE: This position is responsible for analyzing reported leave requests and determining paid leave benefits in accordance with client-specific plans, organizational policies, and applicable state and federal regulations. The role requires accurate and timely calculations, payments, and adjustments to ensure compliance and maintain ongoing claim management within established company service standards and industry best practices. ARE YOU AN IDEAL CANDIDATE? We are seeking passionate and empathetic professionals who are eager to build a meaningful career. Successful candidates will thrive in a collaborative team environment, demonstrate strong motivation and a proactive work ethic, maintain a customer-focused approach, and exhibit natural empathy combined with solution-oriented thinking. PRIMARY PURPOSE: Analyzes reported leave requests including Family Medical Leave (FMLA), unpaid state, military and company-specific, to make determinations based on client plans, state and federal regulations. Ensures that on-going claim management is within company service standards and industry best practices. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Establishes FMLA and other unpaid state, military, and\u002For company-specific leave claims; tracks and codes documentation in accordance with internal workflow processes. Analyzes FMLA and other unpaid claims to determine eligibility and certification in compliance with client plans, state and federal regulations. Reviews claim information received to identify action plan, determine benefits due, and make timely case decisions based on plan descriptions and service expectations as established by the client. Communicates decisions and on-going expectations clearly and professionally with claimants and clients by phone, written correspondence and\u002For claims system. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. State certification or licensing in statutory leaves is beneficial. Experience One (1) year of administrative\u002Fgeneral office experience or equivalent combination of education and experience required. FMLA administration experience preferred. Skills & Knowledge Knowledge of state and federal FMLA regulations Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical and interpretive skills Strong organizational and multitasking skills Excellent interpersonal skills Ability to exercise judgement in accordance with well-defined policies and procedures Ability to work in a team environment Ability to meet or exceed performance competencies as required by program 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 19.31. 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",{"id":936,"slug":937,"title":938,"location":13,"raw_job_location_address_addressLocality":939,"raw_hiringOrganization_logo_url":13,"raw_description":940},64409,"claims-examiner-workers-compensation-hybrid-sedgwick-claims-management-services-inc","Claims Examiner - Workers Compensation| HYBRID","El Dorado Hills, CA - Investment","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 Compensation| HYBRID 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? Seeking a seasoned California Workers Compensation Examiner who values strong client partnerships, enjoys a reasonable caseload, and works within a well‑managed intake environment. OFFICE LOCATIONS: Hybrid - 2 days onsite 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 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. Coordinates vendor referrals for additional investigation and\u002For 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. QUALIFICATION 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. Licensing \u002F Jurisdiction Knowledge: California jurisdictional knowledge required; SIP 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 $80,000 - $90,000. 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 #Claims #ClaimsExaminer #Hybrid #LI-Hybrid #LI-Remote #LI-AM1 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",{"id":942,"slug":943,"title":272,"location":13,"raw_job_location_address_addressLocality":902,"raw_hiringOrganization_logo_url":13,"raw_description":944},64410,"disability-representative-sr-sedgwick-claims-management-services-inc-11","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 Disability Representative Sr PRIMARY PURPOSE: To provide disability case management and claim determinations based on complex medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims; coordinating investigative efforts, thoroughly reviewing contested claims, negotiating return to work with or without job accommodations, and evaluating and arranging appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Analyzes, approves and authorizes assigned claims and determines benefits due pursuant to a disability plan. Reviews and analyzes complex medical information (i.e. diagnostic tests, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians). Communicates with the claimants providers to set expectations regarding return to work. Determines benefits due, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Medically manages disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly with claimant and client on all aspects of claims process either by phone and\u002For written correspondence. Informs claimants of documentation required to process claims, required time frames, payment information and claims status either by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimants physician and employer. Refers cases as appropriate to team lead and clinical case management. Maintains professional client relationships. 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 university or college preferred. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience required. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Ability to work in a team environment Excellent negotiation skills 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\u002FVisual: 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. 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 $24.00 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",{"id":946,"slug":947,"title":272,"location":13,"raw_job_location_address_addressLocality":739,"raw_hiringOrganization_logo_url":13,"raw_description":802},87254,"disability-representative-sr-sedgwick-claims-management-services-inc-33",{"id":949,"slug":950,"title":951,"location":13,"raw_job_location_address_addressLocality":952,"raw_hiringOrganization_logo_url":13,"raw_description":953},64413,"director-it-applications-sedgwick-claims-management-services-inc","Director IT Applications","Elgin, IL - Technology","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 Director IT Applications Director, IT Applications Sedgwick Repair Solutions Position Summary The Director of IT Applications is responsible for the strategic leadership, development, implementation, and support of business applications supporting Sedgwick Repair Solutions' property repair business. This role leads a team of developers, analysts, and third-party partners responsible for delivering scalable technology solutions that support contractor networks, carrier integrations, claims workflows, customer experience, and business operations. The ideal candidate possesses extensive experience leading Salesforce application development teams, including hands-on knowledge of Apex, Lightning Web Components (LWC), integrations, automation, and enterprise architecture. This leader will partner closely with Product Management, Operations, Sales, Client Services, and Executive Leadership to drive innovation, operational efficiency, and business growth. Key Responsibilities Strategic Leadership Define and execute the application technology roadmap for Sedgwick Repair Solutions. Align technology investments and priorities with business objectives, growth initiatives, and customer needs. Lead application modernization efforts and continuous improvement initiatives. Evaluate emerging technologies, AI solutions, and automation opportunities to improve operational efficiency. Champion Agile development methodologies and product-centric delivery models. Salesforce Platform Ownership Serve as executive technology owner for Salesforce-based solutions supporting property repair operations. Provide architectural oversight for: Apex development Lightning Web Components (LWC) Visualforce (legacy support) Salesforce Flow Platform Events APIs and integrations Experience Cloud Communities Salesforce Maps Managed packages and AppExchange applications Establish Salesforce development standards, governance, security controls, and release management practices. Ensure scalability, performance, and maintainability of the Salesforce ecosystem. Application Development & Delivery Lead multiple application delivery teams responsible for: New feature development System enhancements Production support Application integration Technical debt reduction Oversee application lifecycle management from requirements through deployment and ongoing support. Drive prioritization and execution of strategic initiatives while maintaining operational stability. Ensure solutions meet business, security, and compliance requirements. Integration & Enterprise Architecture Oversee integrations between Salesforce and internal\u002Fexternal platforms, including claims, contractor management, vendor management, financial, and reporting systems. Partner with enterprise architecture and infrastructure teams to ensure alignment with corporate standards. Promote API-first design and reusable integration patterns. Team Leadership Lead, mentor, and develop managers, developers, business analysts, architects, and support personnel. Build a high-performing, accountable, and collaborative technology organization. Conduct workforce planning, hiring, succession planning, and talent development activities. Foster a culture of innovation, continuous learning, and operational excellence. Stakeholder Management Act as primary technology liaison for Repair Solutions leadership. Collaborate with Product Management and business stakeholders to define priorities and measure outcomes. Communicate project status, risks, budgets, and strategic initiatives to executive leadership. Build strong partnerships with vendors, consultants, and technology providers. Financial & Operational Management Manage application budgets, forecasting, and vendor relationships. Ensure projects are delivered on time, within scope, and within budget. Establish and monitor KPIs related to application performance, delivery effectiveness, and business value realization. Oversee incident management, problem management, and service level adherence. Security & Compliance Ensure applications comply with corporate security policies and regulatory requirements. Partner with security teams to address vulnerabilities, access controls, audits, and data protection requirements. Maintain appropriate governance, change management, and disaster recovery processes. Required Qualifications Bachelor's degree in Computer Science, Information Systems, Engineering, or related field. 10+ years of progressive IT application leadership experience. 5+ years leading managers, software development teams, and enterprise application portfolios. 7+ years of Salesforce platform experience. Deep technical knowledge of: Apex development Lightning Web Components (LWC) SOQL\u002FSOSL Salesforce Flows Salesforce APIs Integration architecture DevOps and CI\u002FCD practices Experience managing Agile software development organizations. Strong understanding of cloud-based application architecture and enterprise integration patterns. Proven success delivering large-scale technology initiatives. Preferred Qualifications Experience within property insurance, claims management, restoration, contractor networks, or loss adjusting industries. Experience with: Azure .NET solutions REST\u002FSOAP APIs Enterprise reporting and analytics platforms AI and intelligent automation solutions Experience supporting high-volume operational platforms with external customer and vendor communities. Leadership Competencies Strategic Thinking Executive Presence Business Acumen Change Leadership Talent Development Customer Focus Results Orientation Innovation Collaboration Decision Making Risk Management Success Measures Application availability and performance Delivery of strategic initiatives Stakeholder satisfaction Salesforce platform scalability and stability Team engagement and retention Budget performance Operational efficiency improvements Business value realization from technology investments Reporting Relationship: Senior Director, IT Applications \u002F Senior IT Leadership Direct Reports: .NET Engineers, Business Analysts, Salesforce Developers, QA Leads, and Support Personnel 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",{"id":955,"slug":956,"title":957,"location":13,"raw_job_location_address_addressLocality":939,"raw_hiringOrganization_logo_url":13,"raw_description":958},64414,"program-manager-workers-compensation-claims-ca-claims-exp-preferred-hybrid-california-sedgwick-claims-management-services-inc","Program Manager - Workers Compensation Claims | CA Claims Exp. Preferred (Hybrid - California)","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 Program Manager - Workers Compensation Claims | CA Claims Exp. Preferred (Hybrid - El Dorado Hills, CA) PRIMARY PURPOSE: To manage the technical and operational functions within assigned office(s) including compliance with company standards and industry best practices; to ensure consistent delivery of quality services; to be responsible for staffing and training needs; and to be responsible for budget preparation and profit and loss management. Has direct responsibility for 25-49 colleagues. OFFICE LOCATION hybrid to any Sedgwick office located in California; 2 days in office and 3 days work from home. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Responsible for overall operational management for assigned locations\u002Foffices. Establishes policy and procedure to assure compliance to best practices, claims management services standards, state regulations and client service requirements. Establishes business plan with goal and objectives for the partnership and assigned locations\u002Foffices. Monitors management reports relating to the partnership\u002Foffice performance. Assists with the coordination of sales and client service efforts. Performs other duties as assigned, supports the organization's quality program(s), travels as required. SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing: Baccalaureate degree from an accredited college or university preferred. Licenses as required. Experience: Eight (8) years claims management experience including two (2) years supervisory experience or equivalent combination of experience and education. California claims experience required. Skills & Knowledge Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership\u002Fmanagement\u002Fmotivational skills 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\u002FVisual: 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 ($95-$120k). 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",{"id":960,"slug":961,"title":962,"location":13,"raw_job_location_address_addressLocality":963,"raw_hiringOrganization_logo_url":13,"raw_description":964},64415,"property-desk-adjuster-dallas-tx-sedgwick-claims-management-services-inc","Property Desk Adjuster - Dallas, TX.","Farmers Branch, TX - Lyndon B Johnson","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 Property Desk Adjuster - Dallas, TX. PRIMARY PURPOSE: Handles losses and claims valued up to $15,000 for property and casualty insurers through the thorough examination of documents, records, loss reports, and other relevant documentation. Efficiently manages a case load using technology for efficient claim processing. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Evaluates insurance policies, claims forms, policies, endorsements, carrier instructions, and other records to determine insurance coverage. Conducts thorough investigations, gathers official reports as needed, consults police and hospital records and inspects physical damage or written estimates for damages based on a conducted inspection to determine extent of company's liability and varying methods of investigation, according to type of insurance. Interviews, telephones, and\u002For corresponds with claimant and witnesses regarding claim. Estimates cost of repair, replacement, or compensation. Prepares report of findings and negotiates claim settlements by adhering to carrier instructions and obtaining necessary information. Issues settlement checks, files regulatory documents, and handles salvage and subrogation as applicable. Recommends litigation by legal department when settlement cannot be negotiated. Attends litigation hearings and participates in depositions as necessary. Revises case reserves in assigned claims files to cover probable costs. Maintains an expected caseload efficiently. Utilizes technology and automation tools for efficient claim handling. Sends claims exceeding $15,000 gross loss amount to leadership for authority approval. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Must obtain IIA-AIC designation within 12 to 18 months in the role. Appropriate state adjuster license is required. Experience Three (3) year of related experience or equivalent combination of education and experience required. Prior experience handling property and casualty claims a plus but not required. Skills & Knowledge Empathetic claims handling demeanor Strong communication, analytical, organizational, and interpersonal skills PC literate, including Microsoft Office products Analytical and interpretive skills 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 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\u002FVisual: 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",{"id":966,"slug":967,"title":968,"location":13,"raw_job_location_address_addressLocality":763,"raw_hiringOrganization_logo_url":13,"raw_description":969},87255,"advocacy-coordination-team-specialist-sedgwick-claims-management-services-inc-2","Advocacy Coordination Team Specialist","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 Advocacy Coordination Team Specialist PRIMARY PURPOSE: Actively researches, resolves, and administers escalated inquires for all lines of business, including but not limited to Family Medical Leave (FMLA), complex paid and unpaid state, military, and company-specific leaves, accommodations, disability and statutory claims. Provides excellent customer service displaying care and empathy to callers regarding claims and executes technical and jurisdictional requirements for accurate claims processing, benefit review and interpretation of regulations, financial payment processing, and error correction of complex or high exposure claims. Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Chicago, IL : 175 W. Jackson Blvd. 12th Fl. Chicago IL 60604 Dubuque, IA : 4141 Westmark Drive, Dubuque, IA 52002 Cedar Rapids, IA : 333 1st Street SE Ste. 200 Cedar Rapids IA 52401 Coralville, IA: 3273 Ridgeway Drive Coralville IA 52241 Dublin, OH : 5500 Glendon Court Dublin OH 43016 New Albany, OH : 7795 Walton Parkway New Albany, OH 43054 Chicago, IL : 175 W. Jackson Blvd. 12th Fl. Chicago IL 60604 Indianapolis, IN: 8909 Purdue Road Suite 501 Indianapolis, IN 46268 Irving, TX: 2201 W. Royal Lane Suite 125 Irving, TX 75063 Southfield, MI : 300 Galleria Officentre Southfield MI 48034 Eden Prairie, MN : 11000 Prairie Lakes Drive Eden Prairie, MN 55344 ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex claims or make a recommendation to team lead to deny claims based on the requirements. Analyzes and authorizes leave, accommodation, disability, and statutory claims and determines benefits due pursuant to client plans, and state and federal regulations. Enters and adjusts payments and evaluates file interface to support payment research and resolution. Communicates clearly and professionally with claimant and client on all aspects of the claims process including claim approval, decision authority level to move the call forward, and issue resolution by phone, written correspondence and\u002For claims system. Facilitates claim resolution and handles escalated calls with claimant, human resources managers, treating physician’s office, client, or others with a goal of one-call resolution. Ensures claims files are coded correctly and that adequate documentation is in the claim. Reviews and analyzes complex medical information (i.e. diagnostic tests, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan and takes all necessary action to manage claims process to completion.  Informs claimants and client of documentation required to process claims, required timeframes, payment information and claims status.  Determines benefits due, makes timely and accurate claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Maintains professional client relationships and adheres to client specific requirements such as service level expectations, regulatory requirements, and reporting. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. Bachelor's degree from an accredited college or university preferred. Experience Three (3) years of related experience or equivalent combination of experience and education required to include two (2) years of disability claims experience. Experience with SMART, SIR, GAIN, or other HR systems preferred. Experience with TAMS, Juris, viaOne express, and mySedgwick preferred for internal candidates. Skills & Knowledge Knowledge of ERISA regulations, state and federal FMLA, ADAAA, Social Security application procedures, required offsets and deductions, and disability procedures Working knowledge of medical terminology and duration management Proficient computer skills including working knowledge of Microsoft Office Exemplary call handling and de-escalation skills Excellent interpersonal communication skills, oral and written Analytical, interpretive, and critical thinking skills Effective decision-making Ability to manage ambiguity Strong organizational and multitasking skills Ability to exercise judgement autonomously within established procedures Ability to work in a team environment Ability to meet or exceed performance competencies as required by program WORK ENVIRONMENT Required to adhere to a set schedule with established break times. 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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. 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 $23.50 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",{"id":971,"slug":972,"title":973,"location":13,"raw_job_location_address_addressLocality":974,"raw_hiringOrganization_logo_url":13,"raw_description":975},64420,"claims-team-lead-workers-compensation-hybrid-glendale-ca-sedgwick-claims-management-services-inc","Claims Team Lead - Workers Compensation (HYBRID- Glendale, CA)","Glendale, CA - Brand","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 Team Lead - Workers Compensation (HYBRID- Glendale, CA) 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. OFFICE LOCATIONS: HYBRID Glendale, CA PRIMARY PURPOSE OF THE ROLE: Oversees multiple teams of examiners and technical staff handling workers compensation claims for clients. Manages workloads, provides training, and monitors individual claim activities. Offers technical and jurisdictional guidance on claims adjudication and maintains regular diaries, especially for complex or high-exposure case. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Supervises multiple teams of examiners and technical operations colleagues, delegating duties as needed and ensuring proper licensing and documentation standards. Provides technical and jurisdictional guidance on claims adjudication, including quality reviews and reserve evaluations for high-cost or complex claims. Acts as a second-level appeal authority for client and claimant issues, implementing final decisions. Identifies trends, issues, and opportunities for process improvement; advises management and coordinates related projects. Monitors third-party and sensitive claims, including litigated and vocational rehabilitation cases. Maintains professional client relationships, offering recommendations and written summaries as needed. Ensures accurate claim coding and documentation by examiners. QUALIFICATIONS Education & Licensing: 6 years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience. 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. Licensing \u002F Jurisdiction Knowledge: California workers comp claims handling experience & SIP 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\u002FVisual: 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 $95K-100K\u002Fyr. 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. 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. #claims #claimsteamlead 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",{"id":977,"slug":978,"title":641,"location":13,"raw_job_location_address_addressLocality":979,"raw_hiringOrganization_logo_url":13,"raw_description":980},64421,"rn-field-case-manager-sedgwick-claims-management-services-inc-6","Grand Rapids, MI - Kenmoor","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 RN Field Case Manager This Field Case Manager will cover our Grand Rapids, MI region and MUST live in this area in order to be considered. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face to face interaction with injured workers and medical professionals. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure required. Valid driver’s license required. High speed internet required. Employment may be contingent upon successful completion of a motor vehicle record (MVR) check. 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\u002FVisual: Hearing, vision and talking TAKING CARE OF YOU BY Offering a blended work environment. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer a diverse and comprehensive benefits package including: Three Medical, and two dental plans to choose from. Tuition reimbursement eligible. 401K plan that matches 50% on every $ you put in up to the first 6% you save. 4 weeks PTO your first full year. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #fieldcasemanager 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",{"id":982,"slug":983,"title":984,"location":13,"raw_job_location_address_addressLocality":985,"raw_hiringOrganization_logo_url":13,"raw_description":986},64423,"claims-examiner-workers-comp-on-site-honolulu-hi-sedgwick-claims-management-services-inc","Claims Examiner - Workers Comp (ON-SITE Honolulu, HI)","Honolulu, HI - Bishop - 1003","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 (ON-SITE Honolulu, HI) 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. OFFICE LOCATIONS Honolulu, Hawaii PRIMARY PURPOSE OF THE ROLE: To analyze workers' compensation 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. ESSENTIAL RESPONSIBLITIES 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: 5 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. Licensing \u002F Jurisdiction Knowledge: Hawaii workers' compensation experience & license 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. 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\u002FVisual: 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 $72,914.00- $80,000\u002Fyr. 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",{"id":988,"slug":989,"title":990,"location":13,"raw_job_location_address_addressLocality":985,"raw_hiringOrganization_logo_url":13,"raw_description":991},64424,"claims-associate-workers-compensation-on-site-honolulu-hi-sedgwick-claims-management-services-inc","Claims Associate - Workers Compensation (On-Site Honolulu, HI)","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 - Workers Compensation (On-Site Honolulu, HI) 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. LOCATION: IN-OFFICE HONOLULU, HI PRIMARY PURPOSE: To analyze low level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices ESSENTIAL FUNCTIONS and RESPONSIBILITIES Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision. Supports other claims representatives, examiners and leads with larger or more complex claims as necessary. Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency. Communicates claim action\u002Fprocessing 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\u002For defined period medical claims. Maintains professional client relationships. 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; Licenses as required Experience: One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience 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\u002FVisual: 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 $22- 24\u002Fhr. 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",{"id":993,"slug":994,"title":995,"location":13,"raw_job_location_address_addressLocality":985,"raw_hiringOrganization_logo_url":13,"raw_description":996},64425,"claims-team-lead-asst-workers-compensation-sedgwick-claims-management-services-inc","Claims Team Lead Asst - Workers Compensation","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 Team Lead Asst - Workers Compensation 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. OFFICE LOCATIONS: HONOLULU, HAWAII PRIMARY PURPOSE OF THE ROLE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure workers' compensation claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; to identify subrogation of claims and negotiate settlements; and to provide backup for team lead when out of the office. ESSENTIAL RESPONSIBLITIES MAY INCLUDE 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 through the life of the claim. Calculates and pays benefits due; approves and makes timely claim payments and adjustments; settles claims within designated authority level. Prepares necessary state filings within statutory limits. Manages the litigation process; ensures timely and cost effective claims resolution. SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Professional certifications as applicable to line of business preferred. Experience Five (5) years claims management or equivalent combination of education and experience required. Licensing \u002F Jurisdiction Knowledge: Hawaii License & workers comp claims handling 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. 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\u002FVisual: 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 $85K-$94K\u002Fyr. 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. 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. #claims #claimsteamlead 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",{"id":998,"slug":999,"title":1000,"location":13,"raw_job_location_address_addressLocality":1001,"raw_hiringOrganization_logo_url":13,"raw_description":1002},64428,"claims-examiner-non-subscriber-jurisdiction-tx-licensing-tx-hybrid-sedgwick-claims-management-services-inc","Claims Examiner - Non-Subscriber | Jurisdiction: TX | Licensing: TX - Hybrid","Houston, TX - Wilcrest","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 - Non-Subscriber | Jurisdiction: TX | Licensing: TX - Hybrid 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? 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.  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 All Texas offices - 2 days in office, 3 days work from home PRIMARY PURPOSE OF THE ROLE To analyze non subrogation 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 5 years of claims management experience or equivalent combination of education and experience required. Licensing \u002F Jurisdiction Knowledge: TX required TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Opportunity to work in an agile environment. 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, travel as required Auditory\u002FVisual: Hearing, vision and talking #claimsexaminer #claims #hybrid #texas 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",{"id":1004,"slug":1005,"title":641,"location":13,"raw_job_location_address_addressLocality":1001,"raw_hiringOrganization_logo_url":13,"raw_description":1006},64431,"rn-field-case-manager-sedgwick-claims-management-services-inc-7","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 RN Field Case Manager This Field Case Manager will cover our Houston, TX region and must live in this area in order to be considered. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; through advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face-to-face interaction with injured workers and medical professionals. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure preferred; or bachelor’s degree in health or human services field required with one of the following certifications: CCM, CDMS, or CRC. Valid driver’s license required. High speed internet required. Employment may be contingent upon successful completion of a motor vehicle record (MVR) check, where job related. 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\u002FVisual: Hearing, vision and talking. TAKING CARE OF YOU BY Offering a blended work environment. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer a diverse and comprehensive benefits package including: Three Medical, and two dental plans to choose from. Tuition reimbursement eligible. 401K plan that matches 50% on every $ you put in up to the first 6% you save. 4 weeks PTO your first full year. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #fieldcasemanager 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",{"id":1008,"slug":1009,"title":968,"location":13,"raw_job_location_address_addressLocality":763,"raw_hiringOrganization_logo_url":13,"raw_description":1010},87256,"advocacy-coordination-team-specialist-sedgwick-claims-management-services-inc-3","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 Advocacy Coordination Team Specialist PRIMARY PURPOSE: Actively researches, resolves, and administers escalated inquires for all lines of business, including but not limited to Family Medical Leave (FMLA), complex paid and unpaid state, military, and company-specific leaves, accommodations, disability and statutory claims. Provides excellent customer service displaying care and empathy to callers regarding claims and executes technical and jurisdictional requirements for accurate claims processing, benefit review and interpretation of regulations, financial payment processing, and error correction of complex or high exposure claims. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex claims or make a recommendation to team lead to deny claims based on the requirements. Analyzes and authorizes leave, accommodation, disability, and statutory claims and determines benefits due pursuant to client plans, and state and federal regulations. Enters and adjusts payments and evaluates file interface to support payment research and resolution. Communicates clearly and professionally with claimant and client on all aspects of the claims process including claim approval, decision authority level to move the call forward, and issue resolution by phone, written correspondence and\u002For claims system. Facilitates claim resolution and handles escalated calls with claimant, human resources managers, treating physician’s office, client, or others with a goal of one-call resolution. Ensures claims files are coded correctly and that adequate documentation is in the claim. Reviews and analyzes complex medical information (i.e. diagnostic tests, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan and takes all necessary action to manage claims process to completion.  Informs claimants and client of documentation required to process claims, required timeframes, payment information and claims status.  Determines benefits due, makes timely and accurate claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Maintains professional client relationships and adheres to client specific requirements such as service level expectations, regulatory requirements, and reporting. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. Bachelor's degree from an accredited college or university preferred. Experience Three (3) years of related experience or equivalent combination of experience and education required to include two (2) years of disability claims experience. Experience with SMART, SIR, GAIN, or other HR systems preferred. Experience with TAMS, Juris, viaOne express, and mySedgwick preferred for internal candidates. Skills & Knowledge Knowledge of ERISA regulations, state and federal FMLA, ADAAA, Social Security application procedures, required offsets and deductions, and disability procedures Working knowledge of medical terminology and duration management Proficient computer skills including working knowledge of Microsoft Office Exemplary call handling and de-escalation skills Excellent interpersonal communication skills, oral and written Analytical, interpretive, and critical thinking skills Effective decision-making Ability to manage ambiguity Strong organizational and multitasking skills Ability to exercise judgement autonomously within established procedures Ability to work in a team environment Ability to meet or exceed performance competencies as required by program WORK ENVIRONMENT Required to adhere to a set schedule with established break times. 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: Hearing, vision and talking NOTE: Credit security clearance, confirmed via a background credit check, is required for this position. 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 $19.00 - $23.00. 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. 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",{"id":1012,"slug":1013,"title":272,"location":13,"raw_job_location_address_addressLocality":1014,"raw_hiringOrganization_logo_url":13,"raw_description":1015},64435,"disability-representative-sr-sedgwick-claims-management-services-inc-12","Indianapolis, IN - Purdue","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 Disability Representative Sr Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Indianapolis, IN: 8909 Purdue Road Suite 501 Indianapolis, IN 46268 PRIMARY PURPOSE: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed. Determines benefits due pursuant to a disability plan, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases to team lead and clinical case management for additional review when appropriate. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Ability to manage ambiguity Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement autonomously within established procedures 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 $23.00 - $25.00 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",{"id":1017,"slug":1018,"title":1019,"location":13,"raw_job_location_address_addressLocality":763,"raw_hiringOrganization_logo_url":13,"raw_description":1020},87257,"claims-assistant-workers-compensation-100-onsite-chicago-illinois-sedgwick-claims-management-services-inc","Claims Assistant - Workers Compensation (100% Onsite - Chicago, Illinois)","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 Assistant - Workers Compensation (100% Onsite - Chicago, Illinois) 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? 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.  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: Onsite, Sedgwick Chicago, IL office. PRIMARY PURPOSE OF THE ROLE To analyze reported lower-level workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision. Supports other claims representatives, examiners and leads with larger or more complex claims as necessary. Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency. Communicates claim action\u002Fprocessing 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\u002For defined period medical claims. Maintains professional client relationships. QUALIFICATIONS Education & Licensing: High school diploma or GED required. Licenses as required. Experience: One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience 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, travel as required Auditory\u002FVisual: 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 ($15.00-$23.00 per hour USD). 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",{"id":1022,"slug":1023,"title":1024,"location":13,"raw_job_location_address_addressLocality":1025,"raw_hiringOrganization_logo_url":13,"raw_description":1026},64437,"safety-specialist-sedgwick-claims-management-services-inc","Safety Specialist","Indianapolis, IN - Executive","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 Safety Specialist Primary Purpose The Safety Specialist supports the development, implementation, and continuous improvement of workplace safety programs in a light manufacturing and warehousing environment. This role partners with operations leaders, supervisors, and colleagues to identify hazards, reduce risk, strengthen regulatory compliance, and promote a proactive safety culture. The ideal candidate has at least three years of hands-on safety experience in environments involving production equipment, material handling, powered industrial trucks, loading docks, storage areas, and warehouse operations. Reporting Relationship: This position reports to the Safety and Physical Security Director, with dotted-line reporting to on-site leadership to support day-to-day operational alignment and site-specific safety priorities. Key Responsibilities Conduct routine safety inspections, observations, and hazard assessments across manufacturing, warehouse, maintenance, shipping, receiving, and office areas. Identify unsafe conditions, behaviors, and process gaps; recommend practical corrective actions and track completion with site leadership. Support compliance with applicable OSHA standards, company safety policies, and local regulatory requirements. Assist with incident, near-miss, and injury investigations, including root cause analysis, documentation, corrective action follow-up, and trend identification. Deliver or coordinate safety training for colleagues, contractors and supervisors on topics such as hazard communication, lockout\u002Ftagout awareness, emergency procedures, PPE, ergonomics, slips\u002Ftrips\u002Ffalls, powered industrial truck safety, and material handling. Perform job hazard analyses, risk assessments, and safety reviews for routine and non-routine tasks, equipment changes, layout changes, and process improvements. Monitor use, availability, and effectiveness of personal protective equipment and recommend improvements based on task risk. Participate in safety committees, toolbox talks, safety walks, and colleague engagement activities to reinforce safe work practices. Maintain accurate safety records, inspection reports, training records, corrective action logs, and other documentation needed for internal and regulatory purposes. Assist with emergency preparedness activities, including drills, evacuation procedures, severe weather response, first aid coordination, and spill response readiness. Partner with operations, maintenance, colleague resources, and leadership to integrate safety expectations into daily work and continuous improvement initiatives. Track safety performance indicators and prepare concise reports highlighting trends, risks, corrective actions, and improvement opportunities. Required Qualifications Minimum of three years of safety experience in light manufacturing, warehousing, distribution, logistics, or a similar operational environment. Working knowledge of OSHA general industry requirements and common safety programs applicable to manufacturing and warehouse operations. Experience conducting inspections, incident investigations, safety training, and corrective action follow-up. Ability to recognize hazards related to machine operation, material handling, forklifts\u002Fpowered industrial trucks, pedestrian traffic, loading docks, racking, housekeeping, PPE, and ergonomics. Strong communication skills with the ability to coach colleagues, influence safe behaviors, and work effectively with supervisors and managers. Proficiency with Microsoft Office applications and the ability to maintain organized safety records, reports, and action trackers. High school diploma or equivalent required; associate or bachelor’s degree in occupational safety, environmental health and safety, industrial hygiene, engineering, or a related field preferred. Preferred Qualifications OSHA 30-Hour General Industry training or equivalent safety training. First Aid\u002FCPR\u002FAED certification or willingness to obtain. Experience supporting safety programs such as lockout\u002Ftagout, hazard communication, powered industrial trucks, emergency action planning, ergonomics, hearing conservation, confined space awareness, and contractor safety. Familiarity with safety management systems, behavior-based safety approaches, or continuous improvement practices. Core Competencies Practical problem solving: Identifies realistic, operation-friendly solutions that reduce risk without creating unnecessary complexity. Attention to detail: Notices unsafe conditions, documentation gaps, and recurring trends that may otherwise be missed. Communication and coaching: Explains safety expectations clearly and respectfully to colleagues at all levels. Follow-through: Tracks corrective actions to completion and escalates unresolved risks appropriately. Collaboration: Works effectively with cross-functional teams to improve safety performance and operational reliability. Professional judgment: Balances compliance, risk, colleague well-being, and business needs when making recommendations. Work Environment and Physical Requirements Work is performed in manufacturing, warehouse, shipping\u002Freceiving, office, and occasional outdoor areas. May be exposed to production noise, moving equipment, forklift traffic, temperature variation, dust, and typical warehouse or manufacturing conditions. Must be able to walk, stand, climb stairs, bend, reach, and move throughout operational areas for inspections, observations, and incident response. Must be able to wear required personal protective equipment as needed for assigned work areas. Occasional schedule flexibility may be required to support training, incident response, audits, or multiple shifts. 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",{"id":1028,"slug":1029,"title":748,"location":13,"raw_job_location_address_addressLocality":1014,"raw_hiringOrganization_logo_url":13,"raw_description":1030},64438,"disability-representative-sedgwick-claims-management-services-inc-7","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 Disability Representative Disability Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near one of our dynamic Centers of Excellence📍 Indianapolis , IN : 8909 Purdue Road Suite 501, Indianapolis , IN ✨ What we offer: A stable, consistent work environment—both in-office and virtual 21.82 per hour A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us PRIMARY PURPOSE: Provides disability case management and routine claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims; coordinates investigative efforts, thoroughly reviewing contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes claim determinations, based on the information received, to approve routine disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes routine medical information (i.e. attending physical statements, office notes, off work notes, etc.) or consults with a nurse to determine if the claimant is disabled as defined by the disability plan. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians) regularly. Determines benefits due, makes timely claims payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages routine disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases as appropriate to team lead and clinical case management to assist with claim determination. Meets the organization’s quality program(s) minimum requirements. Maintains professional client relationships and provides excellent customer service. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Two (2) years of related experience or equivalent combination of education and experience required. One (1) year of office or customer service experience required. One (1) year of benefits or claims management experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement with limited supervision 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required Auditory\u002FVisual: 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 21.82. 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",{"id":1032,"slug":1033,"title":1034,"location":13,"raw_job_location_address_addressLocality":1025,"raw_hiringOrganization_logo_url":13,"raw_description":1035},64439,"training-program-coordinator-sedgwick-claims-management-services-inc","Training Program Coordinator","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 Training Program Coordinator PRIMARY PURPOSE OF THE ROLE: To assist with the preparation and organization of standard, specialized, and technical training in designated areas; and to respond to requests for training and technical assistance. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work, are customer-oriented and are naturally empathetic. ESSENTIAL RESPONSIBILITIES MAY INCLUDE Works with other departments to create training for client recall events to administer mostly to our call center and warehouse teams. Facilitates new hire orientation. Schedules online training sessions. Conducts basic systems training. Communicates training progress to appropriate parties. Identifies and resolves problems and issues within training projects. Aides in the maintenance of training web sites, materials, and supplies. Tracks post-designation training compliance. 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. Associates Degree preferred. Experience: Two (2) years of related training experience. Skills & Knowledge: Ability to teach others how to do the job, organized, personable\u002Fworks well with others. Must be able to put together training guides and documents. Quick learner and isn’t afraid to ask questions. Excellent oral and written communication skills. PC literate, including Microsoft Office products. Analytical and interpretive skills. Organizational skills. Interpersonal skills. Ability to work in a team environment and independently. Ability to meet or exceed Performance Competencies. TAKING CARE OF YOU Career development and promotional growth opportunities A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more 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\u002FVisual: 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",{"id":1037,"slug":1038,"title":1039,"location":13,"raw_job_location_address_addressLocality":763,"raw_hiringOrganization_logo_url":13,"raw_description":1040},87258,"claims-examiner-workers-compensation-dedicated-support-sedgwick-claims-management-services-inc","Claims Examiner - Workers Compensation | Dedicated Support","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 Compensation | Dedicated Support Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career? A stable and consistent work environment in an office setting PRIMARY PURPOSE OF THE ROLE: 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. 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. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Processes low level workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency. Develops and coordinates low level workers compensation claims' action plans to resolution, return-to-work efforts, and approves claim payments. Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract. Administers subrogation of claims and negotiates settlements. Communicates claim action with claimant and client. Ensures claim files are properly documented and claims coding is correct. May process low-level lifetime medical and\u002For defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review. Maintains professional client relationships. QUALIFICATIONS Education & Licensing: 5 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. TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Opportunity to work in an agile environment. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. 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\u002FVisual: 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 (70-85k USD Annual). 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",{"id":314,"slug":315,"title":316,"location":13,"raw_job_location_address_addressLocality":763,"raw_hiringOrganization_logo_url":13,"raw_description":1042},"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 - Workers Comp Med Only | Jurisdiction: Midwest | Licensing: Required TX, MI, FL (Hybrid Role) Claims Associate : Medical Only 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 workers compensation 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.  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 Chicago IL - hybrid role PRIMARY PURPOSE OF THE ROLE To analyze reported lower-level workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision. Supports other claims representatives, examiners and leads with larger or more complex claims as necessary. Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency. Communicates claim action\u002Fprocessing 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\u002For defined period medical claims. Maintains professional client relationships. QUALIFICATIONS Education & Licensing High school diploma or GED required. Licenses as required. Experience One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred. Licensing \u002F Jurisdiction Knowledge: Licensing required, TX, MI, or FL TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Opportunity to work in an agile environment. [If Applicable]  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, [travel as required (leave travel statement only if applicable)] Auditory\u002FVisual: Hearing, vision and talking NOTE  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 ($19.87-$27.82). 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. i.e. #claimsexaminer #claims #hybrid 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",{"id":1044,"slug":1045,"title":1046,"location":13,"raw_job_location_address_addressLocality":1047,"raw_hiringOrganization_logo_url":13,"raw_description":1048},64442,"claims-associate-liability-hybrid-sedgwick-claims-management-services-inc","Claims Associate - Liability (Hybrid)","Irving, TX - Royal - 2201","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 (Hybrid) 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? 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.  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: Hybrid, 2 days in office, 3 days work from home. PRIMARY PURPOSE OF THE ROLE To analyze reported lower-level level liability claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Handles lower-level liability and\u002For 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\u002Fprocessing 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\u002For defined period medical claims. Maintains professional client relationships. Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing: High School Diploma or GED required. Professional certification as applicable to line of business preferred. Experience: One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience 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, travel as required Auditory\u002FVisual: Hearing, vision and talking 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",{"id":1050,"slug":1051,"title":1052,"location":13,"raw_job_location_address_addressLocality":1025,"raw_hiringOrganization_logo_url":13,"raw_description":1053},64443,"vp-warehouse-operations-sedgwick-claims-management-services-inc","VP, Warehouse Operations","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 VP, Warehouse Operations PRIMARY PURPOSE: To provide strategic leadership and operational oversight for warehouse, print production, and fulfillment operations. Ensure consistent, compliant, and high-quality execution across all workflows while driving financial performance, operational efficiency, and scalable growth. Lead cross-functional teams and develop operational strategies that support productivity, accuracy, regulatory adherence, and service excellence. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Operational Leadership Direct end-to-end operations across shipping\u002Freceiving, product processing, destruction, print production, fulfillment, and DEA-regulated activities. Establish and standardize processes to ensure consistency, efficiency, and scalability across all sites. Regulatory Compliance & Risk Management Ensure compliance with all applicable federal, state, and industry regulations (e.g., DOT, OSHA, FDA, NABP, DEA, EPA). Develop and enforce policies, procedures, and controls aligned to internal standards and regulatory requirements. Review contracts impacting operations, identifying risk exposure and feasibility of execution. Financial & Business Performance Own P&L performance for assigned operations, including budgeting, forecasting, and cost management. Identify and execute margin improvement and cost optimization initiatives. Partner with leadership to develop and implement business plans that drive growth and profitability. Leadership & Talent Development Lead, coach, and develop operations leadership teams to drive performance and engagement. Build organizational capability through effective workforce planning, training, and succession development. Continuous Improvement & Strategy Execution Serve as an escalation point for operational issues and drive resolution of complex challenges. Lead continuous improvement initiatives to enhance service delivery, efficiency, and quality outcomes. Stakeholder & Client Engagement Build and maintain strong relationships with internal partners, clients, and external stakeholders. Ensure operational execution aligns with client requirements and service commitments. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned, Supports the organization's quality program(s). Travel as required based on business needs. SUPERVISORY RESPONSIBILITIES 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 reviews. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education Licensing Bachelor's degree from an accredited college or university highly preferred. Graduate Degree or studies a plus. Experience Ten (10) years of professional warehousing, logistics, or related operational experience. Five (5) years of experience in a senior leadership role with direct accountability for multi-function operations. Demonstrated experience managing P&L, budgets, and strategic initiatives. Skills Knowledge Deep operational and regulatory expertise across complex, multi-site environments Enterprise-level business acumen with strong strategic and operational judgment Strong oral and written communication, including presentation skills Advanced financial acumen and analytical capabilities Strong operational discipline with attention to process detail and organizational rigor Excellent relationship management, with strong negotiation, collaboration, and interpersonal skills Proven leadership in team development, organizational effectiveness, and change management Proficiency in Microsoft Office and enterprise business applications 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, occasional lifting, walking, travel as required. Auditory\u002FVisual: Hearing, vision, and talking. Must maintain valid driver’s license. NOTE: Participation in compliance programs, including DEA prescribed background screening and credit check required for this position. Pre-employment and regular drug testing is also 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",{"id":1055,"slug":1056,"title":272,"location":13,"raw_job_location_address_addressLocality":763,"raw_hiringOrganization_logo_url":13,"raw_description":1057},87260,"disability-representative-sr-sedgwick-claims-management-services-inc-34","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 Disability Representative Sr PRIMARY PURPOSE: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed. Determines benefits due pursuant to a disability plan, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases to team lead and clinical case management for additional review when appropriate. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Ability to manage ambiguity Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement autonomously within established procedures 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 $21.00 - $24.00. 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. 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",{"id":1059,"slug":1060,"title":753,"location":13,"raw_job_location_address_addressLocality":1047,"raw_hiringOrganization_logo_url":13,"raw_description":1061},64447,"leave-of-absence-coordinator-sedgwick-claims-management-services-inc-7","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 Leave of Absence Coordinator Leave of Absence Coordinator Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near our dynamic Center of Excellence📍 Irving, TX. 2201 W. Royal Lane Suite 125 Irving, Tx 75063 ✨ What we offer: A stable, consistent work environment—both in-office and virtual $19.31 per hour A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? PRIMARY PURPOSE OF THE ROLE: To analyze reported leave requests and determine paid leave benefits due based on client paid leave plans, policies, state and federal regulations and to make timely calculations, payments and\u002For adjustments for client paid leave plans ensuring that on-going claim management is within company service standards and industry best practices. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic and empathetic candidates that want to grow a career. Ideal candidates will thrive in a collaborative team environment, show motivation, and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Establishes FMLA claims; tracks and codes documentation in accordance with internal workflow processes. Analyzes FMLA and other paid leave claims to determine eligibility, certification, payment calculations, payments and\u002For adjustments in compliance with client paid leave plans, policies, and state and federal regulations. Identifies action plan, determines benefits due, and makes timely case decisions based on service expectations as established by the client. Communicates decisions and on-going expectations with claimants and clients. Maintains professional client relationships. Attendance during scheduled work hours is required. QUALIFICATIONS Education & Licensing: High school diploma or GED required. Skills: Strong oral and written communication, computer literate – including Microsoft Office, organizational skills required PC literate, including Microsoft Office products, Windows environment. Must meet minimum typing requirements. Experience: Clerical or customer service experience or equivalent combination of education and experience preferred TAKING CARE OF YOU Entry-level colleagues are offered a world class training program with a comprehensive curriculum An assigned mentor and manager that will support and guide you on your career journey Career development and promotional growth opportunities A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 19.31 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",{"id":1063,"slug":1064,"title":272,"location":13,"raw_job_location_address_addressLocality":1047,"raw_hiringOrganization_logo_url":13,"raw_description":1065},64448,"disability-representative-sr-sedgwick-claims-management-services-inc-13","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 Disability Representative Sr Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Irving, TX: 2201 W. Royal Lane Suite 125 Irving, TX 75063 PRIMARY PURPOSE: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed. Determines benefits due pursuant to a disability plan, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases to team lead and clinical case management for additional review when appropriate. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Ability to manage ambiguity Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement autonomously within established procedures 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 $23.00 -$25.00 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",{"id":1067,"slug":1068,"title":272,"location":13,"raw_job_location_address_addressLocality":763,"raw_hiringOrganization_logo_url":13,"raw_description":1069},87261,"disability-representative-sr-sedgwick-claims-management-services-inc-35","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 Disability Representative Sr Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Cedar Rapids, IA : 333 1st Street SE Ste. 200 Cedar Rapids IA 52401 Chicago, IL : 175 W. Jackson Blvd. 12th Fl. Chicago IL 60604 PRIMARY PURPOSE: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed. Determines benefits due pursuant to a disability plan, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases to team lead and clinical case management for additional review when appropriate. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Ability to manage ambiguity Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement autonomously within established procedures 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 $22.00 - $25.00 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",{"id":1071,"slug":1072,"title":1073,"location":13,"raw_job_location_address_addressLocality":1074,"raw_hiringOrganization_logo_url":13,"raw_description":1075},64451,"workers-compensation-claims-careers-representative-examiner-amp-team-leads-sedgwick-claims-management-services-inc","Workers’ Compensation Claims Careers – Representative, Examiner & Team Leads","Las Vegas, NV - Cheyenne","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 Careers – Representative, Examiner & Team Leads Sedgwick is growing! As we are building a pipeline of talented claims professionals across multiple career levels—from entry-level Claims Assistants to experienced Claims Examiners and supervisory positions. This is an exciting opportunity to join a growing team and play a key role in delivering high-quality claims service for a new client partnership. We are hiring across several levels. Placement will be determined based on your experience, skills, and career progression: Claims Representative Process low-level workers’ compensation claims to determine benefits due; ensure ongoing adjudication within company standards and industry best practices; identify subrogation opportunities; and negotiate settlements with general supervision. Review coverage, assess damages, and determine liability within authority limits. Experience: Two (2) years of workers’ compensation claims management experience NV licensing required Claims Examiner (Advanced Level) Analyze complex or technically difficult workers’ compensation claims to determine benefits due. Handle high-exposure claims involving litigation and rehabilitation. Ensure ongoing adjudication within service expectations, industry best practices, and specific client requirements. Identify subrogation opportunities and negotiate settlements. Conduct in-depth investigations and make coverage determinations. Experience: Five (5) years of workers’ compensation claims management experience NV licensing required Claims Team Lead (Supervisory) Supervise multiple teams of examiners and technical staff. Monitor workloads, provide training, and oversee individual claim activities. Offer technical and jurisdictional guidance on claims adjudication. Maintain diaries for team claims, including frequent updates on complex or high-exposure cases. Experience: Six (6) years of claims experience, including two (2) years in a supervisory role NV licensing required Why Join Us Flexible work schedule Referral incentive program Career development and advancement opportunities Comprehensive benefits package, including medical, dental, vision, and a 401(k) starting on day one 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",{"id":1077,"slug":1078,"title":272,"location":13,"raw_job_location_address_addressLocality":763,"raw_hiringOrganization_logo_url":13,"raw_description":1079},87262,"disability-representative-sr-sedgwick-claims-management-services-inc-36","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 Disability Representative Sr PRIMARY PURPOSE: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed. Determines benefits due pursuant to a disability plan, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases to team lead and clinical case management for additional review when appropriate. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Ability to manage ambiguity Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement autonomously within established procedures 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 $22 - $25. 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. 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",{"id":1081,"slug":1082,"title":272,"location":13,"raw_job_location_address_addressLocality":763,"raw_hiringOrganization_logo_url":13,"raw_description":1083},87263,"disability-representative-sr-sedgwick-claims-management-services-inc-37","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 Disability Representative Sr PRIMARY PURPOSE: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed. Determines benefits due pursuant to a disability plan, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases to team lead and clinical case management for additional review when appropriate. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Ability to manage ambiguity Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement autonomously within established procedures 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 $22.86 - $24.00. 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. 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",{"id":1085,"slug":1086,"title":416,"location":13,"raw_job_location_address_addressLocality":763,"raw_hiringOrganization_logo_url":13,"raw_description":1087},87264,"workforce-absence-team-lead-sedgwick-claims-management-services-inc-5","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 Workforce Absence Team Lead PRIMARY PURPOSE: To supervise the operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor individual claim activities; to provide technical\u002Fjurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims within the teams including frequent diaries on complex or high exposure claims. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Supervises multiple teams of examiners and\u002For several technical operations colleagues for a wide span of control; may delegate some duties to others within the unit. Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. Provides technical\u002Fjurisdictional direction to examiner reports on claims adjudication. Compiles, reviews, and analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal. Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner. Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client. Assures that direct reports are properly licensed in the jurisdictions serviced. Ensures claims files are coded correctly and adequate documentation is made by claims examiners. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred. Experience Six (6) years of claims experience or equivalent combination of education and experience required. Two (2) years of claims supervisory experience preferred. Skills & Knowledge Thorough knowledge of claims management procedures and processes for disability Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership\u002Fmanagement\u002Fmotivational skills 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\u002FVisual: 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 $62,770.00 - $64,000.00. 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. 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",{"id":1089,"slug":1090,"title":1091,"location":13,"raw_job_location_address_addressLocality":1092,"raw_hiringOrganization_logo_url":13,"raw_description":1093},64459,"field-adjuster-general-property-sedgwick-claims-management-services-inc","Field Adjuster General - Property","Little Rock, AR - Financial Centre","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 Field Adjuster General - Property As an adjuster at Sedgwick, you’ll have the opportunity to take on new challenges and help solve complex problems. Enjoy flexibility and autonomy in your daily work and your career path. Must reside in or near Little Rock, AR. Role is open to a hybrid or remote setting, two days in office. Travel required for field work. 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. ARE YOU AN IDEAL CANDIDATE? If you have 5+ years of experience as a property adjuster writing estimates in Xactimate (Symbility experience a plus!) and would like to join one of the premier teams in the industry, we are looking for someone with your level of expertise. This adjuster role will be responsible for investigating and adjusting property and casualty claims, both residential and commercial, with little to no supervision. PRIMARY PURPOSE: To investigate claims against insurance or other companies for personal, casualty, or property loss or damages; attempts to effect out-of-court settlement with claimant. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Handles complex losses locally unassisted up to designated authority; assists on larger losses, including handling accounting-based losses (business interruption and stock) Examines claim form and other records to determine insurance coverage. Interviews, telephones, or corresponds with claimant and witnesses regarding claim. Consults police and hospital records; and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance. Estimates cost of repair, replacement, or compensation. Prepares report of findings and negotiates settlement with claimant. Recommends litigation by legal department when settlement cannot be negotiated. Attends litigation hearings. Revises case reserves in assigned claims files to cover probable costs. Assists in preparing loss experience report to help determine profitability and calculates adequate future rates. 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. Must have earned the IIA-AIC designation and be actively pursuing another professional insurance designation. Appropriate state adjuster license is required. Skills & Knowledge Strong oral and written communication, including presentation skills PC literate, including Microsoft Office products Demonstrated commitment to timely reporting Strong customer service skills Strong interpersonal skills Attention to detail and accuracy Good time management and organizational skills Ability to work independently or 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: Must be able to stand and\u002For walk for long periods of time. Must be able to kneel, squat or bend. Must be able to work outdoors in hot and\u002For cold weather conditions. Have the ability to climb, crawl, stoop, kneel, reaching\u002Fworking overhead Be able to lift\u002Fcarry up to 50 pounds Be able to push\u002Fpull up to 100 pounds Be able to drive up to 4 hours per day. Must have continual use of manual dexterity. Auditory\u002FVisual: 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",{"id":1095,"slug":1096,"title":1097,"location":13,"raw_job_location_address_addressLocality":1098,"raw_hiringOrganization_logo_url":13,"raw_description":1099},87265,"liability-claims-representative-bi-premises-experience-required-tx-license-sedgwick-claims-management-services-inc-2","Liability Claims Representative | BI Premises Experience Required | TX License","Blue Ash, OH - Lake Forest","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 Liability Claims Representative | BI Premises Experience Required | TX 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 Liability 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 LOCATION Blue Ash, OH - hybrid if within commutable distance to office Remote if outside of commutable distance to Blue Ash, OH office PRIMARY PURPOSE OF THE ROLE To analyze Bodily Injury Premise 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 1 - 2 years of claims management experience or equivalent combination of education and experience required. Jurisdiction Knowledge: AL AK AZ CA GA ID IN KY LA MI MS MT NV OR NC SC TX UT Licensing: TX TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Opportunity to work in an agile or remote environment. 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\u002FVisual: 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 (60K - 70K). 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. 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",{"id":1101,"slug":1102,"title":1103,"location":13,"raw_job_location_address_addressLocality":1098,"raw_hiringOrganization_logo_url":13,"raw_description":1104},87266,"workers-compensation-claims-representative-az-tn-jurisdictions-licensing-preferred-dedicated-client-sedgwick-claims-management-services-inc","Workers Compensation Claims Representative | AZ & TN Jurisdictions | Licensing Preferred | Dedicated Client","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 | AZ & TN Jurisdictions | Licensing Preferred | Dedicated Client 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 representative 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 Hybrid schedule if within commutable distance* to Blue Ash, OH office Open to remote if outside of commutable distance to office PRIMARY PURPOSE OF THE ROLE 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 1+ years of claims management experience or equivalent combination of education and experience required. Jurisdiction Knowledge: AZ & TN Licensing: Preferred TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Opportunity to work in an agile environment. 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\u002FVisual: 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 (50-55K). 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. 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",{"id":378,"slug":379,"title":380,"location":13,"raw_job_location_address_addressLocality":1098,"raw_hiringOrganization_logo_url":13,"raw_description":1106},"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 Team Lead | Jurisdictions: CO & UT Experience Preferred | Dedicate Client 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 Workers Compensation & supervisory 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 supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical\u002Fjurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. WORK LOCATIONS Hybrid schedule if within commutable distance to Blue Ash, OH office Open to remote 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 RESPONSIBLITIES MAY INCLUDE 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. Manages the litigation process; ensures timely and cost-effective claims resolution. Coordinates vendor referrals for additional investigation and\u002For litigation management. Leads team meetings and assigns accountability for follow-up items. Gathers important compliance\u002Fclaims processing information to be presented at team meetings. Assists in interviews of adjusters, clerical staff and provides feedback to hiring manager. Provides limited assistance\u002Fsupport to team lead with monthly review of adjuster workloads; notes trends and suggests adjustments when necessary. May include up to (3) three direct reports. SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership, and motivation to promote maximum performance. QUALIFICATIONS Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience preferred. Seasoned examiner experience of five (5) years - lost time & medical only experience. 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: CO & UT with limited exposure to OK & WY Licensing: Home state licensing TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Opportunity to work in an agile environment. 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\u002FVisual: 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 (75 - 85K). 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. 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",{"id":359,"slug":360,"title":361,"location":13,"raw_job_location_address_addressLocality":782,"raw_hiringOrganization_logo_url":13,"raw_description":1108},"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 Examiner 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're looking for a claims professional with California workers' compensation experience who enjoys solving complex problems and delivering outstanding service. The ideal candidate has experience handling litigated and high-exposure claims, understands California jurisdictional requirements, and can confidently manage claims through investigation, benefit determination, settlement negotiation, and resolution. LOCATION: Concord, CA (Hybrid) PRIMARY PURPOSE OF THE ROLE To analyze complex or technically difficult California 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 RESPONSIBLITIES MAY INCLUDE 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. Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner. QUALIFICATIONS Education & Licensing: Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Experience: Four (4) years of California workers compensation claims management experience or equivalent combination of education and experience required. Licensing \u002F Jurisdiction Knowledge: California jurisdictional knowledge required; SIP required or must be obtained within one year of hire date. 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\u002FVisual: 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 $80,000 - $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. #Claims #ClaimsExaminer 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",{"id":1110,"slug":1111,"title":1112,"location":13,"raw_job_location_address_addressLocality":1113,"raw_hiringOrganization_logo_url":13,"raw_description":1114},64474,"sr-claims-specialist-professional-liability-medical-malpractice-california-sedgwick-claims-management-services-inc-2","Sr. Claims Specialist, Professional Liability | Medical Malpractice | California","Long Beach, CA - Kilroy Airport","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. Claims Specialist, Professional Liability | Medical Malpractice | California PRIMARY PURPOSE OF THE ROLE: To analyze complex or technically difficult medical malpractice claims; to provide resolution of highly complex nature and\u002For severe injury claims; to coordinate case management within Company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service. ARE YOU AN IDEAL CANDIDATE? We are seeking experienced professionals to manage complex medical malpractice claims involving severe injury and high exposure. Ideal candidates demonstrate strong analytical and negotiation skills, exercise sound judgment, and are committed to delivering timely, cost‑effective claim resolutions while maintaining a high level of customer service. ESSENTIAL RESPONSIBLITIES MAY INCLUDE: Analyzes and processes complex or technically difficult medical malpractice 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. 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. Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing: 6 years of claims management experience or equivalent combination of education and experience required. Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certification as applicable to line of business preferred. Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 to $125,000. 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. 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. 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",{"id":1116,"slug":1117,"title":1118,"location":13,"raw_job_location_address_addressLocality":1113,"raw_hiringOrganization_logo_url":13,"raw_description":1119},64475,"workers-compensation-team-lead-long-beach-ca-sedgwick-claims-management-services-inc","Workers Compensation - Team Lead | Long Beach, CA","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 - Team Lead | Long Beach, CA 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? 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. OFFICE LOCATIONS: Long Beach, CA (HYBRID) PRIMARY PURPOSE OF THE ROLE: Oversees multiple teams of examiners and technical staff handling workers compensation claims for clients. Manages workloads, provides training, and monitors individual claim activities. Offers technical and jurisdictional guidance on claims adjudication and maintains regular diaries, especially for complex or high-exposure case. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Supervises multiple teams of examiners and technical operations colleagues, delegating duties as needed and ensuring proper licensing and documentation standards. Provides technical and jurisdictional guidance on claims adjudication, including quality reviews and reserve evaluations for high-cost or complex claims. Acts as a second-level appeal authority for client and claimant issues, implementing final decisions. Identifies trends, issues, and opportunities for process improvement; advises management and coordinates related projects. Monitors third-party and sensitive claims, including litigated and vocational rehabilitation cases. Maintains professional client relationships, offering recommendations and written summaries as needed. Ensures accurate claim coding and documentation by examiners. QUALIFICATIONS Education & Licensing: 6 years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience. 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. Licensing \u002F Jurisdiction Knowledge: SIP & California Workers Compensation claims handling 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. 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\u002FVisual: 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 $105,000-115,000K\u002Fyr. 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. #claims #claimsteamlead #supervisor 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",{"id":1121,"slug":1122,"title":1123,"location":13,"raw_job_location_address_addressLocality":782,"raw_hiringOrganization_logo_url":13,"raw_description":1124},87269,"claims-team-lead-workers-compensation-dedicated-client-concord-ca-sedgwick-claims-management-services-inc","Claims Team Lead - Workers Compensation (Dedicated Client) | Concord, CA","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 Team Lead - Workers Compensation (Dedicated Client) | Concord, CA 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. OFFICE LOCATIONS Concord, CA (Hybrid - 2 Days Onsite) PRIMARY PURPOSE OF THE ROLE: Oversees a team of examiners and technical staff handling workers compensation claims for a dedicated client. Manages workloads, provides training, and monitors individual claim activities. Offers technical and jurisdictional guidance on claims adjudication and maintains regular diaries, especially for complex or high-exposure case. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Supervises a team of examiners and technical operations colleagues, delegating duties as needed and ensuring proper licensing and documentation standards. Provides technical and jurisdictional guidance on claims adjudication, including quality reviews and reserve evaluations for high-cost or complex claims. Acts as a second-level appeal authority for client and claimant issues, implementing final decisions. Identifies trends, issues, and opportunities for process improvement; advises management and coordinates related projects. Monitors third-party and sensitive claims, including litigated and vocational rehabilitation cases. Maintains professional client relationships, offering recommendations and written summaries as needed. Ensures accurate claim coding and documentation by examiners. QUALIFICATIONS Education & Licensing: 6 years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience. 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. Licensing \u002F Jurisdiction Knowledge: California workers compensation claim handling experience | SIP Certified 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 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\u002FVisual: 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 $105,000-$118,000\u002Fyr. 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. #Hybrid #Claims #Supervisor 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",{"id":1126,"slug":1127,"title":1128,"location":13,"raw_job_location_address_addressLocality":1113,"raw_hiringOrganization_logo_url":13,"raw_description":1129},64479,"workers-compensation-claims-examiner-long-beach-or-roseville-ca-sedgwick-claims-management-services-inc","Workers Compensation Claims Examiner | Long Beach or Roseville, CA","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 Examiner | Long Beach or Roseville, CA 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. OFFICE LOCATIONS: Long Beach or Roseville, California (2 days in-office, 3 days remote) PRIMARY PURPOSE OF THE ROLE: To analyze workers' compensation 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. ESSENTIAL RESPONSIBLITIES 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: 5 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. Licensing \u002F Jurisdiction Knowledge: California workers' compensation claims experience required | SIP 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 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\u002FVisual: 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 $85,000-$105,000\u002Fyr. 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 #TPA 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",{"id":142,"slug":143,"title":144,"location":13,"raw_job_location_address_addressLocality":822,"raw_hiringOrganization_logo_url":13,"raw_description":1131},"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 Compensation | Jurisdiction: Midwest States | Licensing: MI or MN Required Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career? A stable and consistent work environment in an office setting PRIMARY PURPOSE OF THE ROLE: To analyze Workers Compensation 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. 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 5 years of claims management experience or equivalent combination of education and experience required. Jurisdiction Knowledge: Midwest states Licensing: MI or MN required TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Opportunity to work in an agile environment. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. 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\u002FVisual: 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 ($65,000-$85,000 USD Annual). 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",{"id":1133,"slug":1134,"title":753,"location":13,"raw_job_location_address_addressLocality":828,"raw_hiringOrganization_logo_url":13,"raw_description":1135},87272,"leave-of-absence-coordinator-sedgwick-claims-management-services-inc-17","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 Leave of Absence Coordinator PRIMARY PURPOSE: To analyze reported Family Medical Leave (FMLA) requests; to make determinations based on state and federal regulations; and to ensure that on-going claim management is within company service standards and industry best practices. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Establishes FMLA claims; tracks and codes documentation in accordance with internal workflow processes. Analyzes FMLA claims to determine eligibility and certification in compliance with state and federal regulations. Identifies action plan; determines benefits due; and makes timely case decisions based on service expectations as established by the client. Communicates decisions and on-going expectations with claimants and clients. Maintains professional client relationships. Attendance during scheduled work hours is required. 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. College degree and\u002For college courses preferred. Experience Two (2) years of administrative\u002Fgeneral office experience or equivalent combination of education and experience required. Disability management and\u002For FMLA administration experience preferred. Skills & Knowledge Knowledge of state and federal FMLA regulations Knowledge of medical disability management Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Excellent 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\u002FVisual: 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",{"id":1137,"slug":1138,"title":1139,"location":13,"raw_job_location_address_addressLocality":828,"raw_hiringOrganization_logo_url":13,"raw_description":1140},87273,"workers-compensation-claims-representative-oh-in-jurisdictions-dedicated-client-sedgwick-claims-management-services-inc","Workers Compensation Claims Representative | OH & IN Jurisdictions | Dedicated Client","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 | OH & IN Jurisdictions | Dedicated Client 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 Workers Compensation 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 Dublin, OH - if within commutable distance to office Open to Remote if outside of commutable distance to Dublin, OH office PRIMARY PURPOSE OF THE ROLE To analyze 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 3 years of claims management experience or equivalent combination of education and experience required. Jurisdiction Knowledge: Ohio & Indiana Licensing: Indiana preferred; not required TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Opportunity to work in an agile environment. [If Applicable]  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\u002FVisual: 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 ($55 - 65K). 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. 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",{"id":1142,"slug":1143,"title":416,"location":13,"raw_job_location_address_addressLocality":828,"raw_hiringOrganization_logo_url":13,"raw_description":1144},87274,"workforce-absence-team-lead-sedgwick-claims-management-services-inc-6","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 Workforce Absence Team Lead PRIMARY PURPOSE: To supervise the operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor individual claim activities; to provide technical\u002Fjurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims within the teams including frequent diaries on complex or high exposure claims. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Supervises multiple teams of examiners and\u002For several technical operations colleagues for a wide span of control; may delegate some duties to others within the unit. Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. Provides technical\u002Fjurisdictional direction to examiner reports on claims adjudication. Compiles, reviews, and analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal. Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner. Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client. Assures that direct reports are properly licensed in the jurisdictions serviced. Ensures claims files are coded correctly and adequate documentation is made by claims examiners. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred. Experience Six (6) years of claims experience or equivalent combination of education and experience required. Two (2) years of claims supervisory experience preferred. Skills & Knowledge Thorough knowledge of claims management procedures and processes for disability Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership\u002Fmanagement\u002Fmotivational skills 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\u002FVisual: 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",{"id":1146,"slug":1147,"title":1148,"location":13,"raw_job_location_address_addressLocality":1149,"raw_hiringOrganization_logo_url":13,"raw_description":1150},64490,"claims-examiner-workers-compensation-jurisdiction-fl-licensing-fl-required-sedgwick-claims-management-services-inc","Claims Examiner - Workers Compensation | Jurisdiction: FL | Licensing: FL required","Memphis - Corporate Headquarters","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 Compensation | Jurisdiction: FL | Licensing: FL 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? 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.  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 analyze workers compensation 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 5 years of claims management experience or equivalent combination of education and experience required. Licensing \u002F Jurisdiction Knowledge: FL 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, travel as required Auditory\u002FVisual: 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 (60,234.00 - 84,327.00 USD Annual). 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. 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",{"id":1152,"slug":1153,"title":1154,"location":13,"raw_job_location_address_addressLocality":1149,"raw_hiringOrganization_logo_url":13,"raw_description":1155},64491,"director-it-servicenow-platform-delivery-amp-business-process-remote-sedgwick-claims-management-services-inc","Director IT ServiceNow Platform Delivery & Business Process (REMOTE)","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 Director IT ServiceNow Platform Delivery & Business Process (REMOTE) PRIMARY PURPOSE: Provides strategic leadership and governance for the ServiceNow platform, ensuring technology investments align with business objectives, operational priorities, and enterprise process transformation initiatives. Serves as the primary business leader for the platform, establishing the roadmap, governance model, delivery priorities, and performance measures that drive business value. Partners with business executives, technology leadership, process owners, and strategic delivery partners to optimize platform capabilities, improve operational effectiveness, and support long-term organizational objectives. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Establishes and oversees the ServiceNow strategy, roadmap, governance framework, and investment priorities to support business and technology objectives. Leads enterprise demand management, portfolio prioritization, and release planning processes to ensure platform initiatives deliver measurable business value. Partners with senior business and technology leaders to identify opportunities to improve operational effectiveness, automate processes, reduce risk, and enhance user experience through ServiceNow capabilities. Provides leadership for the ongoing evolution of enterprise service management processes, ensuring alignment across business functions, governance requirements, and strategic priorities. Drives cross-functional process transformation initiatives spanning IT service management, asset management, CMDB, service request management, change management, incident management, problem management, knowledge management, reporting, and future workflow solutions. Governs the ServiceNow portfolio and delivery pipeline, balancing strategic initiatives, regulatory requirements, operational support needs, and continuous improvement efforts. Establishes delivery governance standards, performance expectations, and accountability measures for internal teams and external delivery partners. Directs vendor relationships and delivery partner performance, ensuring quality, efficiency, risk management, and achievement of business objectives. Collaborates with platform architecture, integration, and technology leadership to ensure platform investments align with enterprise architecture standards, data governance requirements, and long-term technology strategy. Partners with business leaders and functional stakeholders to prioritize platform capabilities, process improvements, and data quality initiatives that support enterprise objectives. Provides executive-level communication regarding platform strategy, roadmap progress, portfolio performance, risks, and business outcomes. Defines, monitors, and reports on key performance indicators, adoption metrics, operational effectiveness measures, and value realization outcomes to guide strategic decision-making. Ensures new capabilities are supported by appropriate governance, operating procedures, organizational readiness plans, training strategies, and operational support models. Champions continuous improvement and innovation efforts, identifying opportunities to expand platform value and improve the efficiency and effectiveness of business operations. Builds alignment among business, technology, and operational stakeholders to ensure successful execution of strategic platform initiatives and achievement of organizational goals. 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 preferred. CSA, ITIL 4, Scrum Master\u002FProduct Owner, ServiceNow ITSM or related CIS certification preferred. Experience Ten (10) years of related experience in technology delivery, product ownership, business process leadership, enterprise platforms, or ServiceNow delivery or equivalent combination of education and experience required. Skills & Knowledge Advanced knowledge of ServiceNow platform capabilities, enterprise service management practices, governance frameworks, and digital workflow solutions Strong understanding of ITSM, ITAM, CMDB, change management, incident management, service operations, and process transformation methodologies Demonstrated ability to develop and execute platform strategies, roadmaps, and investment plans that align with organizational objectives and drive business value Exceptional leadership, collaboration, and influencing skills, with the ability to build alignment among senior business, technology, and operational stakeholders Proven ability to govern complex portfolios, prioritize competing business demands, and balance strategic initiatives with operational and regulatory requirements Strong vendor management, negotiation, and performance oversight skills, including the ability to lead external delivery partners and hold them accountable for results Excellent analytical, communication, and executive presentation skills, with the ability to translate complex technical concepts into actionable business insights and recommendations 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\u002FVisual: 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",{"id":1157,"slug":1158,"title":1159,"location":13,"raw_job_location_address_addressLocality":1160,"raw_hiringOrganization_logo_url":13,"raw_description":1161},64492,"oss-coordinator-sedgwick-claims-management-services-inc","OSS Coordinator","Memphis, TN - Winchester","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 OSS Coordinator PRIMARY PURPOSE: To support and maintain the claims management system for a local office or multiple office locations; and to ensure security access meets established policies within assigned group. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Completes examiner update reports, claim adjustments, provider requests and operational expense check requests. Queues claims for Managed Care; transfers payment allocations; and runs manual pre-pay and balances as requested. Creates and maintains internal and external logins and the applicable security access for the company's claims management systems by determining the validity for incoming requests and whether they meet established policies. Coordinates with company's internal audit group to ensure security access is defined and implemented according to established policies and procedures. Communicates and collaborates with other internal departments to support the security needs of end-users. Researches and gathers data as needed for auditing, special projects or returned checks. Provides telephone support to end-users. 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. Associate degree preferred. Experience Two (2) years of claims management or insurance experience or equivalent combination of education and experience required. 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, 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\u002FVisual: 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. 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 (17.00-19.50 per hour) 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",{"id":414,"slug":415,"title":416,"location":13,"raw_job_location_address_addressLocality":828,"raw_hiringOrganization_logo_url":13,"raw_description":1144},{"id":1164,"slug":1165,"title":1166,"location":13,"raw_job_location_address_addressLocality":1167,"raw_hiringOrganization_logo_url":13,"raw_description":1168},64495,"claims-associate-med-only-multi-state-jurisdiction-licensing-id-required-onsite-meridian-id-sedgwick-claims-management-services-inc","Claims Associate - Med Only | Multi State Jurisdiction | Licensing: ID Required (Onsite - Meridian, ID)","Meridian, ID - Overland","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 - Med Only | Multi State Jurisdiction | Licensing: ID Required (Onsite - Meridian, ID) 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. 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. OFFICE LOCATION: 3715 Overland Road Suites 230 Meridian, ID 83642 PRIMARY PURPOSE: To analyze reported lower-level medical only claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision. Supports other claims representatives, examiners and leads with larger or more complex claims as necessary. Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency. Communicates claim action\u002Fprocessing 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\u002For defined period medical claims. Maintains professional client relationships. QUALIFICATIONS Education & Licensing: High school diploma or GED required. Licenses as required. Experience: One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred. Licensing: ID 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. 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\u002FVisual: 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",{"id":1170,"slug":1171,"title":641,"location":13,"raw_job_location_address_addressLocality":1172,"raw_hiringOrganization_logo_url":13,"raw_description":1173},64496,"rn-field-case-manager-sedgwick-claims-management-services-inc-8","Miami, FL - Brickell","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 RN Field Case Manager This Field Case Manager will cover the Miami, FL region and must live in this area in order to be considered . PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face to face interaction with injured workers and medical professionals. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure required. Valid driver’s license required. High speed internet required. Employment may be contingent upon successful completion of a motor vehicle record (MVR) check, where job related 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\u002FVisual: Hearing, vision and talking TAKING CARE OF YOU BY Offering flexibility and autonomy. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer a diverse and comprehensive benefits package including: Three Medical, and two dental plans to choose from. Tuition reimbursement eligible. 401K plan that matches 50% on every $ you put in up to the first 6% you save. 4 weeks PTO your first full year. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #fieldcasemanager 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",{"id":1175,"slug":1176,"title":1177,"location":13,"raw_job_location_address_addressLocality":1172,"raw_hiringOrganization_logo_url":13,"raw_description":1178},64498,"executive-general-adjuster-sedgwick-claims-management-services-inc","Executive General Adjuster","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 Executive General Adjuster PRIMARY PURPOSE: To investigate claims internationally of any size or complexity, against insurance or other companies for personal, casualty, or property loss or damages and attempts to effect out-of-court settlement with claimants. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Handles complex losses locally unassisted up to designated authority; assists on larger losses, including handling accounting-based losses (business interruption and stock). Examines claim form and other records to determine insurance coverage. Interviews, telephones, or corresponds with claimant and witnesses regarding claim. Consults police and hospital records; and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance. Estimates cost of repair, replacement, or compensation. Prepares report of findings and negotiates settlement with claimant. Recommends litigation by legal department when settlement cannot be negotiated. Attends litigation hearings. Revises case reserves in assigned claims files to cover probable costs. Prepares loss experience reports to help determine profitability and calculates adequate future rates. 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. Must have earned the IIA-AIC designation and be actively pursuing another professional insurance designation. Appropriate state adjuster license is required. Experience Five (5) years of related experience or equivalent combination of education and experience required. Skills & Knowledge Strong oral and written communication, including presentation skills PC literate, including Microsoft Office products Strong customer service skills Attention to detail and accuracy Good time management and organizational skills Ability to work independently or 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: Must be able to stand and\u002For walk for long periods of time. Must be able to stand and\u002For walk for long periods of time. Must be able to kneel, squat or bend. Must be able to work outdoors in hot and\u002For cold weather conditions. Have the ability to climb, crawl, stoop, kneel, reaching\u002Fworking overhead Be able to lift\u002Fcarry up to 50 pounds Be able to push\u002Fpull up to 100 pounds Be able to drive up to 4 hours per day. Must have continual use of manual dexterity. Auditory\u002FVisual: 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",{"id":1180,"slug":1181,"title":1182,"location":13,"raw_job_location_address_addressLocality":1183,"raw_hiringOrganization_logo_url":13,"raw_description":1184},64500,"national-general-adjuster-sedgwick-claims-management-services-inc","National General Adjuster","Miami, FL - Blue Lagoon","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 National General Adjuster PRIMARY PURPOSE: To handle losses or claims nationally regardless of size, including having the ability to address any complex adjustment issue and any medium sized and relatively complex National Account. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Examines insurance policies, claims, and other records to determine insurance coverage. Administers and reconciles complex catastrophic claims for property. Interviews, telephones, or corresponds with claimant(s) and witnesses regarding claim. Consults police and hospital records; and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance. Estimates cost of repair, replacement, or compensation. Prepares report of findings and negotiates settlement with claimant. Recommends litigation by legal department when settlement cannot be negotiated. Attends litigation hearings. Revises case reserves in assigned claims files to cover probably costs. Prepares loss experience reports to help determine profitability and calculates adequate future rates. Interacts with excess carrier to determine coverages, excess insurance levels, and potential reimbursements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Travels as required. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Must have earned the IIA-AIC designation and be actively pursuing another professional insurance designation. Experience Five (5) years of related experience or equivalent combination of education and experience required. Skills & Knowledge Strong oral and written communication, including presentation skills PC literate, including Microsoft Office products Strong customer service skills Attention to detail and accuracy Good time management and organizational skills Ability to work independently or 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: Ability to stand and\u002For walk for long periods of time. Ability to kneel, squat or bend. Ability to work outdoors in hot and\u002For cold weather conditions. Ability to climb, crawl, stoop, kneel, reaching\u002Fworking overhead. Ability to lift\u002Fcarry up to 50 pounds. Ability to push\u002Fpull up to 100 pounds. Ability to drive up to 4 hours per day. Must have continual use of manual dexterity. Auditory\u002FVisual: 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",{"id":1186,"slug":1187,"title":865,"location":13,"raw_job_location_address_addressLocality":866,"raw_hiringOrganization_logo_url":13,"raw_description":1188},87277,"absence-management-team-lead-coding-team-sedgwick-claims-management-services-inc-2","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 Absence Management Team Lead - Coding Team PRIMARY PURPOSE: To supervise the operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor individual claim activities; to provide technical\u002Fjurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims within the teams including frequent diaries on complex or high exposure claims. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Supervises multiple teams of examiners and\u002For several technical operations colleagues for a wide span of control; may delegate some duties to others within the unit. Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. Provides technical\u002Fjurisdictional direction to examiner reports on claims adjudication. Compiles, reviews, and analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal. Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner. Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client. Assures that direct reports are properly licensed in the jurisdictions serviced. Ensures claims files are coded correctly and adequate documentation is made by claims examiners. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred. Experience Six (6) years of claims experience or equivalent combination of education and experience required. Two (2) years of claims supervisory experience preferred. Skills & Knowledge Thorough knowledge of claims management procedures and processes for disability Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership\u002Fmanagement\u002Fmotivational skills 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\u002FVisual: 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",{"id":1190,"slug":1191,"title":753,"location":13,"raw_job_location_address_addressLocality":1192,"raw_hiringOrganization_logo_url":13,"raw_description":1193},64506,"leave-of-absence-coordinator-sedgwick-claims-management-services-inc-8","New Albany, OH - Walton","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 Leave of Absence Coordinator Leave of Absence Coordinator Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near our Dynamic Center of Excellence📍 New Albany, OH : 7795 Walton Parkway suite 200 New Albany, OH 43054 ✨ What we offer: A stable, consistent work environment—both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? PRIMARY PURPOSE: Analyzes reported leave requests including Family Medical Leave (FMLA), unpaid state, military and company-specific, to make determinations based on client plans, state and federal regulations. Ensures that on-going claim management is within company service standards and industry best practices. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Establishes FMLA and other unpaid state, military, and\u002For company-specific leave claims; tracks and codes documentation in accordance with internal workflow processes. Analyzes FMLA and other unpaid claims to determine eligibility and certification in compliance with client plans, state and federal regulations. Reviews claim information received to identify action plan, determine benefits due, and make timely case decisions based on plan descriptions and service expectations as established by the client. Communicates decisions and on-going expectations clearly and professionally with claimants and clients by phone, written correspondence and\u002For claims system. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. State certification or licensing in statutory leaves is beneficial. Experience One (1) year of administrative\u002Fgeneral office experience or equivalent combination of education and experience required. FMLA administration experience preferred. Skills & Knowledge Knowledge of state and federal FMLA regulations Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical and interpretive skills Strong organizational and multitasking skills Excellent interpersonal skills Ability to exercise judgement in accordance with well-defined policies and procedures Ability to work in a team environment Ability to meet or exceed performance competencies as required by program 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 19.31. 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",{"id":1195,"slug":1196,"title":1197,"location":13,"raw_job_location_address_addressLocality":1198,"raw_hiringOrganization_logo_url":13,"raw_description":1199},64507,"claims-assistant-on-site-ontario-ca-sedgwick-claims-management-services-inc","Claims Assistant (On-Site Ontario, CA)","Ontario, CA - Inland Empire","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 Assistant (On-Site Ontario, CA) 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? 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 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. OFFICE LOCATIONS Ontario, California (On-site) PRIMARY PURPOSE: To provide support to the claims staff and to perform other office tasks depending on the client program. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Sets up and enters new claims into claims management system. Inputs and reviews notes\u002Fdiaries in claims management system as instructed. Processes payments. Processes mail; handles filing, faxing and photocopying. Reviews, prepares, creates, and\u002For sends letters, reports, and forms. Answers and initiates telephone calls, sets up medical appointments, and may provide customer service as required. Other activities\u002Fprojects as assigned including the preparation and distribution of computer reports. 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 Six (6) months of clerical or customer service experience or equivalent combination of education and experience required. Skills & Knowledge Excellent oral and written communication PC literate, including Microsoft Office products Strong organizational 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\u002FVisual: 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 $18.00 - 20.00 per hour. 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",{"id":1201,"slug":1202,"title":120,"location":13,"raw_job_location_address_addressLocality":1192,"raw_hiringOrganization_logo_url":13,"raw_description":1203},64508,"workforce-absence-operations-manager-sedgwick-claims-management-services-inc","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 Workforce Absence Operations Manager 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 responsibility for less than 25 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\u002Fregulations, 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. SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications appropriate to line of business preferred. Experience Eight (8) years claims management experience or equivalent combination of education and experience required to include two (2) years supervisory experience. Skills & Knowledge Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership\u002Fmanagement\u002Fmotivational skills 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\u002FVisual: 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",{"id":1205,"slug":1206,"title":1207,"location":13,"raw_job_location_address_addressLocality":866,"raw_hiringOrganization_logo_url":13,"raw_description":1208},87278,"care-team-lead-sedgwick-claims-management-services-inc-2","Care Team Lead","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 Care Team Lead PRIMARY PURPOSE: To develop, implement, and maintain the delivery of world-class service including quality assurance, client services, and workforce management ensuring departmental objectives are met. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Assesses and evaluates current team competencies to develop a baseline of service opportunities. Leads efforts to refine Service Center measures and tracking systems for program improvements. Maintains records of training activities, colleague progress, and program effectiveness. Analyzes and resolves customer service issues. Supervises a Service Center unit (team) providing leadership, direction, and support and monitors team's daily performance. Monitors workloads and status; supports colleagues by providing advice on handling complex issues; and identifies and resolves problems and issues. Works with team leadership to develop, implement, and monitor staff development plans with a focus on overall customer service skills. Communicates with upper management regarding unit issues and resolutions. ADDITONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Travels as needed. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Experience Four (4) years of call center or customer service experience or equivalent combination of education and experience required. Supervisory experience preferred. Skills & Knowledge Strong customer service skills including call center client processes and procedures Excellent team coaching, training, facilitation, and development skills Excellent oral and written communication, including presentation skills Excellent customer service 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\u002FVisual: 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",{"id":1210,"slug":1211,"title":1212,"location":13,"raw_job_location_address_addressLocality":866,"raw_hiringOrganization_logo_url":13,"raw_description":1213},87279,"disability-representative-sr-bilingualfrench-sedgwick-claims-management-services-inc","Disability Representative Sr - Bilingual\u002FFrench","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 Disability Representative Sr - Bilingual\u002FFrench PRIMARY PURPOSE: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed. Determines benefits due pursuant to a disability plan, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases to team lead and clinical case management for additional review when appropriate. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Ability to manage ambiguity Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement autonomously within established procedures 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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",{"id":1215,"slug":1216,"title":1207,"location":13,"raw_job_location_address_addressLocality":866,"raw_hiringOrganization_logo_url":13,"raw_description":1208},87280,"care-team-lead-sedgwick-claims-management-services-inc-3",{"id":1218,"slug":1219,"title":1220,"location":13,"raw_job_location_address_addressLocality":1198,"raw_hiringOrganization_logo_url":13,"raw_description":1221},64513,"workers-compensation-claims-adjuster-ontario-california-sedgwick-claims-management-services-inc","Workers Compensation Claims Adjuster | Ontario, California","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 Adjuster | Ontario, California 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 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. OFFICE LOCATIONS Ontario, California - Hybrid (2 days in office, 3 days remote) PRIMARY PURPOSE OF THE ROLE: To analyze workers' compensation 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. ESSENTIAL RESPONSIBLITIES 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: 4 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. Licensing \u002F Jurisdiction Knowledge: California workers' compensation claims handling experience | SIP certified 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 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\u002FVisual: 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 $70,000-$85,000\u002Fyr. 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. #claimsadjuster #claims #LI-GC1 #hybrid 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",{"id":1223,"slug":1224,"title":1225,"location":13,"raw_job_location_address_addressLocality":1198,"raw_hiringOrganization_logo_url":13,"raw_description":1226},64514,"workers-compensation-claims-examiner-ontario-california-sedgwick-claims-management-services-inc","Workers Compensation Claims Examiner | Ontario, California","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 Examiner | Ontario, California 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. OFFICE LOCATIONS Ontario, California (3 days in-office, 2 days remote) PRIMARY PURPOSE OF THE ROLE: To analyze workers' compensation 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. ESSENTIAL RESPONSIBLITIES 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: 5 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. Licensing \u002F Jurisdiction Knowledge: California workers' compensation claims experience required | SIP 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. 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 $80,000-$98,000\u002Fyr. 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 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",{"id":1228,"slug":1229,"title":1230,"location":13,"raw_job_location_address_addressLocality":1231,"raw_hiringOrganization_logo_url":13,"raw_description":1232},64515,"workers-compensation-claims-examiner-hybrid-orange-ca-sedgwick-claims-management-services-inc","Workers Compensation Claims Examiner | HYBRID | Orange, CA","Orange, CA - City","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 Examiner | HYBRID | Orange, CA 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. OFFICE LOCATION Orange, California (2 days in-office, 3 days remote) PRIMARY PURPOSE OF THE ROLE: To analyze workers' compensation 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. ESSENTIAL RESPONSIBLITIES 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: 5 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. Licensing \u002F Jurisdiction Knowledge: California workers' compensation claims experience required | SIP 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 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\u002FVisual: 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 $80,000-$100,000\u002Fyr. 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 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",{"id":1234,"slug":1235,"title":1236,"location":13,"raw_job_location_address_addressLocality":1231,"raw_hiringOrganization_logo_url":13,"raw_description":1237},64516,"workers-compensation-claims-examiner-orange-ca-sedgwick-claims-management-services-inc","Workers Compensation Claims Examiner | Orange, CA","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 Examiner | Orange, CA 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 workers compensation 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? Seeking a seasoned California Workers Compensation Examiner who values strong client partnerships, enjoys a reasonable caseload, and works within a well‑managed intake environment. OFFICE LOCATION: Orange, CA PRIMARY PURPOSE OF THE ROLE: To analyze Workers Compensation 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. ESSENTIAL RESPONSIBLITIES 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: 3 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. Licensing \u002F Jurisdiction Knowledge: 3 or more years California workers compensation jurisdictional knowledge required, SIP required or must be obtained within one (1) year of employment TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Career development and promotional growth opportunities.  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\u002FVisual: 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 $85-100K. 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. 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 #LI-HYBRID #Claims #Examiner 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",{"id":1239,"slug":1240,"title":1230,"location":13,"raw_job_location_address_addressLocality":1231,"raw_hiringOrganization_logo_url":13,"raw_description":1241},64517,"workers-compensation-claims-examiner-hybrid-orange-ca-sedgwick-claims-management-services-inc-2","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 Examiner | HYBRID | Orange, CA 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. OFFICE LOCATION Orange, CA 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 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. Coordinates vendor referrals for additional investigation and\u002For 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. QUALIFICATIONS Education & Licensing: 5 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. Licensing \u002F Jurisdiction Knowledge: California workers' compensation claims handling experience | SIP certified 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\u002FVisual: 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 $80,000 - $105,000\u002Fyr. 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 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",{"id":1243,"slug":1244,"title":748,"location":13,"raw_job_location_address_addressLocality":1245,"raw_hiringOrganization_logo_url":13,"raw_description":1246},64518,"disability-representative-sedgwick-claims-management-services-inc-9","Orlando, FL - Ingenuity","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 Disability Representative Disability Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near one of our dynamic Centers of Excellence📍 Orlando, FL 12650 Ingenuity Dr, Orlando, FL 32826 ✨ What we offer: A stable, consistent work environment—both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? PRIMARY PURPOSE OF THE ROLE: To process claims and determine benefits due pursuant to a disability plan; to make timely payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets; and to ensure the ongoing processing of claims. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic and empathetic candidates that want to grow a career. Ideal candidates will thrive in a collaborative team environment, show motivation, and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Makes claim determinations to approve non-complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Determines benefits due, makes timely claims payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status either by phone, written correspondence and\u002For claims system. QUALIFICATIONS Education & Licensing: High school diploma or GED required. Skills: Strong oral and written communication, computer literate – including Microsoft Office, organizational skills required PC literate, including Microsoft Office products, Windows environment. Must meet minimum typing requirements. Experience: Clerical or customer service experience or equivalent combination of education and experience preferred TAKING CARE OF YOU Entry-level colleagues are offered a world class training program with a comprehensive curriculum. An assigned mentor and manager that will support and guide you on your career journey. Career development and promotional growth opportunities A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more. Work environment requirements: Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking. Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 21.82. 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",{"id":1248,"slug":1249,"title":272,"location":13,"raw_job_location_address_addressLocality":1245,"raw_hiringOrganization_logo_url":13,"raw_description":1250},64519,"disability-representative-sr-sedgwick-claims-management-services-inc-14","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 Disability Representative Sr Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Orlando, FL : 12650 Ingenuity Dr Orlando FL 32826 PRIMARY PURPOSE: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed. Determines benefits due pursuant to a disability plan, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases to team lead and clinical case management for additional review when appropriate. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Ability to manage ambiguity Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement autonomously within established procedures 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 $22.00 - $25.00 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",{"id":1252,"slug":1253,"title":753,"location":13,"raw_job_location_address_addressLocality":1245,"raw_hiringOrganization_logo_url":13,"raw_description":1254},64520,"leave-of-absence-coordinator-sedgwick-claims-management-services-inc-9","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 Leave of Absence Coordinator Leave of Absence Coordinator Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near one of our dynamic Centers of Excellence📍 Orlando, FL 12650 Ingenuity Dr, Orlando, FL 32826 ✨ What we offer: A stable, consistent work environment—both in-office and virtual $19.31 per hour A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? PRIMARY PURPOSE: Analyzes reported leave requests including Family Medical Leave (FMLA), unpaid state, military and company-specific, to make determinations based on client plans, state and federal regulations. Ensures that on-going claim management is within company service standards and industry best practices. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Establishes FMLA and other unpaid state, military, and\u002For company-specific leave claims; tracks and codes documentation in accordance with internal workflow processes. Analyzes FMLA and other unpaid claims to determine eligibility and certification in compliance with client plans, state and federal regulations. Reviews claim information received to identify action plan, determine benefits due, and make timely case decisions based on plan descriptions and service expectations as established by the client. Communicates decisions and on-going expectations clearly and professionally with claimants and clients by phone, written correspondence and\u002For claims system. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. State certification or licensing in statutory leaves is beneficial. Experience One (1) year of administrative\u002Fgeneral office experience or equivalent combination of education and experience required. FMLA administration experience preferred. Skills & Knowledge Knowledge of state and federal FMLA regulations Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical and interpretive skills Strong organizational and multitasking skills Excellent interpersonal skills Ability to exercise judgement in accordance with well-defined policies and procedures Ability to work in a team environment Ability to meet or exceed performance competencies as required by program 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 19.31. 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",{"id":1256,"slug":1257,"title":1177,"location":13,"raw_job_location_address_addressLocality":1245,"raw_hiringOrganization_logo_url":13,"raw_description":1178},64521,"executive-general-adjuster-sedgwick-claims-management-services-inc-2",{"id":1259,"slug":1260,"title":272,"location":13,"raw_job_location_address_addressLocality":866,"raw_hiringOrganization_logo_url":13,"raw_description":1261},87281,"disability-representative-sr-sedgwick-claims-management-services-inc-38","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 Disability Representative Sr PRIMARY PURPOSE: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed. Determines benefits due pursuant to a disability plan, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases to team lead and clinical case management for additional review when appropriate. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Ability to manage ambiguity Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement autonomously within established procedures 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 $18.70 - $23.00. 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. 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",{"id":1263,"slug":1264,"title":1265,"location":13,"raw_job_location_address_addressLocality":1266,"raw_hiringOrganization_logo_url":13,"raw_description":1267},64523,"field-auto-appraiser-east-lancing-michigan-sedgwick-claims-management-services-inc","Field Auto Appraiser - East Lancing, Michigan","Owosso, MI - Sequoia","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 Field Auto Appraiser - East Lancing, Michigan PRIMARY PURPOSE: To inspect, identify, and evaluate auto vehicles involved in a loss. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Appraises and determines costs of repairs to damaged vehicle in the field; determines repair versus replace and parts utilization. Evaluates and determines if the vehicle is repairable or salvageable based on industry standard estimatics software. Travels to inspection locations to appraise vehicles in the field. Prepares estimates using estimatics software. Works directly with auto repair facilities to determinate supplemental repair processing and provides a supplemental estimate. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Travels as required. QUALIFICATIONS Education & Licensing High school diploma or GED required. Licenses as required by state guidelines. Experience Three (3) years of related experience to include at least one (1) year of appraisal experience or equivalent combination of education and experience required. Skills & Knowledge Strong knowledge of automobiles Ability to understand and utilize appraisal software PC literate, including Microsoft Office products Strong organizational skills Excellent interpersonal skills Excellent negotiating 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: Must be able to stand and\u002For walk for long periods of time; must be able to kneel, squat, or bend; must be able to work outdoors in hot and\u002For cold weather conditions; have the ability to climb, crawl, stoop, kneel, reach\u002Fwork overhead; be able to lift\u002Fcarry up to 50 pounds; be able to push\u002Fpull up to 100 pounds; be able to drive up to 4 hours per day; and must have continual use of manual dexterity Auditory\u002FVisual: 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",{"id":1269,"slug":1270,"title":1271,"location":13,"raw_job_location_address_addressLocality":1272,"raw_hiringOrganization_logo_url":13,"raw_description":1273},64527,"claims-examiner-workers-compensation-jurisdiction-tx-amp-ok-licensing-tx-amp-ok-required-sedgwick-claims-management-services-inc","Claims Examiner - Workers Compensation | Jurisdiction: TX & OK | Licensing: TX & OK Required","Plano, TX - Tennyson - 6100","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 Compensation | Jurisdiction: TX & OK | Licensing: TX & OK 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? 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 analyze Workers Compensation 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 5 years of claims management experience or equivalent combination of education and experience required. Licensing \u002F Jurisdiction Knowledge: TX, OK TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Opportunity to work in an agile environment. 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, travel as required Auditory\u002FVisual: Hearing, vision and talking #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. 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",{"id":1275,"slug":1276,"title":821,"location":13,"raw_job_location_address_addressLocality":1277,"raw_hiringOrganization_logo_url":13,"raw_description":1278},64528,"field-case-manager-sedgwick-claims-management-services-inc-4","Philadelphia, PA - Market - 1818","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 Field Case Manager This Field Case Manager will cover our Philidelphia, PA and surrounding areas along with Cherry Hill, NJ and must live in this area in order to be considered. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; through advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face-to-face interaction with injured workers and medical professionals. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure preferred; or bachelor’s degree in health or human services field required with one of the following certifications: CCM, CDMS, or CRC. Valid driver’s license required. High speed internet required. Employment may be contingent upon successful completion of a motor vehicle record (MVR) check, where job related. 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\u002FVisual: Hearing, vision and talking TAKING CARE OF YOU BY Offering a blended work environment. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer a diverse and comprehensive benefits package including: Three Medical, and two dental plans to choose from. Tuition reimbursement eligible. 401K plan that matches 50% on every $ you put in up to the first 6% you save. 4 weeks PTO your first full year. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #fieldcasemanager 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 $85,000-$88,000. Quarterly Bonus 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. 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",{"id":1280,"slug":1281,"title":272,"location":13,"raw_job_location_address_addressLocality":866,"raw_hiringOrganization_logo_url":13,"raw_description":802},87282,"disability-representative-sr-sedgwick-claims-management-services-inc-39",{"id":1283,"slug":1284,"title":1285,"location":13,"raw_job_location_address_addressLocality":1286,"raw_hiringOrganization_logo_url":13,"raw_description":1287},64530,"claims-representative-iap-workers-compensation-training-program-rancho-cordova-ca-sedgwick-claims-management-services-inc","Claims Representative (IAP) - Workers Compensation Training Program | Rancho Cordova, CA","Rancho Cordova, CA - Data","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 Representative (IAP) - Workers Compensation Training Program | Rancho Cordova, CA Are you looking for an impactful job that offers an opportunity to develop a professional career? A stable and consistent work environment in an office setting. A training program to learn how to investigate and resolve complex situations for employees and customers from some of the world’s most reputable brands. 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 including medical, dental, vision & 401k. PRIMARY PURPOSE OF THE ROLE: To be oriented and trained as a new industry professional. This role begins with a comprehensive 4-week concept-based learning and professional training program, followed by a dedicated onboarding experience before entering the on-the-job phase. You will be assigned a mentor and manager that will support and guide you on your career journey and be equipped with the foundational skills needed for a successful career in claims adjusting. While in the program, you’ll have the opportunity to grow and advance within the industry. Next Class Date: 10\u002F12\u002F26 Location: Rancho Cordova, CA ARE YOU AN IDEAL CANDIDATE? We are seeking enthusiastic and service-oriented individuals for an entry-level trainee position who are: Strong Communicators Empathetic Multi-Taskers Accountable Structured Thinkers Ambitious Agile Learners Team Collaborators ESSENTIAL RESPONSIBLITIES INCLUDE Attendance and completion of designated claims professional training program. Adjusting various levels of workers’ compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim. Communicating effectively with injured workers, insureds\u002Femployers, medical providers, attorneys and carrier representatives, primarily through telephonic, video conference and email. Thoroughly investigating new and existing claims by gathering relevant information including medical records, employer reports, and witness statements. Investigating employer\u002Femployee relationships, policy verification, coverage and any potential for subrogation issues or fraud indicators. Determining coverage, compensability and appropriate benefits in accordance with jurisdictional guidelines and carrier program requirements. Documenting claims files and properly coding claim activity. Preparing detailed reports documenting findings and recommendations. Administering claim benefits i.e., indemnity and medical benefits, through maintenance of calendared claim-related action items, ensuring state compliance. Participating in virtual and\u002For in-person meetings, claim reviews and business functions as needed for educational training, claim discussions and various meetings. QUALIFICATIONS Education Requirement – High School Diploma or GED. Bachelor's degree preferred and 2 years of customer service experience and\u002For combination of education and experience. 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\u002FVisual: 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 $27.69. 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. #claims #entrylevel 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",{"id":1289,"slug":1290,"title":1291,"location":13,"raw_job_location_address_addressLocality":1286,"raw_hiringOrganization_logo_url":13,"raw_description":1292},64531,"iap-workers-compensation-rancho-cordova-sedgwick-claims-management-services-inc","IAP - Workers Compensation - Rancho Cordova","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 IAP - Workers Compensation - Rancho Cordova Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career? A stable and consistent work environment in an office setting. A training program to learn how to investigate and resolve complex situations for employees and customers from some of the world’s most reputable brands. 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 including medical, dental, vision & 401k. PRIMARY PURPOSE OF THE ROLE: To be oriented and trained as a new industry professional. This role begins with a comprehensive 4-week concept-based learning and professional training program, followed by a dedicated onboarding experience before entering the on-the-job phase. You will be assigned a mentor and manager that will support and guide you on your career journey and be equipped with the foundational skills needed for a successful career in claims adjusting. While in the program, you’ll have the opportunity to grow and advance within the industry. Next Class Date: October 12, 2026 Location: IN-OFFICE Rancho Cordova, CA ARE YOU AN IDEAL CANDIDATE? We are seeking enthusiastic and service-oriented individuals for an entry-level trainee position who are: Strong Communicators Empathetic Multi-Taskers Accountable Structured Thinkers Ambitious Agile Learners Team Collaborators ESSENTIAL RESPONSIBLITIES INCLUDE Attendance and completion of designated claims professional training program. Adjusting various levels of workers’ compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim. Communicating effectively with injured workers, insureds\u002Femployers, medical providers, attorneys and carrier representatives, primarily through telephonic, video conference and email. Thoroughly investigating new and existing claims by gathering relevant information including medical records, employer reports, and witness statements. Investigating employer\u002Femployee relationships, policy verification, coverage and any potential for subrogation issues or fraud indicators. Determining coverage, compensability and appropriate benefits in accordance with jurisdictional guidelines and carrier program requirements. Documenting claims files and properly coding claim activity. Preparing detailed reports documenting findings and recommendations. Administering claim benefits i.e., indemnity and medical benefits, through maintenance of calendared claim-related action items, ensuring state compliance. Participating in virtual and\u002For in-person meetings, claim reviews and business functions as needed for educational training, claim discussions and various meetings. QUALIFICATIONS Education Requirement – High School Diploma or GED. Bachelor's degree preferred and 2 years of customer service experience and\u002For combination of education and experience. 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\u002FVisual: 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 $27.69\u002Fhr. 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",{"id":1294,"slug":1295,"title":641,"location":13,"raw_job_location_address_addressLocality":1296,"raw_hiringOrganization_logo_url":13,"raw_description":1297},64532,"rn-field-case-manager-sedgwick-claims-management-services-inc-9","Raleigh, NC - Plaza","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 RN Field Case Manager This Field Case Manger will cover our Raleigh, NC region and must live in this area in order to be considered. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face to face interaction with injured workers and medical professionals. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure required. Valid driver’s license required. High speed internet required. Employment may be contingent upon successful completion of a motor vehicle record (MVR) check. 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\u002FVisual: Hearing, vision and talking TAKING CARE OF YOU BY Offering a blended work environment. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer a diverse and comprehensive benefits package including: Three Medical, and two dental plans to choose from. Tuition reimbursement eligible. 401K plan that matches 50% on every $ you put in up to the first 6% you save. 4 weeks PTO your first full year. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #fieldcasemanager 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",{"id":1299,"slug":1300,"title":361,"location":13,"raw_job_location_address_addressLocality":1286,"raw_hiringOrganization_logo_url":13,"raw_description":1301},64533,"workers-compensation-claims-examiner-sedgwick-claims-management-services-inc","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 Examiner 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? Seeking a seasoned California Workers Compensation Examiner who values strong client partnerships, enjoys a reasonable caseload, and works within a well‑managed intake environment. OFFICE LOCATIONS Rancho Cordova, CA (Hybrid - 2 days onsite) San Diego, CA (Hybrid - 2 days onsite) 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 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. Coordinates vendor referrals for additional investigation and\u002For 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. QUALIFICATION 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. Licensing \u002F Jurisdiction Knowledge: California jurisdictional knowledge required; SIP required or must be obtained within one (1) year of employment. 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 $80,000 - $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. #Claims #ClaimsExaminer #Hybrid #LI-Hybrid #LI-Remote #LI-AM1 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",{"id":332,"slug":333,"title":272,"location":13,"raw_job_location_address_addressLocality":866,"raw_hiringOrganization_logo_url":13,"raw_description":802},{"id":1304,"slug":1305,"title":892,"location":13,"raw_job_location_address_addressLocality":866,"raw_hiringOrganization_logo_url":13,"raw_description":1306},87284,"workforce-absence-payroll-coordinator-sedgwick-claims-management-services-inc-3","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 Workforce Absence Payroll Coordinator PRIMARY PURPOSE: To process payroll actions based on changes in leave status; to ensure the accurate and timely entry of data; and to support delivery of the highest quality of customer service as a point of contact for internal and external customers and clients. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Ensures data integrity by accurately interpreting the leave and disability claims data coding hierarchy and applying the correct leave and disability codes into the payroll and time and attendance system. Review reports for claim accuracy; processes and balances colleague time card file based on client's paid time off policy. Responds to inquiries from Human Resources and internal business partners regarding plan provisions and administrative procedures Assists department in evaluating results of absence programs and best practices in absence administration. Assists management with special projects as assigned. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing Bachelor’s degree with business or computer related courses from an accredited university or college preferred. Experience Two (2) years of administrative support experience or equivalent combination of education and experience required. Human Resources\u002FPayroll experience preferred. Skills & Knowledge Working knowledge of leave of absence, workers' compensation, and disability leave regulations Oral and written communication 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\u002FVisual: 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",{"id":1308,"slug":1309,"title":1310,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":1312},64536,"claims-examiner-workers-compensation-i-ne-jurisdictions-i-remote-sedgwick-claims-management-services-inc","Claims Examiner Workers Compensation I NE Jurisdictions I Remote","Recruiting Only - Telecommuter","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 Compensation I NE Jurisdictions I 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 workers compensation examiner 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. 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. ARE YOU AN IDEAL CANDIDATE? To analyze workers compensation 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. ESSENTIAL RESPONSIBLITIES 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: 5 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. Licensing \u002F Jurisdiction Knowledge: NJ, PA, VT, NH, MA, CT, DE, RI, ME TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Opportunity to work in an agile environment. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. Work environment requirements for entry-level opportunities include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 $63,404 - $90,000\u002Fyr. 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. 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",{"id":1314,"slug":1315,"title":1316,"location":13,"raw_job_location_address_addressLocality":866,"raw_hiringOrganization_logo_url":13,"raw_description":1317},87285,"workforce-absence-team-lead-claims-assistant-team-sedgwick-claims-management-services-inc","Workforce Absence Team Lead - Claims Assistant Team","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 Workforce Absence Team Lead - Claims Assistant Team PRIMARY PURPOSE: To supervise the operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor individual claim activities; to provide technical\u002Fjurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims within the teams including frequent diaries on complex or high exposure claims. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Supervises multiple teams of examiners and\u002For several technical operations colleagues for a wide span of control; may delegate some duties to others within the unit. Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. Provides technical\u002Fjurisdictional direction to examiner reports on claims adjudication. Compiles, reviews, and analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal. Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner. Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client. Assures that direct reports are properly licensed in the jurisdictions serviced. Ensures claims files are coded correctly and adequate documentation is made by claims examiners. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred. Experience Six (6) years of claims experience or equivalent combination of education and experience required. Two (2) years of claims supervisory experience preferred. Skills & Knowledge Thorough knowledge of claims management procedures and processes for disability Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership\u002Fmanagement\u002Fmotivational skills 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\u002FVisual: 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",{"id":1319,"slug":1320,"title":272,"location":13,"raw_job_location_address_addressLocality":902,"raw_hiringOrganization_logo_url":13,"raw_description":1321},87286,"disability-representative-sr-sedgwick-claims-management-services-inc-41","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 Disability Representative Sr PRIMARY PURPOSE: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed. Determines benefits due pursuant to a disability plan, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases to team lead and clinical case management for additional review when appropriate. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Ability to manage ambiguity Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement autonomously within established procedures 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 $23.00 - $25.00 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",{"id":1323,"slug":1324,"title":1325,"location":13,"raw_job_location_address_addressLocality":902,"raw_hiringOrganization_logo_url":13,"raw_description":1326},87287,"claims-adjuster-liability-gl-bi-pd-multistate-jurisdiction-home-state-license-preferred-sedgwick-claims-management-services-inc","Claims Adjuster - Liability | GL, BI, PD | Multistate Jurisdiction | Home State License 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 Adjuster - Liability | GL, BI, PD | Multistate Jurisdiction | Home State License Preferred 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? 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.  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 analyze complex or technically general liability, bodily injury, auto and property damage 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 RESPONSIBLITIES 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: 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. Experience: 4 years of claims management experience or equivalent combination of education and experience required. Licensing: Home state preferred Jurisdiction Knowledge: Multi State TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Opportunity to work in an agile environment. 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, travel as required Auditory\u002FVisual: 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 ($55k-62k). 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. 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",{"id":344,"slug":345,"title":272,"location":13,"raw_job_location_address_addressLocality":902,"raw_hiringOrganization_logo_url":13,"raw_description":1328},"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 Disability Representative Sr PRIMARY PURPOSE: To provide disability case management and claim determinations based on complex medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims; coordinating investigative efforts, thoroughly reviewing contested claims, negotiating return to work with or without job accommodations, and evaluating and arranging appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Analyzes, approves and authorizes assigned claims and determines benefits due pursuant to a disability plan. Reviews and analyzes complex medical information (i.e. diagnostic tests, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians). Communicates with the claimants providers to set expectations regarding return to work. Determines benefits due, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Medically manages disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly with claimant and client on all aspects of claims process either by phone and\u002For written correspondence. Informs claimants of documentation required to process claims, required time frames, payment information and claims status either by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimants physician and employer. Refers cases as appropriate to team lead and clinical case management. Maintains professional client relationships. 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 university or college preferred. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience required. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Ability to work in a team environment Excellent negotiation skills 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\u002FVisual: 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. 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 $25.00 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",{"id":1330,"slug":1331,"title":1332,"location":13,"raw_job_location_address_addressLocality":1333,"raw_hiringOrganization_logo_url":13,"raw_description":1334},64541,"claims-representative-iap-workers-compensation-training-program-riverside-ca-sedgwick-claims-management-services-inc","Claims Representative (IAP) - Workers Compensation Training Program | Riverside, CA","Riverside, CA - Iowa","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 Representative (IAP) - Workers Compensation Training Program | Riverside, CA Are you looking for an impactful job that offers an opportunity to develop a professional career? A stable and consistent work environment in an office setting. A training program to learn how to investigate and resolve complex situations for employees and customers from some of the world’s most reputable brands. 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 including medical, dental, vision & 401k. PRIMARY PURPOSE OF THE ROLE: To be oriented and trained as a new industry professional. This role begins with a comprehensive 4-week concept-based learning and professional training program, followed by a dedicated onboarding experience before entering the on-the-job phase. You will be assigned a mentor and manager that will support and guide you on your career journey and be equipped with the foundational skills needed for a successful career in claims adjusting. While in the program, you’ll have the opportunity to grow and advance within the industry. Next Class Date: 10\u002F12\u002F26 Location: Riverside, CA - Onsite ARE YOU AN IDEAL CANDIDATE? We are seeking enthusiastic and service-oriented individuals for an entry-level trainee position who are: Strong Communicators Empathetic Multi-Taskers Accountable Structured Thinkers Ambitious Agile Learners Team Collaborators ESSENTIAL RESPONSIBLITIES INCLUDE Attendance and completion of designated claims professional training program. Adjusting various levels of workers’ compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim. Communicating effectively with injured workers, insureds\u002Femployers, medical providers, attorneys and carrier representatives, primarily through telephonic, video conference and email. Thoroughly investigating new and existing claims by gathering relevant information including medical records, employer reports, and witness statements. Investigating employer\u002Femployee relationships, policy verification, coverage and any potential for subrogation issues or fraud indicators. Determining coverage, compensability and appropriate benefits in accordance with jurisdictional guidelines and carrier program requirements. Documenting claims files and properly coding claim activity. Preparing detailed reports documenting findings and recommendations. Administering claim benefits i.e., indemnity and medical benefits, through maintenance of calendared claim-related action items, ensuring state compliance. Participating in virtual and\u002For in-person meetings, claim reviews and business functions as needed for educational training, claim discussions and various meetings. QUALIFICATIONS Education Requirement – High School Diploma or GED. Bachelor's degree preferred and 2 years of customer service experience and\u002For combination of education and experience. 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\u002FVisual: 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 $27.69\u002Fhr. 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. #claims #entrylevel 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",{"id":1336,"slug":1337,"title":416,"location":13,"raw_job_location_address_addressLocality":902,"raw_hiringOrganization_logo_url":13,"raw_description":1338},87289,"workforce-absence-team-lead-sedgwick-claims-management-services-inc-8","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 Workforce Absence Team Lead PRIMARY PURPOSE: To supervise the operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor individual claim activities; to provide technical\u002Fjurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims within the teams including frequent diaries on complex or high exposure claims. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Supervises multiple teams of examiners and\u002For several technical operations colleagues for a wide span of control; may delegate some duties to others within the unit. Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. Provides technical\u002Fjurisdictional direction to examiner reports on claims adjudication. Compiles, reviews, and analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal. Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner. Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client. Assures that direct reports are properly licensed in the jurisdictions serviced. Ensures claims files are coded correctly and adequate documentation is made by claims examiners. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred. Experience Six (6) years of claims experience or equivalent combination of education and experience required. Two (2) years of claims supervisory experience preferred. Skills & Knowledge Thorough knowledge of claims management procedures and processes for disability Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership\u002Fmanagement\u002Fmotivational skills 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\u002FVisual: 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 $68,000 USD annual salary, $1,000 SIPP bonus eligibility. 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",{"id":1340,"slug":1341,"title":1342,"location":13,"raw_job_location_address_addressLocality":1343,"raw_hiringOrganization_logo_url":13,"raw_description":1344},64543,"claims-examiner-workers-compensation-sedgwick-claims-management-services-inc","Claims Examiner - Workers Compensation","Roseville, CA - Creekside Ridge","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 Compensation | Roseville, CA 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're looking for a claims professional with California workers' compensation experience who enjoys solving complex problems and delivering outstanding service. The ideal candidate has experience handling litigated and high-exposure claims, understands California jurisdictional requirements, and can confidently manage claims through investigation, benefit determination, settlement negotiation, and resolution. WORK LOCATIONS This role requires availability during Pacific Time Zone business hours. See posting for eligible locations. PRIMARY PURPOSE OF THE ROLE To analyze complex or technically difficult California 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 RESPONSIBLITIES MAY INCLUDE 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. Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner. 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 workers compensation claims management experience or equivalent combination of education and experience required. Licensing \u002F Jurisdiction Knowledge: California jurisdictional knowledge required; SIP required or must be obtained within one year of hire date. 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\u002FVisual: 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 $80,000 - $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. #Claims #ClaimsExaminer #LI-Remote 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",{"id":1346,"slug":1347,"title":1348,"location":13,"raw_job_location_address_addressLocality":1343,"raw_hiringOrganization_logo_url":13,"raw_description":1349},64545,"claims-representative-iap-workers-compensation-training-program-roseville-ca-sedgwick-claims-management-services-inc","Claims Representative (IAP) - Workers Compensation Training Program | Roseville, CA","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 Representative (IAP) - Workers Compensation Training Program | Roseville, CA Are you looking for an impactful job that offers an opportunity to develop a professional career? A stable and consistent work environment in an office setting. A training program to learn how to investigate and resolve complex situations for employees and customers from some of the world’s most reputable brands. 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 including medical, dental, vision & 401k. PRIMARY PURPOSE OF THE ROLE: To be oriented and trained as a new industry professional. This role begins with a comprehensive 4-week concept-based learning and professional training program, followed by a dedicated onboarding experience before entering the on-the-job phase. You will be assigned a mentor and manager that will support and guide you on your career journey and be equipped with the foundational skills needed for a successful career in claims adjusting. While in the program, you’ll have the opportunity to grow and advance within the industry. Next Class Date: 10\u002F12\u002F26 Location: Roseville, CA - Onsite ARE YOU AN IDEAL CANDIDATE? We are seeking enthusiastic and service-oriented individuals for an entry-level trainee position who are: Strong Communicators Empathetic Multi-Taskers Accountable Structured Thinkers Ambitious Agile Learners Team Collaborators ESSENTIAL RESPONSIBLITIES INCLUDE Attendance and completion of designated claims professional training program. Adjusting various levels of workers’ compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim. Communicating effectively with injured workers, insureds\u002Femployers, medical providers, attorneys and carrier representatives, primarily through telephonic, video conference and email. Thoroughly investigating new and existing claims by gathering relevant information including medical records, employer reports, and witness statements. Investigating employer\u002Femployee relationships, policy verification, coverage and any potential for subrogation issues or fraud indicators. Determining coverage, compensability and appropriate benefits in accordance with jurisdictional guidelines and carrier program requirements. Documenting claims files and properly coding claim activity. Preparing detailed reports documenting findings and recommendations. Administering claim benefits i.e., indemnity and medical benefits, through maintenance of calendared claim-related action items, ensuring state compliance. Participating in virtual and\u002For in-person meetings, claim reviews and business functions as needed for educational training, claim discussions and various meetings. QUALIFICATIONS Education Requirement – High School Diploma or GED. Bachelor's degree preferred and 2 years of customer service experience and\u002For combination of education and experience. 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\u002FVisual: 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 $27.69\u002Fhr. 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. #claims #entrylevel 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",{"id":1351,"slug":1352,"title":1353,"location":13,"raw_job_location_address_addressLocality":1343,"raw_hiringOrganization_logo_url":13,"raw_description":1354},64546,"general-adjuster-sedgwick-claims-management-services-inc","General Adjuster","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 General Adjuster PRIMARY PURPOSE: To investigate claims against insurance or other companies for personal, casualty, or property loss or damages; attempts to effect out-of-court settlement with claimant. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Handles complex losses locally unassisted up to designated authority; assists on larger losses, including handling accounting-based losses (business interruption and stock) Examines claim form and other records to determine insurance coverage. Interviews, telephones, or corresponds with claimant and witnesses regarding claim. Consults police and hospital records; and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance. Estimates cost of repair, replacement, or compensation. Prepares report of findings and negotiates settlement with claimant. Recommends litigation by legal department when settlement cannot be negotiated. Attends litigation hearings. Revises case reserves in assigned claims files to cover probable costs. Assists in preparing loss experience report to help determine profitability and calculates adequate future rates. 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. Must have earned the IIA-AIC designation and be actively pursuing another professional insurance designation. Appropriate state adjuster license is required. Experience Five (5) years of related experience or equivalent combination of education and experience required. Skills & Knowledge Strong oral and written communication, including presentation skills PC literate, including Microsoft Office products Demonstrated commitment to timely reporting Strong customer service skills Strong interpersonal skills Attention to detail and accuracy Good time management and organizational skills Ability to work independently or 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: Must be able to stand and\u002For walk for long periods of time. Must be able to kneel, squat or bend. Must be able to work outdoors in hot and\u002For cold weather conditions. Have the ability to climb, crawl, stoop, kneel, reaching\u002Fworking overhead Be able to lift\u002Fcarry up to 50 pounds Be able to push\u002Fpull up to 100 pounds Be able to drive up to 4 hours per day. Must have continual use of manual dexterity. Auditory\u002FVisual: 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 $75-$100k). 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. We are always accepting applications. 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",{"id":1356,"slug":1357,"title":1358,"location":13,"raw_job_location_address_addressLocality":1343,"raw_hiringOrganization_logo_url":13,"raw_description":1359},64547,"workers-compensation-claims-adjuster-hybrid-sedgwick-claims-management-services-inc","Workers Compensation - Claims Adjuster | HYBRID","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 Adjuster | HYBRID PRIMARY PURPOSE: To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency. Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments. Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract. Manages subrogation of claims and negotiates settlements. Communicates claim action with claimant and client. Ensures claim files are properly documented and claims coding is correct. May process complex lifetime medical and\u002For defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review. Maintains professional client relationships. 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 Three (3) years of claims management experience or equivalent combination of education and experience required. Licensing \u002F Jurisdiction Knowledge: California workers' compensation claims experience required | SIP Preferred 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\u002FVisual: 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 $65,000 - $80,000\u002Fyr. 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 #claimsadjuster #claims #hybrid 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",{"id":1361,"slug":1362,"title":1363,"location":13,"raw_job_location_address_addressLocality":1343,"raw_hiringOrganization_logo_url":13,"raw_description":1364},64548,"workers-compensation-claims-examiner-bonus-eligible-roseville-or-long-beach-ca-sedgwick-claims-management-services-inc","Workers Compensation Claims Examiner | Bonus Eligible | Roseville or Long Beach, CA","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 Examiner | Bonus Eligible | Roseville or Long Beach, CA 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. OFFICE LOCATIONS Long Beach or Roseville, California (2 days in-office, 3 days remote) PRIMARY PURPOSE OF THE ROLE: To analyze workers' compensation 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. ESSENTIAL RESPONSIBLITIES 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: 5 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. Licensing \u002F Jurisdiction Knowledge: California workers' compensation claims experience required | SIP 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 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\u002FVisual: 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 $80,000-$100,000\u002Fyr. 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 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",{"id":392,"slug":393,"title":394,"location":13,"raw_job_location_address_addressLocality":939,"raw_hiringOrganization_logo_url":13,"raw_description":1366},"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 Office Assistant | El Dorado Hills, CA - 100% On-Site Office Assistant 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? 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. 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: On-site at our El Dorado Hills, CA office ESSENTIAL RESPONSIBLITIES MAY INCLUDE Answers and directs telephone calls as required. Conducts computer data entry and processing; documents claim files in the system correctly. Prepares spreadsheets and documents in software applications. Orders and manages office supplies. Inventories and maintain stationary supplies. Sends overnight and messenger outgoing mail. Processes returned letters and unidentified mail. Transmits facsimiles. Prints reports and documents. Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing High school diploma or GED required. Experience Six (6) months clerical experience or equivalent combination of experience and education preferred. Skills & Knowledge Good oral and written communication PC literate, including Microsoft Office products Strong organizational skills Good interpersonal skills Ability to work in a team environment Ability to meet or exceed Performance Competencies TAKING CARE OF YOU 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, [travel as required (leave travel statement only if applicable)] Auditory\u002FVisual: Hearing, vision and talking NOTE  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 ($14.14 - $19.79). 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",{"id":1368,"slug":1369,"title":1370,"location":13,"raw_job_location_address_addressLocality":1343,"raw_hiringOrganization_logo_url":13,"raw_description":1371},64550,"workers-compensation-claims-examiner-long-beach-ca-or-roseville-ca-sedgwick-claims-management-services-inc","Workers Compensation Claims Examiner | Long Beach, CA or Roseville, CA","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 Examiner | Long Beach, CA or Roseville, CA 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. OFFICE LOCATIONS: Long Beach or Roseville, California (2 days in-office, 3 days remote) PRIMARY PURPOSE OF THE ROLE: To analyze workers' compensation 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. ESSENTIAL RESPONSIBLITIES 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: 5 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. Licensing \u002F Jurisdiction Knowledge: California workers' compensation claims experience required | SIP 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 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\u002FVisual: 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 $80,000-$100,000\u002Fyr. 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 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",{"id":294,"slug":295,"title":296,"location":13,"raw_job_location_address_addressLocality":952,"raw_hiringOrganization_logo_url":13,"raw_description":1373},"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 Intake Data Entry Location: Elgin, IL. Hours: 9am-5:30pm and 10:30am-7pm PRIMARY PURPOSE: To provide excellent service confirming appropriate data administration for claim handling. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Confirm data for appropriate administration purposes. Audit data for appropriate administration purposes. Make and respond to phone calls as necessary to further aid with data accuracy and claim handling. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Perform tasks based on the needs of the company or differing situations. QUALIFICATIONS Education & Licensing High school diploma or GED required. Experience One (1) year customer service experience or equivalent combination of education and experience required. Inbound call center experience preferred. Skills & Knowledge Excellent verbal and written communication skills PC literate, including Microsoft Office products, Windows environment; as well as a variety of in-house databases. Must meet minimum typing requirements (35 WPM). Strong organizational skills Ability to apply logic to interpret information and make sound decisions. Ability to multitask in fast paced environment. Ability to work in a team environment and\u002For independently. Ability to meet or exceed Performance Competencies Ability to meet all attendance expectations. Responsibility and ownership to ensure callers receive the highest possible customer experience. Resilience in changing situations. A can-do attitude! 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\u002FVisual: 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 17.00. 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",{"id":1375,"slug":1376,"title":1377,"location":13,"raw_job_location_address_addressLocality":1343,"raw_hiringOrganization_logo_url":13,"raw_description":1378},64552,"workers-compensation-claims-team-lead-roseville-ca-or-long-beach-ca-sedgwick-claims-management-services-inc","Workers Compensation Claims Team Lead | Roseville, CA or Long Beach, CA,","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 Team Lead | Roseville, CA or Long Beach, CA, 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? 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. OFFICE LOCATIONS: HYBRID - Long Beach, CA or Roseville, CA PRIMARY PURPOSE OF THE ROLE: Oversees multiple teams of examiners and technical staff handling workers compensation claims for clients. Manages workloads, provides training, and monitors individual claim activities. Offers technical and jurisdictional guidance on claims adjudication and maintains regular diaries, especially for complex or high-exposure case. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Supervises multiple teams of examiners and technical operations colleagues, delegating duties as needed and ensuring proper licensing and documentation standards. Provides technical and jurisdictional guidance on claims adjudication, including quality reviews and reserve evaluations for high-cost or complex claims. Acts as a second-level appeal authority for client and claimant issues, implementing final decisions. Identifies trends, issues, and opportunities for process improvement; advises management and coordinates related projects. Monitors third-party and sensitive claims, including litigated and vocational rehabilitation cases. Maintains professional client relationships, offering recommendations and written summaries as needed. Ensures accurate claim coding and documentation by examiners. QUALIFICATIONS Education & Licensing: 6 years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience. 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. Licensing \u002F Jurisdiction Knowledge: SIP & California Workers Compensation claims handling 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. 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\u002FVisual: 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 $105,000-115,000K\u002Fyr. 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. #claims #claimsteamlead #supervisor 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",{"id":1380,"slug":1381,"title":296,"location":13,"raw_job_location_address_addressLocality":952,"raw_hiringOrganization_logo_url":13,"raw_description":1373},87293,"intake-data-entry-sedgwick-claims-management-services-inc-2",{"id":1383,"slug":1384,"title":641,"location":13,"raw_job_location_address_addressLocality":1385,"raw_hiringOrganization_logo_url":13,"raw_description":1386},87294,"rn-field-case-manager-sedgwick-claims-management-services-inc-13","Chantilly, VA - Daly","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 RN Field Case Manager This Field Case Manager will cover our Northern Virginia region: Fairfax\u002FChantilly, Washington, DC and surrounding areas and MUST live in this area in order to be considered. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face to face interaction with injured workers and medical professionals. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure required. Valid driver’s license required. High speed internet required. Employment may be contingent upon successful completion of a motor vehicle record (MVR) check, where job related. 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\u002FVisual: Hearing, vision and talking TAKING CARE OF YOU BY Offering a blended work environment. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer a diverse and comprehensive benefits package including: Three Medical, and two dental plans to choose from. Tuition reimbursement eligible. 401K plan that matches 50% on every $ you put in up to the first 6% you save. 4 weeks PTO your first full year. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #fieldcasemanager 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 $83,000-$90,000 - quarterly bonus 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. 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",{"id":1388,"slug":1389,"title":1390,"location":13,"raw_job_location_address_addressLocality":1025,"raw_hiringOrganization_logo_url":13,"raw_description":1391},87295,"communications-coordinator-sedgwick-claims-management-services-inc","Communications Coordinator","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 Communications Coordinator Primary Purpose of the Role: Ensure accuracy, compliance with quality standards, and on-time delivery of daily client service projects involving kit fulfillment and communication materials. Key Responsibilities: Conduct quality checks on communication materials and fulfillment packages to ensure they meet established standards. Review and proofread materials for accuracy, branding, and messaging consistency. Coordinate internal communications across multiple platforms. Maintain records of audits, approvals, and quality checks. Monitor shared inboxes and ensure timely responses (including Sedgwick communications). Track daily operational tasks and follow up to ensure completion. Collaborate with cross-functional teams to meet deadlines and improve processes. Participate in brainstorming sessions and team meetings to support project success. Qualifications: Quality Assurance experience preferred. Education: Quality Assurance, Associate’s or Bachelor’s degree in Communications, Business Administration, Operations Management preferred. Experience: 2+ years of relevant experience or equivalent education. Corporate\u002FOffice environment experience preferred. Proficiency in Microsoft Office required; SharePoint experience preferred. Familiarity with quality standards (e.g., CFR, ISO 9001). Strong attention to detail and ability to manage multiple priorities in a fast-paced setting. Skills: Excellent written and verbal communication. Strong organizational and time management skills. Knowledge of quality assurance practices and process auditing. Ability to work independently and collaboratively. 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",{"id":1393,"slug":1394,"title":1395,"location":13,"raw_job_location_address_addressLocality":1396,"raw_hiringOrganization_logo_url":13,"raw_description":1397},64563,"general-counsel-outside-litigation-public-entity-pooling-northern-california-sedgwick-claims-management-services-inc","General Counsel Outside Litigation | Public Entity Pooling | Northern California","Sacramento, CA - Creekside Oaks","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 Litigation Counsel | Public Entity Pooling | Hybrid Are you looking for an opportunity to join a close-knit collaborative team working for a global industry leader? Enjoy flexibility and autonomy in your daily work, your location, and your career path. ARE YOU AN IDEAL CANDIDATE? Do you bring 8+ years of experience collaborating with outside counsel and claims examiners to oversee litigated claims? If you’re an experienced litigator with superior presentation and diplomatic skills, this is an opportunity to work in a collaborative, non-adversarial role environment, working with outside counsel in the strategic planning and facilitating the defense of public entities in Northern California. You’ll work with various municipality officials, third-party administrators, and Sedgwick colleagues on pooled risk liability programs. You’ll be the risk pool representative at mediations and settlement conferences, controlling negotiation strategy. WORK LOCATIONS This role may be open to a remote setting in Northern California only. Travel required in San Francisco Bay Area PRIMARY PURPOSE OF THE ROLE: The Designated Litigation Manager acts as the pool client representative, oversees the pool’s liability program, ensures the application of management principles to the litigation process, and to Sedgwick pools' use of outside counsel. The role is responsible for strategy, planning, controlling, organizing, implementing, oversight, and monitoring in the context of legal services and related costs. ESSENTIAL RESPONSIBILITIES MAY INCLUDE Analyzes inquiries and provides guidance related to memorandums of coverage, risk transfer, the litigation process, case strategy, and additional covered parties’ issues Reviews member contracts submitted to pool administration, prepares presentations on claims and issues of interest for meetings and\u002For strategic planning. Attends member meetings and introductions, addresses concerns involving members, third-party administrator (TPA) or case development. Provides training materials and presentations for members and trainings, and coordinates with pool administrator on cases, claims, and messaging. Oversees the pool’s liability program. Represents the pool in liability matters by participating in litigation proceedings as the representative of the pool; attends mock trials, focus groups, mediations, settlement conferences, and trials. Prepares claim processing instructions for use by TPA, prepares and revises policies as necessary, conducts quarterly file reviews with TPA, and provides feedback to TPA on claim handling concerns. Reviews TPA recommendations on government claim actions, provides direction and recommendations on government claim responses; monitors TPA for compliance with TPA’s contractual obligations, and annual memorandum of coverage (MOC) review. Reviews monthly financial and\u002For litigation reports from TPA, conducts annual review of defense panel, updates defense panel, communicates with admin team regarding various litigation management\u002FMOC\u002Fmember issues; responds to audits. Attends meetings of the pool’s committees related to claims matters, litigation and MOC, attends meetings of the pool’s board of directors, and attends meetings of the pool’s committees related to claims, oversight, or governance. Ensures application of management principles to the litigation process and the use of outside counsel. Responsible for the early assignment of defense counsel (DC) to high-exposure incidents upon notification and notification to board and pool administration of potential high-exposure losses; coordinates with member, TPA, reinsurers, excess carriers, and defense counsel on strategy and experts. Reviews information to evaluate cases, including police and investigation reports; receives and reviews incoming Defense Counsel status reports; communicates with defense counsel and prepares communications regarding further strategy. Receives and reviews pleadings\u002Fdiscovery; research and reviews available tools for valuation, recommends consultants, assess alternative dispute resolution options, determines desired course of action for case disposition. Manages the pool’s litigation and legal claims via prelitigation management and the management of litigated matters. Performs preliminary review of new matters for coverage and coordination with coverage or board counsel. Reviews litigation budget and initial reserves. Presentation and discussion of case-specific information to the pool’s applicable committee or board for informational purposes, or to obtain settlement authority or approval; provide strategic direction and decision-making at trial when required; monitor trials and provide feedback and recommendations to trial counsel. Position Approval: Appointment to position of Litigation Manager pursuant to the Pool’s governing documents. QUALIFICATIONS Education & Licensing: Eight (8) years of related experience or equivalent combination of education and experience required. Juris Doctor (JD) from an accredited college or university required. Current license(s) to practice law in the pool’s jurisdiction or jurisdiction(s). Skills & Knowledge Knowledge of the litigation and trial process in the pool’s jurisdiction Working knowledge of discovery process, evidentiary rules, and civil procedure Sufficient knowledge to assess the performance of counsel at trial 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 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- 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: Sit for extended periods (up to eight hours) in non-office settings (such as courtroom galleries) computer keyboarding, travel as required Auditory\u002FVisual: 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 $150,000 to $185,000 USD Annual Salary. Bonus eligible role. 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. 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-HYBRID #attorney #counsel #litigatedclaims 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",{"id":1399,"slug":1400,"title":1401,"location":13,"raw_job_location_address_addressLocality":1402,"raw_hiringOrganization_logo_url":13,"raw_description":1403},64566,"field-case-management-sedgwick-claims-management-services-inc","Field Case Management","Salt Lake City, UT - 4800","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 Field Case Management This Field Case Manager will cover our Salt Lake City, UT region and must live in this area in order to be considered. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; through advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face-to-face interaction with injured workers and medical professionals. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure preferred; or bachelor’s degree in health or human services field required with one of the following certifications: CCM, CDMS, or CRC. Valid driver’s license required. High speed internet required. Employment may be contingent upon successful completion of a motor vehicle record (MVR) check, where job related. 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\u002FVisual: Hearing, vision and talking TAKING CARE OF YOU BY Offering a blended work environment. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer a diverse and comprehensive benefits package including: Three Medical, and two dental plans to choose from. Tuition reimbursement eligible. 401K plan that matches 50% on every $ you put in up to the first 6% you save. 4 weeks PTO your first full year. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #fieldcasemanager 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",{"id":1405,"slug":1406,"title":1342,"location":13,"raw_job_location_address_addressLocality":1407,"raw_hiringOrganization_logo_url":13,"raw_description":1408},64567,"claims-examiner-workers-compensation-sedgwick-claims-management-services-inc-2","San Diego, CA - Murphy Canyon","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 Compensation 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're looking for a claims professional with California workers' compensation experience who enjoys solving complex problems and delivering outstanding service. The ideal candidate has experience handling litigated and high-exposure claims, understands California jurisdictional requirements, and can confidently manage claims through investigation, benefit determination, settlement negotiation, and resolution. WORK LOCATIONS Roseville, CA San Diego, CA PRIMARY PURPOSE OF THE ROLE To analyze complex or technically difficult California 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 RESPONSIBLITIES MAY INCLUDE 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. Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner. QUALIFICATIONS Education & Licensing: Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Experience: Four (4) years of California workers compensation claims management experience or equivalent combination of education and experience required. Licensing \u002F Jurisdiction Knowledge: California jurisdictional knowledge required; SIP required or must be obtained within one year of hire date. 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\u002FVisual: 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 $80,000 - $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. #Claims #ClaimsExaminer #LI-Remote #LI-Hybrid 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",{"id":1410,"slug":1411,"title":1412,"location":13,"raw_job_location_address_addressLocality":1413,"raw_hiringOrganization_logo_url":13,"raw_description":1414},64572,"sr-adjuster-sedgwick-claims-management-services-inc-2","Sr Adjuster","Seattle, WA - 2nd - 615","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 Adjuster PRIMARY PURPOSE: To investigate and adjust property and casualty claims, both residential and commercial, with little to no supervision. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Inspects claims and contacts involved parties in a timely manner. Investigates circumstances of claim(s) as required for coverage determination, cause, and compensable damages\u002Freserves. Examines insurance policies and other records to determine insurance coverage. Prepares estimates for cost of repair and\u002For replacement. Conducts interviews with claimant and witnesses regarding submitted claim(s). Negotiates and settles both 1st and 3rd party claims. Addresses salvage and subrogation as required by the client. Maintains client relationships to assure repeated business referrals. 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. IIA-AIC designation required. Appropriate state adjuster license is required. Experience Two (2) years of related experience or equivalent combination of education and experience required. Skills & Knowledge Strong oral and written communication, including presentation skills PC literate, including Microsoft Office products Demonstrated commitment to timely reporting Strong customer service skills Strong interpersonal skills Attention to detail and accuracy Good time management and organizational skills Ability to work independently or 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: Must be able to stand and\u002For walk for long periods of time. Must be able to kneel, squat or bend. Must be able to work outdoors in hot and\u002For cold weather conditions. Have the ability to climb, crawl, stoop, kneel, reaching\u002Fworking overhead Be able to lift\u002Fcarry up to 50 pounds Be able to push\u002Fpull up to 100 pounds Be able to drive up to 4 hours per day. Must have continual use of manual dexterity. Auditory\u002FVisual: 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 $50-$85k. 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. We are always accepting applications. 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",{"id":1416,"slug":1417,"title":871,"location":13,"raw_job_location_address_addressLocality":1418,"raw_hiringOrganization_logo_url":13,"raw_description":1419},64577,"care-team-representative-sedgwick-claims-management-services-inc-2","South Portland, ME - Sable Oaks","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 Care Team Representative Entry-level, Care Team Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near one of our dynamic Centers of Excellence📍 Portland, ME: 600 Sable Oaks Drive, South Portland, ME 04106 ✨ What we offer: A stable, consistent work environment—both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? See what a day in the life of a Care Team Representative is like: SED23026 - Mariah_01-09-24 (vidyard.com) &https:\u002F\u002Fshare.vidyard.com\u002Fwatch\u002FVCLjdFEUwPccjWaBtjLmwX Learn more about our Care Team: Care Team (ceros.com) PRIMARY PURPOSE: To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not limited to, expediting the claims process and providing detailed claim notes on all calls, resolving issues with one call\u002Fone person response, and directing calls to appropriate escalation path as needed. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Acts as primary liaison with callers from multiple client accounts within a shared services environment. Follows specifications in assisting with questions and solving problems related to the claims application and servicing processes. Performs claim intake and full-service customer support within regulatory requirements, company, and client expectations at all times. Educates and informs the customer about documentation required to file\u002Fprocess a claim, required time frames, payment information, and claim status. Educates claimants\u002Fcallers on client requirements and benefit plans documenting all required details of the call in a concise professional manner. Enters verbal and written claim information that meets both the internal and external customer’s requirements accurately into the appropriate system. Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist\u002Fmanagement as needed. Attendance during scheduled work hours is required. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. Experience One (1) year customer service experience or equivalent combination of education and experience required. Inbound call center experience preferred. Skills & Knowledge Excellent verbal and written communication skills PC literate, including Microsoft Office products, Windows environment Must meet minimum typing requirements Strong organizational skills Good interpersonal skills Ability to multi task in fast paced environment Ability to support multiple clients across communication channels and utilize multiple systems simultaneously Ability to work in a team environment and\u002For independently Ability to meet or exceed Performance Competencies Ability to meet all attendance expectations 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\u002FVisual: 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 (19.00). 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.  #entrylevel #contactcenterrep 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",{"id":1421,"slug":1422,"title":1423,"location":13,"raw_job_location_address_addressLocality":1047,"raw_hiringOrganization_logo_url":13,"raw_description":1424},87298,"claims-examiner-liability-jurisdiction-all-states-licensing-required-hybrid-sedgwick-claims-management-services-inc","Claims Examiner - Liability | Jurisdiction - All states | Licensing: Required - Hybrid","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 | Jurisdiction - All states | Licensing: Required - Hybrid 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 Liability & supervisory 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 complex or technically difficult general liability claims to determine benefits due; to work with high exposure liability claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; to identify subrogation of claims and negotiate settlements; and to provide backup for team lead when out of the office. 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 RESPONSIBLITIES MAY INCLUDE 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. Manages the litigation process; ensures timely and cost-effective claims resolution. Coordinates vendor referrals for additional investigation and\u002For litigation management. Leads team meetings and assigns accountability for follow-up items. Gathers important compliance\u002Fclaims processing information to be presented at team meetings. Assists in interviews of adjusters, clerical staff and provides feedback to hiring manager. Provides limited assistance\u002Fsupport to team lead with monthly review of adjuster workloads; notes trends and suggests adjustments when necessary. May include up to (3) three direct reports. SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership, and motivation to promote maximum performace. QUALIFICATIONS Hybrid Schedule: 2 days in office Education & Licensing: 5 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: Nationwide Licensing: Required TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Opportunity to work in an agile environment. 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\u002FVisual: 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 ($63-88k). 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. If evergreen nationwide, CO or onsite in CO.]  #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. 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",{"id":1426,"slug":1427,"title":272,"location":13,"raw_job_location_address_addressLocality":1428,"raw_hiringOrganization_logo_url":13,"raw_description":1429},64579,"disability-representative-sr-sedgwick-claims-management-services-inc-15","Southfield, MI - Galleria Officentre","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 Disability Representative Sr Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Southfield, MI : 300 Galleria Officentre Southfield MI 48034 PRIMARY PURPOSE: To provide disability case management and claim determinations based on complex medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims; coordinating investigative efforts, thoroughly reviewing contested claims, negotiating return to work with or without job accommodations, and evaluating and arranging appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Analyzes, approves and authorizes assigned claims and determines benefits due pursuant to a disability plan. Reviews and analyzes complex medical information (i.e. diagnostic tests, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians). Communicates with the claimants providers to set expectations regarding return to work. Determines benefits due, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Medically manages disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly with claimant and client on all aspects of claims process either by phone and\u002For written correspondence. Informs claimants of documentation required to process claims, required time frames, payment information and claims status either by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimants physician and employer. Refers cases as appropriate to team lead and clinical case management. Maintains professional client relationships. 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 university or college preferred. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience required. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Ability to work in a team environment Excellent negotiation skills 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\u002FVisual: 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",{"id":1431,"slug":1432,"title":753,"location":13,"raw_job_location_address_addressLocality":1418,"raw_hiringOrganization_logo_url":13,"raw_description":1433},64580,"leave-of-absence-coordinator-sedgwick-claims-management-services-inc-10","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 Leave of Absence Coordinator Leave of Absence Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near our dynamic Center of Excellence 📍 Portland, ME: 179 John Roberts Rd, South Portland, ME 04106 ✨ What we offer: A stable, consistent work environment—both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? PRIMARY PURPOSE OF THE ROLE: To analyze reported leave requests and determine paid leave benefits due based on client paid leave plans, policies, state and federal regulations and to make timely calculations, payments and\u002For adjustments for client paid leave plans ensuring that on-going claim management is within company service standards and industry best practices. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic and empathetic candidates that want to grow a career. Ideal candidates will thrive in a collaborative team environment, show motivation, and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Establishes FMLA claims; tracks and codes documentation in accordance with internal workflow processes. Analyzes FMLA and other paid leave claims to determine eligibility, certification, payment calculations, payments and\u002For adjustments in compliance with client paid leave plans, policies, and state and federal regulations. Identifies action plan, determines benefits due, and makes timely case decisions based on service expectations as established by the client. Communicates decisions and on-going expectations with claimants and clients. Maintains professional client relationships. Attendance during scheduled work hours is required. QUALIFICATIONS Education & Licensing: High school diploma or GED required. Skills: Strong oral and written communication, computer literate – including Microsoft Office, organizational skills required PC literate, including Microsoft Office products, Windows environment. Must meet minimum typing requirements. Experience: Clerical or customer service experience or equivalent combination of education and experience preferred TAKING CARE OF YOU Entry-level colleagues are offered a world class training program with a comprehensive curriculum An assigned mentor and manager that will support and guide you on your career journey Career development and promotional growth opportunities A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 $21.24. 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",{"id":1435,"slug":1436,"title":272,"location":13,"raw_job_location_address_addressLocality":1428,"raw_hiringOrganization_logo_url":13,"raw_description":1437},64581,"disability-representative-sr-sedgwick-claims-management-services-inc-16","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 Disability Representative Sr Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Southfield, MI : 300 Galleria Officentre Southfield MI 48034 PRIMARY PURPOSE: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed. Determines benefits due pursuant to a disability plan, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases to team lead and clinical case management for additional review when appropriate. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Ability to manage ambiguity Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement autonomously within established procedures 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 $22.00 - $24.00 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",{"id":1439,"slug":1440,"title":748,"location":13,"raw_job_location_address_addressLocality":1428,"raw_hiringOrganization_logo_url":13,"raw_description":1441},64582,"disability-representative-sedgwick-claims-management-services-inc-10","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 Disability Representative Disability Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near our dynamic Centers of Excellence📍 Southfield, MI. 300 Galleria Officentre Southfield MI 48034. ✨ What we offer: A stable, consistent work environment—both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? PRIMARY PURPOSE OF THE ROLE: To process claims and determine benefits due pursuant to a disability plan; to make timely payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets; and to ensure the ongoing processing of claims. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic and empathetic candidates that want to grow a career. Ideal candidates will thrive in a collaborative team environment, show motivation, and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Makes claim determinations to approve non-complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Determines benefits due, makes timely claims payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status either by phone, written correspondence and\u002For claims system. QUALIFICATIONS Education & Licensing: High school diploma or GED required. Skills: Strong oral and written communication, computer literate – including Microsoft Office, organizational skills required PC literate, including Microsoft Office products, Windows environment. Must meet minimum typing requirements. Experience: Clerical or customer service experience or equivalent combination of education and experience preferred TAKING CARE OF YOU Entry-level colleagues are offered a world class training program with a comprehensive curriculum. An assigned mentor and manager that will support and guide you on your career journey. Career development and promotional growth opportunities A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more. Work environment requirements: Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking. Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 (19.50 - 21.82). 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",{"id":1443,"slug":1444,"title":753,"location":13,"raw_job_location_address_addressLocality":1428,"raw_hiringOrganization_logo_url":13,"raw_description":1445},64583,"leave-of-absence-coordinator-sedgwick-claims-management-services-inc-11","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 Leave of Absence Coordinator Leave of Absence Coordinator Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near our dynamic Center of Excellence📍 Southfield, MI. 300 Galleria Officentre Southfield MI 48034. ✨ What we offer: A stable, consistent work environment—both in-office and virtua $19.31 per hour A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? PRIMARY PURPOSE OF THE ROLE: To analyze reported leave requests and determine paid leave benefits due based on client paid leave plans, policies, state and federal regulations and to make timely calculations, payments and\u002For adjustments for client paid leave plans ensuring that on-going claim management is within company service standards and industry best practices. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic and empathetic candidates that want to grow a career. Ideal candidates will thrive in a collaborative team environment, show motivation, and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Establishes FMLA claims; tracks and codes documentation in accordance with internal workflow processes. Analyzes FMLA and other paid leave claims to determine eligibility, certification, payment calculations, payments and\u002For adjustments in compliance with client paid leave plans, policies, and state and federal regulations. Identifies action plan, determines benefits due, and makes timely case decisions based on service expectations as established by the client. Communicates decisions and on-going expectations with claimants and clients. Maintains professional client relationships. Attendance during scheduled work hours is required. QUALIFICATIONS Education & Licensing: High school diploma or GED required. Skills: Strong oral and written communication, computer literate – including Microsoft Office, organizational skills required PC literate, including Microsoft Office products, Windows environment. Must meet minimum typing requirements. Experience: Clerical or customer service experience or equivalent combination of education and experience preferred TAKING CARE OF YOU Entry-level colleagues are offered a world class training program with a comprehensive curriculum An assigned mentor and manager that will support and guide you on your career journey Career development and promotional growth opportunities A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 19.31. 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",{"id":1447,"slug":1448,"title":1449,"location":13,"raw_job_location_address_addressLocality":1450,"raw_hiringOrganization_logo_url":13,"raw_description":1451},64584,"claims-associate-workers-compensation-med-only-jurisdiction-ny-and-pa-licensing-ny-series-17-72-licensing-required-sedgwick-claims-management-services-inc","Claims Associate - Workers Compensation | Med Only | Jurisdiction: NY and PA | Licensing: NY Series 17-72 Licensing Required","Syracuse, NY - Widewaters","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 - Workers Compensation | Med Only | Jurisdiction: NY and PA | Licensing: NY Series 17-72 Licensing 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 reported lower-level workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision. Supports other claims representatives, examiners and leads with larger or more complex claims as necessary. Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency. Communicates claim action\u002Fprocessing 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\u002For defined period medical claims. Maintains professional client relationships. QUALIFICATIONS Education & Licensing: High school diploma or GED required. Licenses as required. Experience: One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred. Jurisdiction: NY and PA Licensing: NY Required Series 17-72 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 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\u002FVisual: 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 ($18.06 - $22.00 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",{"id":1453,"slug":1454,"title":272,"location":13,"raw_job_location_address_addressLocality":1047,"raw_hiringOrganization_logo_url":13,"raw_description":802},87299,"disability-representative-sr-sedgwick-claims-management-services-inc-43",{"id":1456,"slug":1457,"title":1458,"location":13,"raw_job_location_address_addressLocality":1459,"raw_hiringOrganization_logo_url":13,"raw_description":1460},64588,"financial-support-services-specialist-hybrid-position-sedgwick-claims-management-services-inc","Financial Support Services Specialist - Hybrid Position","Tampa, FL - Rocky Point","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 Financial Support Services Specialist - Hybrid Position PRIMARY PURPOSE: To serve as a financial liaison to internal and external business partners (e.g. suppliers, carriers, IT, client services, etc.); to provide support by assisting stakeholders and management with payments, research, analysis, resolution, questions and concerns. ESSENTIAL RESPONSIBILITIES MAY INCLUDE Maintains and analyzes accounts and financial data to ensure accounts and variances are accurately stated; and conducts timely reconciliations. Performs root cause analysis and research to identify and resolve discrepancies. Maintains effective and productive relationships with both internal and external business partners. Handles incoming requests and communicates status\u002Fresolution to requestor and relevant stakeholders. Serves as a financial liaison responsible for Accounts Payable and relationship management; partners with internal and external business partners. Maintain vendor records and ensure compliance with internal controls and vendor onboarding requirements. Research and resolve invoice discrepancies, payment issues, and vendor inquiries in a professional and timely manner. Prepare and process electronic payments, ACH transactions, wire transfers, and check runs. Reconcile vendor statements and investigate outstanding items to ensure account accuracy. Monitor AP aging reports and assist in managing payment schedules to optimize cash flow and maintain vendor relationships. QUALIFICATIONS High school diploma or GED required. Bachelor's degree in Accounting or related field preferred. Four (4) years of experience in the accounting field or equivalent combination of education and experience required. Skills & Knowledge Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products SAP and Coupa is a plus Analytical and interpretive skills Strong organization skills Excellent interpersonal skills Ability to work independently or 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\u002FVisual: Hearing, vision and talking This position will be required on site 2-3 days per week. 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",{"id":1462,"slug":1463,"title":1464,"location":13,"raw_job_location_address_addressLocality":1465,"raw_hiringOrganization_logo_url":13,"raw_description":1466},64590,"sr-claims-specialist-medical-malpractice-professional-liability-sedgwick-claims-management-services-inc","Sr. Claims Specialist, Medical Malpractice | Professional Liability","Telecommuter AL","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. Claims Specialist, Medical Malpractice | Professional Liability PRIMARY PURPOSE OF THE ROLE: To analyze complex or technically difficult medical malpractice claims; to provide resolution of highly complex nature and\u002For severe injury claims; to coordinate case management within Company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service. ARE YOU AN IDEAL CANDIDATE? We are seeking experienced professionals to manage complex medical malpractice claims involving severe injury and high exposure. Ideal candidates demonstrate strong analytical and negotiation skills, exercise sound judgment, and are committed to delivering timely, cost‑effective claim resolutions while maintaining a high level of customer service. ESSENTIAL RESPONSIBLITIES MAY INCLUDE: Analyzes and processes complex or technically difficult medical malpractice 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. 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. Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing: 6 years of claims management experience or equivalent combination of education and experience required. Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certification as applicable to line of business preferred. Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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",{"id":1468,"slug":1469,"title":1470,"location":13,"raw_job_location_address_addressLocality":1465,"raw_hiringOrganization_logo_url":13,"raw_description":1471},64591,"claims-adjuster-workers-compensation-jurisdiction-mi-tx-in-il-oh-licensing-required-remote-sedgwick-claims-management-services-inc","Claims Adjuster - Workers Compensation | Jurisdiction: MI, TX, IN, IL, OH | Licensing: Required - Remote","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 Adjuster - Workers Compensation | Jurisdiction: MI, TX, IN, IL, OH | Licensing: Required - 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. 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 analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency. Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments. Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract. Manages subrogation of claims and negotiates settlements. Communicates claim action with claimant and client. Ensures claim files are properly documented and claims coding is correct. May process complex lifetime medical and\u002For defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review. Maintains professional client relationships. QUALIFICATIONS Education and Licensing: Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Experience Four (4) years of claims management experience or equivalent combination of education and experience required. Jurisdiction Knowledge: MI, TX, IN, IL, OH Licensing: Home State Required TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Opportunity to work in an agile environment. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. 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\u002FVisual: 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 ($60,000.00-$75,000.00. 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",{"id":1473,"slug":1474,"title":1475,"location":13,"raw_job_location_address_addressLocality":1476,"raw_hiringOrganization_logo_url":13,"raw_description":1477},64592,"casualty-desk-adjuster-rga-sedgwick-claims-management-services-inc","Casualty Desk Adjuster - RGA","Telecommuter CA","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 Casualty Desk Adjuster - RGA PRIMARY PURPOSE: Candidate should have at least 5 years (prefer 10+) of Public Entity and EPL(Employment Practices Liability) and\u002For CSA (Childhood Sexual Assault) claims handling experience. Handles complex, technically challenging claims.. Adjusts claims with complex coverage issues involving liability, damages, evidence, or other complex legal issues, while providing an exceptional customer experience. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Develops exposures and evaluates injury claims based on damages, the insurance contract, company policies, and applicable state laws. Investigates and evaluates coverage, liability and damages in handling of claims involving serious and catastrophic injuries, coverage, and other legal issues. Ensures timely referral of suits to counsel and evaluates changes in exposure through the course of discovery, considering costs and strategic plan of actions to prepare for trial or determine settlement capability. Responsible for managing defense counsel in litigation of serious and complex claim, litigated claims as well as complex coverage scenarios; manages defense counsel in litigation of serious and complex claims. Formulates effective plans to bring the claims to resolution while focusing on indemnity and expense leakage. Evaluates coverage and drafts coverage letters to include both reservation of rights and coverage denials. Maintains proper reserves on all pending claims. 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. State mandated adjusting licenses as required. Insurance designations such as CPCU, AIC, ARM preferred. Experience Eight (8) years of related experience to include experience in personal lines claims, evaluating coverage and drafting coverage letters to include both reservation of rights and coverage denials, or equivalent combination of education and experience required. Experience with commercial lines claims and litigation in multiple states preferred. Skills & Knowledge Exposure to and knowledge of affluent market segment Strong knowledge of tort theories, legal concepts, negotiation strategies, and litigation management 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 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\u002FVisual: 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 ($100,000 - $120,000 USD annually). 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",{"id":1479,"slug":1480,"title":1481,"location":13,"raw_job_location_address_addressLocality":1482,"raw_hiringOrganization_logo_url":13,"raw_description":1483},64593,"general-liability-adjuster-sedgwick-claims-management-services-inc","General Liability Adjuster","Telecommuter AZ","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 General Liability Adjuster Primary Purpose The Commercial General Liability (CGL) Claims Adjuster is responsible for the end-to-end handling of complex third-party bodily injury and property damage claims arising under commercial general liability policies. This role requires advanced expertise in coverage analysis, liability determination, litigation management, and risk transfer, particularly across multi-jurisdictional and construction-related exposures. The adjuster is expected to proactively manage claim outcomes, control loss costs, and ensure compliance with client service standards, regulatory requirements, and internal quality expectations. Essential Functions and Responsibilities Claim Investigation & File Ownership Independently investigate and manage a full caseload of CGL claims, including but not limited to premises liability, slip and fall, product liability, construction defect and construction-related losses, and contractual liability exposures. Drive timely claim resolution through proactive file management, strategic planning, and adherence to best practices in diary management and documentation. Coverage Analysis & Policy Interpretation Analyze complex policy language, including insuring agreements, endorsements, exclusions (e.g., ongoing\u002Fcompleted operations, additional insured provisions), and limits to determine coverage applicability. Draft clear, defensible coverage position letters, including reservation of rights and denial letters, consistent with jurisdictional requirements and client expectations. Liability & Damages Evaluation Conduct comprehensive liability investigations, including: Review and analysis of incident reports, contracts, lease agreements, and indemnification provisions Identification and application of contractual risk transfer provisions Obtaining and evaluating recorded statements, expert opinions, photographs, and surveillance Evaluate injury severity, medical treatment, and long-term exposure, including review of medical records, bills, and independent medical evaluations (IMEs) where applicable. Establish, maintain, and adjust reserves in accordance with claim developments and severity exposure. Litigation Management Manage litigated files, including the retention and direction of defense counsel. Provide strategic oversight on litigation plans, budgets, pleadings, discovery, and dispositive motions. Participate in mediations, settlement conferences, and trial preparation, ensuring alignment with client and organizational strategies. Settlement & Negotiation Negotiate settlements within delegated authority while balancing cost containment and risk exposure. Evaluate settlement value based on liability, damages, venue, and litigation risks, and escalate appropriately when exceeding authority. Risk Transfer & Subrogation Identify, evaluate, and pursue risk transfer opportunities, including: Additional insured tenders Contractual indemnity provisions Subrogation potential Coordinate with coverage counsel, carriers, and third parties to maximize recovery and proper allocation of liability. Client & Stakeholder Communication Maintain proactive, professional communication with insureds, claimants, brokers, clients, and internal stakeholders. Provide detailed status updates, large loss reports, and claim summaries tailored to client-specific reporting requirements. Documentation, Compliance & Quality Maintain thorough, accurate, and timely file documentation to support claim decisions and audit readiness. Ensure compliance with applicable state regulations, client service instructions, and internal audit and quality standards. Participate in internal and external audits, file reviews, and continuous improvement initiatives. Additional Functions and Responsibilities Support organizational quality initiatives, audit programs, and operational excellence efforts. Contribute to process improvement, knowledge sharing, and team development activities as needed. Perform other duties as assigned. Qualifications Education & Licensing Bachelor’s degree or equivalent work experience. Adjuster licensing as required by jurisdiction(s) handled. Experience Minimum of 5+ years of commercial general liability claims handling experience required; experience with litigated and construction-related claims strongly preferred. Skills & Knowledge Strong understanding of CGL coverage, policy interpretation, and jurisdictional differences Experience managing litigated claims and working with defense counsel Knowledge of construction defect, additional insured coverage, and risk transfer strategies Ability to assess liability, damages, and exposure in complex loss scenarios Strong negotiation and settlement skills Excellent written and verbal communication, including drafting coverage correspondence and client reports Proficiency in claims systems and Microsoft Office applications Demonstrated organization, attention to detail, and time management Ability to work both independently and collaboratively in a fast-paced, team-driven environment Proven ability to meet or exceed performance, quality, and compliance metrics 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\u002FVisual: 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 ($88,000 - $120,000 USD annually). 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",{"id":54,"slug":55,"title":56,"location":13,"raw_job_location_address_addressLocality":1074,"raw_hiringOrganization_logo_url":13,"raw_description":1485},"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. Adjuster PRIMARY PURPOSE: To investigate and adjust property and casualty claims, both residential and commercial, with little to no supervision. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Inspects claims and contacts involved parties in a timely manner. Investigates circumstances of claim(s) as required for coverage determination, cause, and compensable damages\u002Freserves. Examines insurance policies and other records to determine insurance coverage. Prepares estimates for cost of repair and\u002For replacement. Conducts interviews with claimant and witnesses regarding submitted claim(s). Negotiates and settles both 1st and 3rd party claims. Addresses salvage and subrogation as required by the client. Maintains client relationships to assure repeated business referrals. 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. IIA-AIC designation required. Appropriate state adjuster license is required. Experience Two (2) years of related experience or equivalent combination of education and experience required. Skills & Knowledge Strong oral and written communication, including presentation skills PC literate, including Microsoft Office products Demonstrated commitment to timely reporting Strong customer service skills Strong interpersonal skills Attention to detail and accuracy Good time management and organizational skills Ability to work independently or 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: Must be able to stand and\u002For walk for long periods of time. Must be able to kneel, squat or bend. Must be able to work outdoors in hot and\u002For cold weather conditions. Have the ability to climb, crawl, stoop, kneel, reaching\u002Fworking overhead Be able to lift\u002Fcarry up to 50 pounds Be able to push\u002Fpull up to 100 pounds Be able to drive up to 4 hours per day. Must have continual use of manual dexterity. Auditory\u002FVisual: 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 $50-$60k. Bonus or Commission eligible role. 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",{"id":1487,"slug":1488,"title":1489,"location":13,"raw_job_location_address_addressLocality":1476,"raw_hiringOrganization_logo_url":13,"raw_description":1490},64595,"professional-liability-claims-advisor-remote-sedgwick-claims-management-services-inc","Professional Liability Claims Advisor (Remote)","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 Professional Liability Claims Advisor (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? You bring experience handling complex Medical Malpractice and\u002For Professional Liability claims, excel at investigating claims, evaluating coverage, and driving strategic resolutions, and thrive in a client-focused environment where you can manage high-exposure files, collaborate with defense counsel, and mentor others while delivering exceptional results. WORK LOCATIONS This role requires availability during Pacific Time Zone business hours. See posting for eligible locations. PRIMARY PURPOSE OF THE ROLE: Manage and handle MedMal and professional liability claims; to provide resolution of highly complex nature and\u002For severe claims; to coordinate case management within company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Analyzes and processes complex or technically difficult MedMal and Professional 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. 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. Performs coverage analysis and opinion as part of the claim process including all necessary correspondence. 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 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 others. QUALIFICATIONS Education & Licensing: 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. Experience: 3-5 years of medical malpractice and professional liability claims management experience required. TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Opportunity to work in an agile environment. 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, travel as required Auditory\u002FVisual: 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 $100,000 to $145,000. 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. #Claims #LI-Remote 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",{"id":1492,"slug":1493,"title":1494,"location":13,"raw_job_location_address_addressLocality":630,"raw_hiringOrganization_logo_url":13,"raw_description":1495},64599,"claims-examiner-workers-compensation-dedicated-account-jurisdictionlicensing-fl-required-remote-sedgwick-claims-management-services-inc","Claims Examiner - Workers Compensation | Dedicated Account | Jurisdiction\u002FLicensing: FL - Required (Remote)","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 Compensation | Dedicated Account | Jurisdiction\u002FLicensing: FL - Required (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 workers compensation knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. ARE YOU AN IDEAL CANDIDATE? To analyze workers compensation 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 5 years of claims management experience or equivalent combination of education and experience required. Jurisdiction\u002F Licensing: FL 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, travel as required Auditory\u002FVisual: 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. Sedgwick 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",{"id":1497,"slug":1498,"title":1499,"location":13,"raw_job_location_address_addressLocality":630,"raw_hiringOrganization_logo_url":13,"raw_description":1500},64601,"claims-examiner-auto-bodily-injury-sedgwick-claims-management-services-inc","Claims Examiner, Auto | Bodily Injury","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, Auto | Bodily Injury PRIMARY PURPOSE OF THE ROLE: To analyze complex or technically difficult auto and 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 RESPONSIBLITIES MAY INCLUDE 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\u002For 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. Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing: 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. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Skills: strong oral and written communication, including presentation skills, PC literate including Microsoft Office products, and ability to work in a team environment. Secure and maintain the State adjusting licenses as required for the position. Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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. 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",{"id":1502,"slug":1503,"title":1504,"location":13,"raw_job_location_address_addressLocality":630,"raw_hiringOrganization_logo_url":13,"raw_description":1505},64602,"disability-clinical-specialist-sedgwick-claims-management-services-inc","Disability Clinical Specialist","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 Disability Clinical Specialist PRIMARY PURPOSE: Performs standard clinical evaluations on claims that require additional review based on medical condition, client requirement, and\u002For complexity. Consults with providers and employees by providing case direction and ensures medical information substantiates the need for employee absence from work. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Performs standard clinical reviews of referred medical claims based on client requirements to ensure accurate and sufficient information is received by employees and providers to support the claim request and documents decision rationale. Completes medical review of all claims by reviewing medical documentation received and applying practical clinical knowledge to ensure information substantiates disability and to interpret the impact the condition has on the ability to perform job functions. Communicates clearly and professionally, on the phone and\u002For in writing with employee and\u002For providers to discuss employee’s clinical status, progress, and work status. Provides clear and appropriate follow-up recommendations for ongoing medical management of claims; ensures appropriate recommendations are made on claims. Consistently achieves appropriate quality audit scores. Acts as clinical resource to claims examiners to provide guidance on the medical management of claims including comprehension of medical terminology and substantiating claim decisions. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Acts as a backup for key disability claims on an ad hoc basis. Performs other duties as assigned. Travels as required. QUALIFICATIONS Education & Licensing Bachelor's degree or equivalent preferred. Current RN, LVN, LPN, CRC, COHN CVE, LPC and\u002For LCSW Licenses required. Current license, registration and\u002For professional designations as required within the jurisdiction. Clinical expertise must be kept current by acquisition of the necessary CEUs to maintain licenses and designations. Experience Four (4) years of related experience or equivalent combination of experience and education required to include experience in a direct medical\u002Fpsychological setting or physical industrial medicine and previous insurance or related experience. Skills & Knowledge Knowledge of current medical practices in health care management in a variety of areas (including, but not limited to, orthopedics, general medicine for acute and chronic conditions, general surgery, mental health, obstetrics, oncology, and physical and occupational rehabilitation) Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical and interpretive skills Strong organizational and multitasking skills Excellent interpersonal skills Ability to exercise judgement and critical thinking 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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",{"id":1507,"slug":1508,"title":1509,"location":13,"raw_job_location_address_addressLocality":630,"raw_hiringOrganization_logo_url":13,"raw_description":1510},64604,"patient-care-coordinator-bilingual-preferred-sedgwick-claims-management-services-inc-2","Patient Care Coordinator-Bilingual 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 Patient Care Coordinator-Bilingual Preferred PRIMARY PURPOSE: To provide world class customer service and service delivery to our clients and patients through processing referrals in the delivery of medical goods and services. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Spanish Bilingual Preferred Reaches out to patients in relation to new or already processing referrals confirming patient demographic information, providing updates on the referral, and\u002For confirming delivery of said goods or service. Communicates with vendor partners, claims adjusters and nurse case managers providing updates on new referrals as well as referrals already in process. Procures vendor partners for each referral as it relates to the goods or services requested. Responsible for making or taking phone calls on existing referrals, new referrals, or other team members referrals. Provides quotes back to clients for approval or follow up on quotes already sent to obtain written approval for requested referrals ensuring that each referral is deemed medically necessary and approved by the claim’s adjuster. Confirms all required and relevant billing information exists in each referral as it relates to the workflow and billing processes in place and moves those referrals to be billed each day. Processes referrals per state regulations and workers compensation guidelines. 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. Experience Two (2) years of industry experience in healthcare network and patient care scheduling or equivalent combination of education and experience required. Skills & Knowledge Strong customer service skills Strong critical thinking skills Self-Starter Excellent oral and written communication skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Excellent interpersonal 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 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\u002FVisual: 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. 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 $17.00. 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",{"id":1512,"slug":1513,"title":1514,"location":13,"raw_job_location_address_addressLocality":1515,"raw_hiringOrganization_logo_url":13,"raw_description":1516},64605,"avp-client-services-workers-compensation-amp-liability-background-must-reside-in-ga-sedgwick-claims-management-services-inc","AVP Client Services | Workers Compensation & Liability Background | Must Reside in GA","Telecommuter GA","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 AVP Client Services | Workers Compensation & Liability Background | Must Reside in GA 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 provide stewardship to our clients. 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 be responsible for the administrative, managerial and client relationships associated with Client Services within the assigned area. To determine account management strategies related to client service plans; to be responsible for retention of existing clients, customer satisfaction, revenue growth, client surveys and new business. 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. OFFICE LOCATION Remote Must reside in the state of GA ESSENTIAL RESPONSIBLITIES MAY INCLUDE Provides stewardship reporting to clients; identifying and educating clients on 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. 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. Supports client relationships; builds executive relationships; supports internal relationships. Supports business development. SUPERVISORY RESPONSIBLITIES MAY INCLUDE 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 reviews. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Ten (10) years of related experience or equivalent combination of education and experience required to include three (3) years of Account Executive on national accounts experience and five (5) years of claims\u002Fsupervisory experience. In-depth understanding of workers compensation and liability 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. 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",{"id":1518,"slug":1519,"title":1481,"location":13,"raw_job_location_address_addressLocality":630,"raw_hiringOrganization_logo_url":13,"raw_description":1520},64606,"general-liability-adjuster-sedgwick-claims-management-services-inc-3","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 General Liability Adjuster Job Description Primary Purpose The Commercial General Liability (CGL) Claims Adjuster is responsible for the end-to-end handling of complex third-party bodily injury and property damage claims arising under commercial general liability policies. This role requires advanced expertise in coverage analysis, liability determination, litigation management, and risk transfer, particularly across multi-jurisdictional and construction-related exposures. The adjuster is expected to proactively manage claim outcomes, control loss costs, and ensure compliance with client service standards, regulatory requirements, and internal quality expectations. Essential Functions and Responsibilities Claim Investigation & File Ownership Independently investigate and manage a full caseload of CGL claims, including but not limited to premises liability, slip and fall, product liability, construction defect and construction-related losses, and contractual liability exposures. Drive timely claim resolution through proactive file management, strategic planning, and adherence to best practices in diary management and documentation. Coverage Analysis & Policy Interpretation Analyze complex policy language, including insuring agreements, endorsements, exclusions (e.g., ongoing\u002Fcompleted operations, additional insured provisions), and limits to determine coverage applicability. Draft clear, defensible coverage position letters, including reservation of rights and denial letters, consistent with jurisdictional requirements and client expectations. Liability & Damages Evaluation Conduct comprehensive liability investigations, including: Review and analysis of incident reports, contracts, lease agreements, and indemnification provisions Identification and application of contractual risk transfer provisions Obtaining and evaluating recorded statements, expert opinions, photographs, and surveillance Evaluate injury severity, medical treatment, and long-term exposure, including review of medical records, bills, and independent medical evaluations (IMEs) where applicable. Establish, maintain, and adjust reserves in accordance with claim developments and severity exposure. Litigation Management Manage litigated files, including the retention and direction of defense counsel. Provide strategic oversight on litigation plans, budgets, pleadings, discovery, and dispositive motions. Participate in mediations, settlement conferences, and trial preparation, ensuring alignment with client and organizational strategies. Settlement & Negotiation Negotiate settlements within delegated authority while balancing cost containment and risk exposure. Evaluate settlement value based on liability, damages, venue, and litigation risks, and escalate appropriately when exceeding authority. Risk Transfer & Subrogation Identify, evaluate, and pursue risk transfer opportunities, including: Additional insured tenders Contractual indemnity provisions Subrogation potential Coordinate with coverage counsel, carriers, and third parties to maximize recovery and proper allocation of liability. Client & Stakeholder Communication Maintain proactive, professional communication with insureds, claimants, brokers, clients, and internal stakeholders. Provide detailed status updates, large loss reports, and claim summaries tailored to client-specific reporting requirements. Documentation, Compliance & Quality Maintain thorough, accurate, and timely file documentation to support claim decisions and audit readiness. Ensure compliance with applicable state regulations, client service instructions, and internal audit and quality standards. Participate in internal and external audits, file reviews, and continuous improvement initiatives. Additional Functions and Responsibilities Support organizational quality initiatives, audit programs, and operational excellence efforts. Contribute to process improvement, knowledge sharing, and team development activities as needed. Perform other duties as assigned. Qualifications Education & Licensing Bachelor’s degree or equivalent work experience. Adjuster licensing as required by jurisdiction(s) handled. Experience Minimum of 5+ years of commercial general liability claims handling experience required; experience with litigated and construction-related claims strongly preferred. Skills & Knowledge Strong understanding of CGL coverage, policy interpretation, and jurisdictional differences Experience managing litigated claims and working with defense counsel Knowledge of construction defect, additional insured coverage, and risk transfer strategies Ability to assess liability, damages, and exposure in complex loss scenarios Strong negotiation and settlement skills Excellent written and verbal communication, including drafting coverage correspondence and client reports Proficiency in claims systems and Microsoft Office applications Demonstrated organization, attention to detail, and time management Ability to work both independently and collaboratively in a fast-paced, team-driven environment Proven ability to meet or exceed performance, quality, and compliance metrics 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\u002FVisual: 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 ($88,000 - $120,000 USD annually). 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",{"id":1522,"slug":1523,"title":1524,"location":13,"raw_job_location_address_addressLocality":630,"raw_hiringOrganization_logo_url":13,"raw_description":1525},64607,"tow-and-storage-negotiation-specialist-sedgwick-claims-management-services-inc","Tow and Storage Negotiation Specialist","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 Tow and Storage Negotiation Specialist PRIMARY PURPOSE: To analyze mid- and higher-level general auto claims to determine scope of damages; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Manages mid-level and higher-level auto commercial and personal lines claims by gathering information to determine exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level. Assesses liability and resolves claims within evaluation. Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract. Manages subrogation of claims and negotiates settlements. Communicates claim action with claimant and client. Ensures claim files are properly documented and claims coding is correct. Maintains professional client relationships. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. 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 Four (4) 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 as applicable to line-of-business. 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 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\u002FVisual: 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",{"id":1527,"slug":1528,"title":1481,"location":13,"raw_job_location_address_addressLocality":630,"raw_hiringOrganization_logo_url":13,"raw_description":1529},64608,"general-liability-adjuster-sedgwick-claims-management-services-inc-4","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 General Liability Adjuster Primary Purpose The Commercial General Liability (CGL) Claims Adjuster is responsible for the end-to-end handling of complex third-party bodily injury and property damage claims arising under commercial general liability policies. This role requires advanced expertise in coverage analysis, liability determination, litigation management, and risk transfer, particularly across multi-jurisdictional and construction-related exposures. The adjuster is expected to proactively manage claim outcomes, control loss costs, and ensure compliance with client service standards, regulatory requirements, and internal quality expectations. Essential Functions and Responsibilities Claim Investigation & File Ownership Independently investigate and manage a full caseload of CGL claims, including but not limited to premises liability, slip and fall, product liability, construction defect and construction-related losses, and contractual liability exposures. Drive timely claim resolution through proactive file management, strategic planning, and adherence to best practices in diary management and documentation. Coverage Analysis & Policy Interpretation Analyze complex policy language, including insuring agreements, endorsements, exclusions (e.g., ongoing\u002Fcompleted operations, additional insured provisions), and limits to determine coverage applicability. Draft clear, defensible coverage position letters, including reservation of rights and denial letters, consistent with jurisdictional requirements and client expectations. Liability & Damages Evaluation Conduct comprehensive liability investigations, including: Review and analysis of incident reports, contracts, lease agreements, and indemnification provisions Identification and application of contractual risk transfer provisions Obtaining and evaluating recorded statements, expert opinions, photographs, and surveillance Evaluate injury severity, medical treatment, and long-term exposure, including review of medical records, bills, and independent medical evaluations (IMEs) where applicable. Establish, maintain, and adjust reserves in accordance with claim developments and severity exposure. Litigation Management Manage litigated files, including the retention and direction of defense counsel. Provide strategic oversight on litigation plans, budgets, pleadings, discovery, and dispositive motions. Participate in mediations, settlement conferences, and trial preparation, ensuring alignment with client and organizational strategies. Settlement & Negotiation Negotiate settlements within delegated authority while balancing cost containment and risk exposure. Evaluate settlement value based on liability, damages, venue, and litigation risks, and escalate appropriately when exceeding authority. Risk Transfer & Subrogation Identify, evaluate, and pursue risk transfer opportunities, including: Additional insured tenders Contractual indemnity provisions Subrogation potential Coordinate with coverage counsel, carriers, and third parties to maximize recovery and proper allocation of liability. Client & Stakeholder Communication Maintain proactive, professional communication with insureds, claimants, brokers, clients, and internal stakeholders. Provide detailed status updates, large loss reports, and claim summaries tailored to client-specific reporting requirements. Documentation, Compliance & Quality Maintain thorough, accurate, and timely file documentation to support claim decisions and audit readiness. Ensure compliance with applicable state regulations, client service instructions, and internal audit and quality standards. Participate in internal and external audits, file reviews, and continuous improvement initiatives. Additional Functions and Responsibilities Support organizational quality initiatives, audit programs, and operational excellence efforts. Contribute to process improvement, knowledge sharing, and team development activities as needed. Perform other duties as assigned. Qualifications Education & Licensing Bachelor’s degree or equivalent work experience. Adjuster licensing as required by jurisdiction(s) handled. Experience Minimum of 5+ years of commercial general liability claims handling experience required; experience with litigated and construction-related claims strongly preferred. Skills & Knowledge Strong understanding of CGL coverage, policy interpretation, and jurisdictional differences Experience managing litigated claims and working with defense counsel Knowledge of construction defect, additional insured coverage, and risk transfer strategies Ability to assess liability, damages, and exposure in complex loss scenarios Strong negotiation and settlement skills Excellent written and verbal communication, including drafting coverage correspondence and client reports Proficiency in claims systems and Microsoft Office applications Demonstrated organization, attention to detail, and time management Ability to work both independently and collaboratively in a fast-paced, team-driven environment Proven ability to meet or exceed performance, quality, and compliance metrics 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\u002FVisual: 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",{"id":1531,"slug":1532,"title":1533,"location":13,"raw_job_location_address_addressLocality":1515,"raw_hiringOrganization_logo_url":13,"raw_description":1534},64609,"remote-operations-dispatch-coordinator-sedgwick-claims-management-services-inc","Remote Operations Dispatch Coordinator","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 Dispatch Coordinator Schedule: Monday-Friday 11am-8pm EST PRIMARY PURPOSE: To accurately route and assign claims, tasks and related requests within the claims management system and provide operational support to temporary housing colleagues by ensuring timely, accurate and appropriate workflow distribution, ESSENTIAL FUNCTIONS and RESPONSIBILITIES Sets up and assigns new claims, tasks and requests into the claims management system. Enters and reviews claims data into claims management system upon request, ensuring accuracy and completeness. Reviews claims data into notes and documentation to determine appropriate assignment, urgency and next step. Makes outbound calls to carriers, adjusters or internal partners to obtain required information, approvals or clarification. Find opportunities to refer claims within the organization based on established assignment processes and resource guidelines. Assigns claims using the tools , provided considering workload distribution, service expectations and priority level. Supports hotel and housing coordinators by providing accurate information during the claim set up and assignment process. Uses multiple platforms to review, route and adjust claim assignments as needed. Makes outbound calls and\u002For texts to adjusters to discuss claim details for assignment. (Using Sedgwick’s texting platform) Ensures all parties have the required information in order to successfully manage a temporary housing claim, including, loss location, first notice of loss (FNOL), scheduled dates and urgency indicators. Works with management to make determination on assignment process and resource utilization. Monitors open items and follows up on outstanding tasks to ensure timely progression of claim activity. Escalates urgent issues, delays or discrepancies to leadership as appropriate 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 Two (2) years of clerical, administrative, dispatch or property claims management experience or equivalent combination of education and experience required. Experience working in a fast paced environment involving task routing, workflow coordination or claim support preferred. Skills & Knowledge Fluent in Spanish is a plus Excellent oral and written communication skills, including presentation skills PC literate, including Microsoft Office products Analytical and interpretative skills Strong organizational and prioritization skills Excellent interpersonal skills Ability to review documentation thoroughly and accurately Ability to work in a team environment while managing individual accountability Ability to remain calm, professional and solution focused when navigating challenging interactions, competing priorities or workplace conflict Demonstrates resilience and emotional composure when receiving feedback, addressing concerns or working with colleagues under pressure Ability to communicate respectfully and assertively with colleagues while maintaining appropriate boundaries and not taking difficult interactions personally Ability to handle, repetitive, high volume work with consistency and attention to detail 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\u002FVisual: 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.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",{"id":1536,"slug":1537,"title":1538,"location":13,"raw_job_location_address_addressLocality":1515,"raw_hiringOrganization_logo_url":13,"raw_description":1539},64610,"sourcing-director-sedgwick-claims-management-services-inc","Sourcing Director","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 Sourcing Director PRIMARY PURPOSE: To lead the strategic sourcing team and the contract administration team including strategic sourcing initiatives, supplier management, categorization, risk mitigation evaluation of indirect corporate suppliers, and review, evaluation, and recommendations to the corporate vendor programs. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Leads strategic sourcing initiatives acting as a trusted adviser to business partners in the vendor sourcing process by communicating strategic approach for vendor negotiations and\u002For ongoing projects; developing sourcing strategies; partnering with internal organization to define requirements; assisting with identifying vendors and leading RFXs; building and maintaining supplier\u002Fvendor onboarding process; and aiding business with executing on strategic goals. Leads negotiation, writing, and reviewing of contract requests and statements of work. Monitors and develops strategies around core critical suppliers for the organization. Educates, informs, and generates excitement internally and externally garnering stakeholder support. Leads a range of projects from transactional to complex spanning all types of third-party goods and services including review\u002Fvalidation of deliverables, resolving and mitigating issues, and creating efficiencies across all corporate spend categories. 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 preferred. Experience Ten (10) years of related experience to include five (5) years of purchasing management; two (2) years of contract negotiation; and two (2) years supervision experience or equivalent combination of education and experience required. Skills & Knowledge 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 Proven management\u002Fleadership 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 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\u002FVisual: 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",{"id":1541,"slug":1542,"title":1481,"location":13,"raw_job_location_address_addressLocality":1515,"raw_hiringOrganization_logo_url":13,"raw_description":1483},64611,"general-liability-adjuster-sedgwick-claims-management-services-inc-5",{"id":1544,"slug":1545,"title":1546,"location":13,"raw_job_location_address_addressLocality":1547,"raw_hiringOrganization_logo_url":13,"raw_description":1548},64612,"ml-architect-sedgwick-claims-management-services-inc","ML Architect","Telecommuter IA","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 ML Architect Job Description PRIMARY PURPOSE: To partner with stakeholders to identify, scope, and execute advanced analytics and data science projects; to design data modeling processes, create algorithms, and predictive models; and to share insights that inform and enable business decisions. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Builds, prototypes, and deploys machine learning models in production environments. Collaborates with product, technology, and other stakeholders to identify and scope data science projects. Communicates modeling challenges, findings, and outcomes to technical and non-technical stakeholders. Designs and implements end-to-end ETL (extract, transform, load) data pipelines integrating data from multiple data sources. Explores new internal and external data sources and assesses their commercial benefit. Mentors team members and serves as a subject matter expert in cross-functional discussions. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Travels as required. QUALIFICATIONS Education & Licensing Master’s degree or Ph.D. with major in statistics, mathematics, computer science, data science, economics, or related quantitative field from an accredited college or university preferred. Experience Ten (10) years of related experience or equivalent combination of education and experience to include three (3) years of predictive modeling, data science, and analysis experience with solid background in the using data visualization tools and libraries and data exploration, data wrangling, and feature engineering. Experience with natural language processing and healthcare data preferred. Skills & Knowledge Proficiency writing code in Python or R and documenting for reproducibility Strong knowledge of reviewing other’s models and code Ability to use data visualization tools and libraries Strong data exploration, data wrangling and feature engineering skills Knowledge of application of supervised\u002Funsupervised ML techniques Thorough knowledge of SQL to query relational databases Excellent oral and written communication skills, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational 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 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\u002FVisual: 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 ($175,000 - $220,000). 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. 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",{"id":1550,"slug":1551,"title":1552,"location":13,"raw_job_location_address_addressLocality":1547,"raw_hiringOrganization_logo_url":13,"raw_description":1553},64613,"marine-adjuster-sedgwick-claims-management-services-inc","Marine Adjuster","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 Marine Adjuster PRIMARY PURPOSE: To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up to $50,000 and assist the department on larger losses. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Investigates the cause and extent of the damages, obtains appropriate documentation, and issues settlement. Receives and reviews new claims and maintains data integrity in the claims system. Reviews survey reports and insurance policies to determine insurance coverage. Prepares settlement documents and requests payment for the claim and expenses. Assists in preparing loss experience report to help determine profitability and calculates adequate future rates. 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. Appropriate state adjuster license is required. Experience None. Skills & Knowledge Strong oral and written communication skills PC literate, including Microsoft Office products Good customer service skills Good organizational skills Demonstrated commitment to timely reporting Ability to work independently and 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: Must be able to stand and\u002For walk for long periods of time. Must be able to kneel, squat or bend. Must be able to work outdoors in hot and\u002For cold weather conditions. Have the ability to climb, crawl, stoop, kneel, reaching\u002Fworking overhead Be able to lift\u002Fcarry up to 50 pounds Be able to push\u002Fpull up to 100 pounds Be able to drive up to 4 hours per day. Must have continual use of manual dexterity Auditory\u002FVisual: 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",{"id":1555,"slug":1556,"title":1557,"location":13,"raw_job_location_address_addressLocality":1558,"raw_hiringOrganization_logo_url":13,"raw_description":1559},64614,"auto-desk-appraiser-sedgwick-claims-management-services-inc","Auto Desk Appraiser","Telecommuter IL","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 Auto Desk Appraiser PRIMARY PURPOSE: To evaluate and prepare estimates for auto vehicles involved in a loss. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Appraises and determines costs of repairs to damaged vehicle by reviewing photos and supporting documentation; determines repair versus replace and parts utilization. Evaluates and determines if the vehicle is repairable or salvageable based on industry standard estimatics software. Prepares estimates using estimatics software. Works directly with auto repair facilities to determinate supplemental repair processing and provides a supplemental estimate. Negotiates agreed scope of repairs with repair facilities. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Travels as required. QUALIFICATIONS Education & Licensing High school diploma or GED required. Licenses as required by state guidelines. Experience Three (3) years of related experience to include at least one (1) year of appraisal experience or equivalent combination of education and experience required. Skills & Knowledge Strong knowledge of automobiles Ability to understand and utilize appraisal software 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 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\u002FVisual: 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 $55,000-$60,000\u002Fyr. 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. We are always accepting applications. 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",{"id":1561,"slug":1562,"title":1563,"location":13,"raw_job_location_address_addressLocality":1558,"raw_hiringOrganization_logo_url":13,"raw_description":1564},64615,"claims-examiner-workers-compensation-jurisdiction-mi-amp-il-licensing-required-remote-sedgwick-claims-management-services-inc","Claims Examiner - Workers Compensation | Jurisdiction: MI & IL | Licensing: Required - Remote","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 Compensation | Jurisdiction: MI & IL | Licensing: Required - 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? 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 analyze Workers Compensation 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 5 years of claims management experience or equivalent combination of education and experience required. Licensing \u002F Jurisdiction Knowledge: IL & MI required TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Opportunity to work in an agile environment. 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, travel as required Auditory\u002FVisual: 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 (70k-85k). 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. 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",{"id":1566,"slug":1567,"title":1568,"location":13,"raw_job_location_address_addressLocality":1569,"raw_hiringOrganization_logo_url":13,"raw_description":1570},64618,"director-demand-generation-amp-abm-integrated-marketing-strategy-sedgwick-claims-management-services-inc","Director Demand Generation & ABM, Integrated Marketing Strategy","Telecommuter MA","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 Director Demand Generation & ABM, Integrated Marketing Strategy PRIMARY PURPOSE: The Director, Integrated Marketing Strategy & ABM leads the development and execution of integrated marketing campaigns that align brand, demand generation and account-based marketing (ABM) strategies to drive pipeline growth, executive engagement and strategic account penetration. This role partners closely with sales, business development, product\u002Fservice line leaders, creative, communications, digital and analytics teams to design and execute multi-channel campaigns focused on priority industries, buyer personas and target accounts. The position serves as a strategic connector between business priorities and marketing execution — ensuring campaigns are insight-driven, measurable, highly coordinated and aligned to revenue goals. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Leads the development of marketing strategies to support growth by partnering with business unit Presidents and their teams. Partner with sales leadership to identify and prioritize strategic accounts. Collaborates with marketing centers of excellence to deploy marketing tactics in support of strategies. Provides stakeholder updates to business unit leadership; shares results and optimizes plans based on learnings. Works with fellow Brand Strategists to develop and design best practices and best-in-class marketing approaches. Leads integrated marketing campaigns spanning awareness, engagement, activation and sales enablement. Responsible for team marketing budget, and Agile Team resources towards the highest value growth initiatives. Develops campaign strategies coordinating digital, events, content, nurture, webinar, ABM and sales outreach tactics. Designs and executes account-based marketing programs aligned to target industries, buyer personas and organizational priorities. Coordinates personalized outreach programs, landing pages, executive events and nurture experiences. Supports demand generation and lead capture initiatives tied to MQL, SQL and pipeline goals. Manages performance optimization through testing, reporting and analytics. Collaborates cross-functionally with creative, communications, digital, analytics and business teams. Lead conference and executive event marketing strategy, including pre-event, onsite and post-event engagement programs. Develops campaign briefs, messaging frameworks, KPI definitions and executive-ready reporting. Drives continuous optimization across campaign performance, targeting, conversion and engagement. 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 in marketing, business, or a related field, from an accredited college or university preferred. Experience Eight (8) to twelve (12+) years of B2B marketing experience, with emphasis in integrated marketing, demand generation, and account-based marketing (ABM). Demonstrated success developing, executing, and optimizing integrated, multi-channel campaigns that drive pipeline growth and measurable business outcomes. Proven experience partnering with sales leadership, business development, and executive stakeholders to align marketing strategies with revenue priorities. Strong background in campaign performance analysis, translating insights into data-driven optimization and strategic recommendations. Experience working effectively within matrixed, cross-functional organizations and leading collaboration across marketing, analytics, and business teams. Proficiency with marketing automation, CRM, and ABM\u002Fintent data platforms (e.g., HubSpot, Salesforce, 6sense, Demandbase), with experience supporting enterprise growth and go-to-market initiatives. Skills & Knowledge Strong understanding of lead management, attribution, funnel reporting, and pipeline measurement. Knowledge of lifecycle marketing and revenue operations processes. Familiarity with intent data, audience segmentation, and account scoring methodologies. Strong analytical skills with the ability to interpret data and drive performance optimization. Excellent communication, presentation, and executive presence skills. Strong organizational and project management skills. Ability to collaborate across cross-functional teams and align stakeholders. 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\u002FVisual: 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 $160,000 annually and bonus eligibility. 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",{"id":1572,"slug":1573,"title":1574,"location":13,"raw_job_location_address_addressLocality":1575,"raw_hiringOrganization_logo_url":13,"raw_description":1576},64620,"customer-support-representative-sedgwick-claims-management-services-inc","Customer Support Representative","Telecommuter NH","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 Customer Support Representative **Candidates must reside in the Pease - Portsmouth, NH area** This is a HYBIRD role that will be at least 3 days a week in office and two days remote. Possible shifts available after training is complete include: 9:00am – 5:30pm ET, 9:30am – 6pm ET, or 10:00am – 6:30 pm ET. PRIMARY PURPOSE: The Customer Support Specialist provides responsive, high-quality support to customers, auditors, and internal partners by resolving inquiries, maintaining expert knowledge of BillReview IQ applications, and ensuring accurate issue tracking and timely resolution while contributing to continuous improvement efforts. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Serves as a contact to assist customers, auditors, and customer success, handing inquiries and ensuring a consistently positive and professional experience. Learns and maintains expert-level knowledge of BillReview IQ’s software applications and stay current with system updates and changes. Responds promptly to incoming customer calls while actively logged into the phone system during scheduled hours. Tracks, manages, and resolves customer issues within defined timelines, ensuring timely follow-up and resolution. Builds and nurtures strong relationships with internal and external users to foster trust and long-term engagement. Identifies and document software defects or change requests, collaborating with senior members of team to log and escalate though tracking software. Records customer interactions accurately, troubleshooting steps, and resolution processes using the designated CRM system. Analyzes recurring issues to identify root causes and contribute to continuous improvement efforts. Be available to work one late shift (11:00 AM – 8:00 PM) per week. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Travel as required. QUALIFICATIONS Education & Licensing High school diploma or GED required OR Bachelor's degree from an accredited college or university preferred. Experience One (1) year of customer service in technical support, helpdesk, or related role required, or equivalent combination of education and experience. Skills & Knowledge Excellent verbal and written communication skills Strong interpersonal skills with a customer-first mindset Demonstrated ability to troubleshoot and support users of software applications Solid understanding of basic computer functions, including the ability to guide users through technical processes Strong organizational, time management, and multitasking skills in a fast-paced environment Analytical and problem-solving abilities with attention to detail Ability to research solutions, retain information, and effectively utilize available tools and resources Proficiency with Microsoft Office products and general PC applications Ability to work independently and collaboratively in a team environment Adaptable, resourceful, and flexible approach to work 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\u002FVisual: 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",{"id":1578,"slug":1579,"title":1580,"location":13,"raw_job_location_address_addressLocality":1558,"raw_hiringOrganization_logo_url":13,"raw_description":1581},64621,"construction-defect-adjuster-sedgwick-claims-management-services-inc","Construction Defect Adjuster","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 Construction Defect Adjuster Primary Purpose The Commercial General Liability (CGL) Claims Adjuster is responsible for the end-to-end handling of complex third-party bodily injury and property damage claims arising under commercial general liability policies. This role requires advanced expertise in coverage analysis, liability determination, litigation management, and risk transfer, particularly across multi-jurisdictional and construction-related exposures. The adjuster is expected to proactively manage claim outcomes, control loss costs, and ensure compliance with client service standards, regulatory requirements, and internal quality expectations. Essential Functions and Responsibilities Claim Investigation & File Ownership Independently investigate and manage a full caseload of CGL claims, including but not limited to premises liability, slip and fall, product liability, construction defect and construction-related losses, and contractual liability exposures. Drive timely claim resolution through proactive file management, strategic planning, and adherence to best practices in diary management and documentation. Coverage Analysis & Policy Interpretation Analyze complex policy language, including insuring agreements, endorsements, exclusions (e.g., ongoing\u002Fcompleted operations, additional insured provisions), and limits to determine coverage applicability. Draft clear, defensible coverage position letters, including reservation of rights and denial letters, consistent with jurisdictional requirements and client expectations. Liability & Damages Evaluation Conduct comprehensive liability investigations, including: Review and analysis of incident reports, contracts, lease agreements, and indemnification provisions Identification and application of contractual risk transfer provisions Obtaining and evaluating recorded statements, expert opinions, photographs, and surveillance Evaluate injury severity, medical treatment, and long-term exposure, including review of medical records, bills, and independent medical evaluations (IMEs) where applicable. Establish, maintain, and adjust reserves in accordance with claim developments and severity exposure. Litigation Management Manage litigated files, including the retention and direction of defense counsel. Provide strategic oversight on litigation plans, budgets, pleadings, discovery, and dispositive motions. Participate in mediations, settlement conferences, and trial preparation, ensuring alignment with client and organizational strategies. Settlement & Negotiation Negotiate settlements within delegated authority while balancing cost containment and risk exposure. Evaluate settlement value based on liability, damages, venue, and litigation risks, and escalate appropriately when exceeding authority. Risk Transfer & Subrogation Identify, evaluate, and pursue risk transfer opportunities, including: Additional insured tenders Contractual indemnity provisions Subrogation potential Coordinate with coverage counsel, carriers, and third parties to maximize recovery and proper allocation of liability. Client & Stakeholder Communication Maintain proactive, professional communication with insureds, claimants, brokers, clients, and internal stakeholders. Provide detailed status updates, large loss reports, and claim summaries tailored to client-specific reporting requirements. Documentation, Compliance & Quality Maintain thorough, accurate, and timely file documentation to support claim decisions and audit readiness. Ensure compliance with applicable state regulations, client service instructions, and internal audit and quality standards. Participate in internal and external audits, file reviews, and continuous improvement initiatives. Additional Functions and Responsibilities Support organizational quality initiatives, audit programs, and operational excellence efforts. Contribute to process improvement, knowledge sharing, and team development activities as needed. Perform other duties as assigned. Qualifications Education & Licensing Bachelor’s degree or equivalent work experience. Adjuster licensing as required by jurisdiction(s) handled. Experience Minimum of 5+ years of commercial general liability claims handling experience required; experience with litigated and construction-related claims strongly preferred. Skills & Knowledge Strong understanding of CGL coverage, policy interpretation, and jurisdictional differences Experience managing litigated claims and working with defense counsel Knowledge of construction defect, additional insured coverage, and risk transfer strategies Ability to assess liability, damages, and exposure in complex loss scenarios Strong negotiation and settlement skills Excellent written and verbal communication, including drafting coverage correspondence and client reports Proficiency in claims systems and Microsoft Office applications Demonstrated organization, attention to detail, and time management Ability to work both independently and collaboratively in a fast-paced, team-driven environment Proven ability to meet or exceed performance, quality, and compliance metrics 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\u002FVisual: 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 ($88,000 - $120,000 USD annually). 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",{"id":1583,"slug":1584,"title":1585,"location":13,"raw_job_location_address_addressLocality":1586,"raw_hiringOrganization_logo_url":13,"raw_description":1587},87310,"claims-examiner-workers-compensation-jurisdiction-md-nj-licensing-home-state-preferred-sedgwick-claims-management-services-inc","Claims Examiner - Workers Compensation | Jurisdiction: MD & NJ | Licensing: Home State Preferred","Marlton, NJ - Lake Center","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 Compensation | Jurisdiction: MD & NJ | Licensing: Home State Preferred 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 Claims Examiner, WC knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.  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. OFFICE LOCATION: 2 days in office, 3 days work from home if located within 25 miles of any Sedgwick offices, if outside of the radius a fully remote work arrangement will be considered. PRIMARY PURPOSE OF THE ROLE To analyze workers compensation 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 5 years of claims management experience or equivalent combination of education and experience required. Licensing: Home state preferred Jurisdiction Knowledge: MD and NJ TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Opportunity to work in an agile environment. 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, travel as required Auditory\u002FVisual: 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 ($70k-$85k). 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 #Hotjobs 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",{"id":1589,"slug":1590,"title":1591,"location":13,"raw_job_location_address_addressLocality":1592,"raw_hiringOrganization_logo_url":13,"raw_description":1593},64623,"heavy-equipmentspecialty-desk-appraiser-sedgwick-claims-management-services-inc","Heavy Equipment\u002FSpecialty Desk Appraiser","Telecommuter NM","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 Heavy Equipment\u002FSpecialty Desk Appraiser PRIMARY PURPOSE: Responsible for evaluating damage and preparing repair estimates for heavy equipment and specialty vehicles involved in insurance claims. This role requires strong technical knowledge, analytical skills, and the ability to collaborate with repair facilities to ensure accurate and timely claim resolution. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Review photos, documentation, and other claim materials to assess damage. Prepare detailed repair estimates using approved industry-standard software. Evaluate repair vs. replace decisions and determine appropriate parts usage. Assess whether vehicles are repairable or should be deemed salvage. Collaborate with repair facilities to process supplements and update estimates. Negotiate scope of repairs and pricing with repair facilities. 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. Experience Three (3) years of experience or equivalent combination of education and experience required to include at least one (1) year of heavy equipment experience. Skills & Knowledge Thorough knowledge of operating heavy equipment Ability to understand and utilize appraisal software Excellent oral and written communication skills, including presentation skills PC literate, including proficiency in Microsoft Office products Analytical and interpretive skills Ability to work independently or 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: Must be able to stand and\u002For walk for long periods of time. Must be able to kneel, squat or bend. Must be able to work outdoors in hot and\u002For cold weather conditions. Have the ability to climb, crawl, stoop, kneel, reaching\u002Fworking overhead, Be able lift\u002Fcarry up to 50 pounds Be able to push\u002Fpull up to 100 pounds. Be able to drive up to 4 hours per day. Auditory\u002FVisual: 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",{"id":1595,"slug":1596,"title":1353,"location":13,"raw_job_location_address_addressLocality":1597,"raw_hiringOrganization_logo_url":13,"raw_description":1598},64624,"general-adjuster-sedgwick-claims-management-services-inc-3","Telecommuter NJ","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 General Adjuster PRIMARY PURPOSE: To investigate claims against insurance or other companies for personal, casualty, or property loss or damages; attempts to effect out-of-court settlement with claimant. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Handles complex losses locally unassisted up to designated authority; assists on larger losses, including handling accounting-based losses (business interruption and stock) Examines claim form and other records to determine insurance coverage. Interviews, telephones, or corresponds with claimant and witnesses regarding claim. Consults police and hospital records; and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance. Estimates cost of repair, replacement, or compensation. Prepares report of findings and negotiates settlement with claimant. Recommends litigation by legal department when settlement cannot be negotiated. Attends litigation hearings. Revises case reserves in assigned claims files to cover probable costs. Assists in preparing loss experience report to help determine profitability and calculates adequate future rates. 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. Must have earned the IIA-AIC designation and be actively pursuing another professional insurance designation. Appropriate state adjuster license is required. Experience Five (5) years of related experience or equivalent combination of education and experience required. Skills & Knowledge Strong oral and written communication, including presentation skills PC literate, including Microsoft Office products Demonstrated commitment to timely reporting Strong customer service skills Strong interpersonal skills Attention to detail and accuracy Good time management and organizational skills Ability to work independently or 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: Must be able to stand and\u002For walk for long periods of time. Must be able to kneel, squat or bend. Must be able to work outdoors in hot and\u002For cold weather conditions. Have the ability to climb, crawl, stoop, kneel, reaching\u002Fworking overhead Be able to lift\u002Fcarry up to 50 pounds Be able to push\u002Fpull up to 100 pounds Be able to drive up to 4 hours per day. Must have continual use of manual dexterity. Auditory\u002FVisual: 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 $85k-$90k. 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. We are always accepting applications. 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",{"id":1600,"slug":1601,"title":1602,"location":13,"raw_job_location_address_addressLocality":1603,"raw_hiringOrganization_logo_url":13,"raw_description":1604},64625,"attorney-auditor-sedgwick-claims-management-services-inc","Attorney Auditor","Telecommuter NY","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 Attorney Auditor **This is a fully remote position, and candidates residing in any of the 50 United States are encouraged to apply.** As an Attorney Auditor at Sedgwick, you’ll have the opportunity to take on new challenges and help solve complex problems for the world’s best brands. 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, grow your career and your profile. 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. PRIMARY PURPOSE OF THE ROLE The Attorney Auditor reviews legal and non-legal invoices on behalf of our clients for services provided to insurance carriers, corporate legal departments and government entities. The auditor will apply client specified billing guidelines and\u002For Generally Accepted Principles and Standards (“GAPS”). ESSENTIAL RESPONSIBILITIES Ability to understand and apply clients’ billing guidelines and standards. Work with client to develop or enhance billing protocol. Ability to effectively communicate with law firms to discuss compliance with client’s billing requirements. Effectively manage invoice workflow. Ability to work independently to finalize and approve legal invoices for payment. Consistently meet company established performance standards for production. Work with other team members to jointly meet production objectives\u002Fgoals. QUALIFICATIONS Juris Doctorate (JD) required. Five (5) years of insurance defense or complex litigation experience is required. TAKING CARE OF YOU Wonderful team culture with career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K and PTO. Wellness benefits including wellness allowance and life insurance. Competitive salary. Job security and flexibility; potential to work from home once training is completed. Work environment requirements for entry-level opportunities include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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. Always accepting applications. 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 ( $70,000.00 - $75,000.00). 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. #LI-TS1 #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. 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",{"id":1606,"slug":1607,"title":1608,"location":13,"raw_job_location_address_addressLocality":1603,"raw_hiringOrganization_logo_url":13,"raw_description":1609},64626,"regional-property-claims-manager-nyc-sedgwick-claims-management-services-inc","Regional Property Claims Manager NYC","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 Regional Property Claims Manager NYC PRIMARY PURPOSE: To create profitable growth by acquiring and maintaining new and existing client relationships and increasing market presence by utilizing superior, innovative and personalized service. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Develops and implements annual business plans and delivers profitable growth of the business’ operating revenues and earnings budget utilizing Sedgwick’s business processes. Generates and establishes talent, management, and financial control plans to secure successful execution of a regions performance. Oversees activities of assigned property and casualty staff to ensure efficient operation of branch. Facilitates communication between internal and external customers. Monitors work product for validity and accuracy to ensure it is delivered technically and grammatically correct to the intended audience. Creates and maintains an environment of customer and colleague satisfaction. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Experience Eight (8) years of related experience or equivalent combination of education and experience, including but not limited to technical multi-lines insurance claims adjusting and people leadership experience. Skills & Knowledge Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership\u002Fmanagement\u002Fmotivational skills 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: Ability to stand and\u002For walk for long periods of time Ability to kneel, squat or bend Ability to work outdoors in hot and\u002For cold weather conditions. Ability to climb, crawl, stoop, kneel, reaching\u002Fworking overhead Ability to lift\u002Fcarry up to 50 pounds and to push\u002Fpull up to 100 pounds Ability to drive up to 4 hours per day Must have continual use of manual dexterity Auditory\u002FVisual: 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 $80k-$110k. 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. We are always accepting applications. 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",{"id":1611,"slug":1612,"title":1613,"location":13,"raw_job_location_address_addressLocality":1603,"raw_hiringOrganization_logo_url":13,"raw_description":1614},64627,"workers-compensation-claims-adjuster-ny-jurisdictional-knowledge-amp-ny-licensing-required-dedicated-public-entity-client-amp-capped-caseloads-sedgwick-claims-management-services-inc","Workers Compensation Claims Adjuster | NY Jurisdictional Knowledge & NY Licensing Required | Dedicated Public Entity Client & Capped Caseloads","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 Adjuster | NY Jurisdictional Knowledge & NY Licensing Required | Dedicated Public Entity Client & Capped Caseloads 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 New York Workers Compensation Adjuster 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 analyze New York 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 3 years of New York Workers Comp claims management experience or equivalent combination of education and experience required. Jurisdiction Knowledge: New York Licensing: New York 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\u002FVisual: 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 ($80 - $90K). 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 #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. 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",{"id":1616,"slug":1617,"title":1618,"location":13,"raw_job_location_address_addressLocality":1603,"raw_hiringOrganization_logo_url":13,"raw_description":1619},64628,"workers-compensation-claims-examiner-ny-jurisdictional-experience-required-dedicated-client-sedgwick-claims-management-services-inc","Workers Compensation Claims Examiner | NY Jurisdictional Experience Required | Dedicated Client","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 Examiner | NY Jurisdictional Experience Required | Dedicated Client 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. OFFICE LOCATIONS Hybrid Schedule if within commutable distance to Syracuse, NY office Remote if outside of commutable distance to Syracuse, NY office PRIMARY PURPOSE OF THE ROLE: To analyze Lost-Time Workers Compensation 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. ESSENTIAL RESPONSIBLITIES 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: NY Licensing: NY preferred, 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. 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\u002FVisual: Hearing, vision and talking #claimsexaminer #claims #remote 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 (80 - 90K). 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",{"id":1621,"slug":1622,"title":1623,"location":13,"raw_job_location_address_addressLocality":1603,"raw_hiringOrganization_logo_url":13,"raw_description":1624},64629,"workers-compensation-claims-examiner-ny-jurisdiction-ny-licensing-remote-sedgwick-claims-management-services-inc","Workers Compensation Claims Examiner | NY Jurisdiction | NY Licensing | Remote","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 Examiner | NY Jurisdiction | NY Licensing | 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? 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 RESPONSIBLITIES 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: 4+ 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: NY Licensing: NY 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\u002FVisual: 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 (75,000 -85,000\u002Fyr). 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",{"id":1626,"slug":1627,"title":1628,"location":13,"raw_job_location_address_addressLocality":636,"raw_hiringOrganization_logo_url":13,"raw_description":1629},64630,"entry-level-remote-bilingual-spanish-and-brazilian-portuguese-customer-service-and-claims-positions-sedgwick-claims-management-services-inc","Entry- Level, -REMOTE Bilingual Spanish and Brazilian Portuguese , Customer Service and Claims Positions","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, -REMOTE Bilingual Spanish and Brazilian Portuguese , Customer Service and Claims Positions Ready to launch your career and make a real impact? Join us and bring your 1–2 years of office experience to a role where you’ll grow, learn, and thrive! You’ll handle calls in both Portuguese (Brazilian) and English. Here’s what we offer: ✨ A stable, consistent work environment – whether in-office or virtual ✨ Comprehensive training – learn how to deliver exceptional support ✨ Dedicated mentorship – your mentor and manager will guide your journey ✨ Career growth opportunities – take on new responsibilities and advance ✨ A diverse benefits package – supporting your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to grow with us? 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\u002For questions. ESSENTIAL FUNCTIONS and RESPONSIBILITIES You will be handling USA and Latin American customers 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\u002For 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\u002For 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\u002FVisual: 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 $17.00. 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",{"id":1631,"slug":1632,"title":1633,"location":13,"raw_job_location_address_addressLocality":636,"raw_hiringOrganization_logo_url":13,"raw_description":1634},64632,"field-auto-appraiser-columbus-ohio-sedgwick-claims-management-services-inc","Field Auto Appraiser - Columbus, Ohio","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 Field Auto Appraiser - Columbus, Ohio PRIMARY PURPOSE: To inspect, identify, and evaluate auto vehicles involved in a loss. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Appraises and determines costs of repairs to damaged vehicle in the field; determines repair versus replace and parts utilization. Evaluates and determines if the vehicle is repairable or salvageable based on industry standard estimatics software. Travels to inspection locations to appraise vehicles in the field. Prepares estimates using estimatics software. Works directly with auto repair facilities to determinate supplemental repair processing and provides a supplemental estimate. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Travels as required. QUALIFICATIONS Education & Licensing High school diploma or GED required. Licenses as required by state guidelines. Experience Three (3) years of related experience to include at least one (1) year of appraisal experience or equivalent combination of education and experience required. Skills & Knowledge Strong knowledge of automobiles Ability to understand and utilize appraisal software PC literate, including Microsoft Office products Strong organizational skills Excellent interpersonal skills Excellent negotiating 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: Must be able to stand and\u002For walk for long periods of time; must be able to kneel, squat, or bend; must be able to work outdoors in hot and\u002For cold weather conditions; have the ability to climb, crawl, stoop, kneel, reach\u002Fwork overhead; be able to lift\u002Fcarry up to 50 pounds; be able to push\u002Fpull up to 100 pounds; be able to drive up to 4 hours per day; and must have continual use of manual dexterity Auditory\u002FVisual: 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 $55,000-$65,000\u002Fyr. 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. 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",{"id":1636,"slug":1637,"title":1638,"location":13,"raw_job_location_address_addressLocality":636,"raw_hiringOrganization_logo_url":13,"raw_description":1639},64633,"sr-pricing-analyst-sedgwick-claims-management-services-inc","Sr. Pricing Analyst","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. Pricing Analyst PRIMARY PURPOSE OF THE ROLE: To analyze and handle higher-level new and renewal business pricing opportunities across all lines of business; to ensure on-going compliance with department procedures and best practices. ESSENTIAL RESPONSIBILITIES MAY INCLUDE Analyzes, designs and prices higher-level new and renewal business pricing opportunities as assigned. Works closely with other departments as appropriate often communicating with program managers, operations managers, managing directors, finance, sales and marketing, and legal department. Manages projects through well-developed action plans to an appropriate and timely resolution. Responds to requests for proposals. Prepares formal new and renewal pricing presentation documents and support schedules. Informs management of ideas for continuous process improvement. Supports management on assigned projects from inception through implementation; supports management for new client implementations and other short-term initiatives; and supports managers conducting research or new service\u002Fproduct development projects. Supports training and improvement activities needed to meet established operational and audit departmental requirements. Assists in evaluation, development, and enhancement of various pricing models as requested. Provides superior customer service and support to business\u002Fmanagement strategies. QUALIFICATIONS Bachelor's degree from an accredited college or university preferred. Major in accounting field strongly preferred. Professional certification preferred. Six (6) years of experience in financial analysis, project management or accounting or equivalent combination of education and experience required. Supervisory experience preferred. 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\u002FVisual: 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 $75,000 to $90,000. 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. #REMOTE 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",{"id":1641,"slug":1642,"title":1643,"location":13,"raw_job_location_address_addressLocality":636,"raw_hiringOrganization_logo_url":13,"raw_description":1644},64634,"sr-adjustermarine-surveyor-sedgwick-claims-management-services-inc","Sr Adjuster\u002FMarine Surveyor","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 Adjuster\u002FMarine Surveyor Columbus or Dayton, Ohio Perfered PRIMARY PURPOSE: To investigate and adjust property and casualty claims, both residential and commercial, with little to no supervision. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Inspects claims and contacts involved parties in a timely manner. Investigates circumstances of claim(s) as required for coverage determination, cause, and compensable damages\u002Freserves. Examines insurance policies and other records to determine insurance coverage. Prepares estimates for cost of repair and\u002For replacement. Conducts interviews with claimant and witnesses regarding submitted claim(s). Negotiates and settles both 1st and 3rd party claims. Addresses salvage and subrogation as required by the client. Maintains client relationships to assure repeated business referrals. 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. IIA-AIC designation required. Appropriate state adjuster license is required. Experience Two (2) years of related experience or equivalent combination of education and experience required. Skills & Knowledge Strong oral and written communication, including presentation skills PC literate, including Microsoft Office products Demonstrated commitment to timely reporting Strong customer service skills Strong interpersonal skills Attention to detail and accuracy Good time management and organizational skills Ability to work independently or 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: Must be able to stand and\u002For walk for long periods of time. Must be able to kneel, squat or bend. Must be able to work outdoors in hot and\u002For cold weather conditions. Have the ability to climb, crawl, stoop, kneel, reaching\u002Fworking overhead Be able to lift\u002Fcarry up to 50 pounds Be able to push\u002Fpull up to 100 pounds Be able to drive up to 4 hours per day. Must have continual use of manual dexterity. Auditory\u002FVisual: 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 $50-$70k. 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. We are always accepting applications. 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",{"id":1646,"slug":1647,"title":1648,"location":13,"raw_job_location_address_addressLocality":1649,"raw_hiringOrganization_logo_url":13,"raw_description":1650},64635,"senior-marine-surveyor-sedgwick-claims-management-services-inc","Senior Marine Surveyor","Telecommuter PA","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 Senior Marine Surveyor PRIMARY PURPOSE: To inspect damaged cargo to determine the nature, cause, and extent of damages; to review documents to determine when the cargo was damaged; and to provide written reports to underwriters and other parties with his\u002Fher qualified opinion as to the cause of loss. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Oversees loading and unloading of cargo from ships and other forms of transit to document damages as they are loaded and\u002For unloaded. Inspects damaged ships to determine cause of the damage and amount of damage resulting from collisions or motor failures. Receives and reviews new claims and maintains data integrity in the claims system. 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. Valid driver's license and current insurance coverage required, along with motor vehicle record that meets Property requirements. Experience Six (6) years of related experience or equivalent combination of education and experience required. Skills & Knowledge Good oral and written communication skills PC literate, including Microsoft Office products Good customer service skills Good organizational skills Ability to work independently and 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: Ability to climb, crawl, stoop, kneel, reach\u002Fwork overhead, lift\u002Fcarry up to 50 pounds, and be able to push\u002Fpull up to 100 pounds Ability to drive up to 4 hours per day Ability to work in wet and\u002For humid conditions, high\u002Fprecarious places, outside weather conditions (extreme cold or heat), and in moderately noisy environments Ability to work safely around moving mechanical parts, fumes or airborne particles, and toxic or caustic chemicals Ability to use close, distance, color, and peripheral vision as well as good depth perception and ability to adjust focus Ability to work in all elements and weather conditions Auditory\u002FVisual: 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",{"id":1652,"slug":1653,"title":1654,"location":13,"raw_job_location_address_addressLocality":1649,"raw_hiringOrganization_logo_url":13,"raw_description":1655},64636,"operations-support-services-specialist-sedgwick-claims-management-services-inc","Operations Support Services Specialist","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 Operations Support Services Specialist PRIMARY PURPOSE: To support Operations Support Services leadership relating to all aspects of quality assurance; ensure service level agreements are maintained; research and resolve complex technical issues; manage and create escalation procedures; track and monitor issues ensuring a timely resolution; and to perform monthly quality and technical audits. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Provides leadership, direction, and support to a team of OSS colleagues. Assigns and monitors workload for OSS colleagues; coordinates project volume and assignments; ensures that processes and procedures are adhered to and that department objectives and Service Level Agreements (SLAs) are met. Assists leadership to establish departmental procedures, standards, and metrics. Supports OSS Coordinators and OSS Associates by providing advice on handling complex issues. Tracks non-compliance issues and monitors through to resolution; acts as quality assurance by identifying, researching, resolving and responding to technical and non-technical issues or questions. Communicates high visibility issues to immediate supervisor. Maintains high level of knowledge of applicable claim systems, processes, and procedures to assist in a resolution to customer issues. Escalates calls to the appropriate departments as needed. Provides status and follow-up information to customers as needed. Reviews quality data, conducts audits, tracks quality metrics and reports findings to appropriate management. Conducts training for OSS Coordinators and OSS Associates. Monitors incoming calls and emails to ensure issues are addressed and resolved in a timely manner. Assists leadership to identify and implement process improvement initiatives. Assists in interviews of Coordinators and Associates and provides feedback to hiring manager. 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 Three (3) years claims management experience or equivalent combination of experience and education required. Skills & Knowledge Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership\u002Fmanagement\u002Fmotivational skills Analytical and interpretive skills Strong organizational skills Excellent negotiation skills Ability to work in a team environment Ability to meet or exceed Performance Competencies COMPENSATION 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 (39,536.00 - 55,350.00 - 71,165.00 USD Annual.) 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 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\u002FVisual: 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",{"id":1657,"slug":1658,"title":1659,"location":13,"raw_job_location_address_addressLocality":1649,"raw_hiringOrganization_logo_url":13,"raw_description":1660},64637,"employee-relations-consultant-sedgwick-claims-management-services-inc","Employee Relations Consultant","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 Employee Relations Consultant PRIMARY PURPOSE: To serve as the point of contact and provide support, guidance, and direction to business leaders and CR business partners on performance improvement, progressive discipline matters and workplace complaints, up to and including termination. To review and approve end-to-end corrective action, reductions, and performance management documents. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Provides expertise, consultation, guidance and coaching to business leaders and CR business partners to address employee behavior and performance concerns. Reviews, documents and delivers feedback and\u002For progressive discipline actions up to and including termination that align with Sedgwick policies. Evaluates, coordinates and approves the process for any reduction in force and\u002For position elimination to ensure consistency with Sedgwick policy. Ensures accurate tracking, intake and investigation notes, documentation, and resolution of employee relations cases including recommendations on workplace complaints. Provides information and guidance regarding adherence to company policies and applicable laws and regulations. Using provided metrics, identifies trends and\u002For challenges and offers recommendations for improvements. Collaborates with and supports Centers of Excellence “COE’s” on general CR programs, initiatives and projects as needed. Partners with legal and\u002For compliance by providing supporting documentation gathering for all administrative changes and attorney letters. Identifies and analyzes legal\u002Fcompliance risks in employment situations and escalates defined matters appropriately to ensure notification and consultation requirements. Analyzes employee relations data, providing regular reporting, trend analysis and risk assessment. Shares information with CR business partners and other CR Centers of Excellence “COE’s” as needed. Serves as subject matter expert for employee relations COE’s, providing guidance, training, and coaching. 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. MBA preferred. SHRM, PHR preferred. Experience Six (6) years’ experience in a human resource generalist capacity specifically demonstrating a working knowledge of employee relations programs and laws and overseeing a wide variety of complex, high risk and sensitive employment-related cases from intake to investigation to resolution and experience in a shared services\u002Finternal service delivery role and with HRIS and\u002For case management tools or equivalent combination of education and experience required. Experience with Workday and ServiceNow preferred. Skills & Knowledge Knowledge of the full range of employee relations (ER) practices; performance management & corrective action support, restructuring & reductions, workplace issues and conflicts including management practices concern, disputes, and appeals, etc. Working understanding of major employment laws Americans with Disabilities Act (ADA), Age Discrimination Employment Act (ADEA), Family Medical Leave Act (FMLA) and the Title VII Discrimination Act Strong process improvement orientation and willingness to recommend changes to improve applicable functions Ability to analyze information and convert related activities into a comprehensive work plan High integrity, sound judgment and discretion regarding the handling of confidential information Self-driven with a sense of ownership of work product and accountability Ability to identify basic problems and procedural irregularities, collect data, establish facts and draw valid conclusions Excellent oral and written communication skills PC literate, including Microsoft Office products Strong organizational skills Excellent 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, 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\u002FVisual: 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",{"id":1662,"slug":1663,"title":1664,"location":13,"raw_job_location_address_addressLocality":1149,"raw_hiringOrganization_logo_url":13,"raw_description":1665},87312,"care-team-representative-afternoon-evening-shifts-sedgwick-claims-management-services-inc","Care Team Representative - Afternoon & Evening Shifts","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 Care Team Representative - Afternoon & Evening Shifts Entry-level, Care Team Representative Looking for an Afternoon or Evening Schedule? Start times are available beginning after 12:00 PM CST. Please note training is held Monday through Friday from 8:00 AM to 4:30 PM CST. Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near one of our dynamic Centers of Excellence📍Orlando, FL: 12650 Ingenuity Drive, Orlando FL 32826; 📍 Southfield, MI: 300 Galleria Officentre, Southfield MI 48034; 📍 Irving, TX: 2201 W. Royal Lane, Suite 125, Irving TX 75063; 📍Dublin, OH: 5500 Glendon Court #100, Dublin, OH 43016; 📍 New Albany, OH: 7795 Walton Parkway Suite 200, New Albany OH 43054; 📍 Dubuque, IA: 4141 Westmark Avenue, Dubuque IA 52002; 📍 Cedar Rapids, IA: 333 1st Street SE, Suite 200, Cedar Rapids, IA 52401; 📍 Coralville IA: 273 Ridgeway Drive, Coralville IA 52241 ✨ What we offer: A stable, consistent work environment—both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? See what a day in the life of a Care Team Representative is like: SED23026 - Mariah_01-09-24 (vidyard.com) &https:\u002F\u002Fshare.vidyard.com\u002Fwatch\u002FVCLjdFEUwPccjWaBtjLmwX Learn more about our Care Team: Care Team (ceros.com) PRIMARY PURPOSE: To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not limited to, expediting the claims process and providing detailed claim notes on all calls, resolving issues with one call\u002Fone person response, and directing calls to appropriate escalation path as needed. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Acts as primary liaison with callers from multiple client accounts within a shared services environment. Follows specifications in assisting with questions and solving problems related to the claims application and servicing processes. Performs claim intake and full-service customer support within regulatory requirements, company, and client expectations at all times. Educates and informs the customer about documentation required to file\u002Fprocess a claim, required time frames, payment information, and claim status. Educates claimants\u002Fcallers on client requirements and benefit plans documenting all required details of the call in a concise professional manner. Enters verbal and written claim information that meets both the internal and external customer’s requirements accurately into the appropriate system. Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist\u002Fmanagement as needed. Attendance during scheduled work hours is required. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. Experience One (1) year customer service experience or equivalent combination of education and experience required. Inbound call center experience preferred. Skills & Knowledge Excellent verbal and written communication skills PC literate, including Microsoft Office products, Windows environment Must meet minimum typing requirements Strong organizational skills Good interpersonal skills Ability to multi task in fast paced environment Ability to support multiple clients across communication channels and utilize multiple systems simultaneously Ability to work in a team environment and\u002For independently Ability to meet or exceed Performance Competencies Ability to meet all attendance expectations 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\u002FVisual: 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 (17.85). 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.  #entrylevel #contactcenterrep 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",{"id":1667,"slug":1668,"title":1669,"location":13,"raw_job_location_address_addressLocality":1670,"raw_hiringOrganization_logo_url":13,"raw_description":1671},64640,"claims-examiner-workers-compensation-jurisdiction-al-fl-ga-licensing-required-remote-sedgwick-claims-management-services-inc","Claims Examiner - Workers Compensation | Jurisdiction : AL, FL, GA | Licensing: Required - Remote","Telecommuter SC","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 Compensation | Jurisdiction : AL, FL, GA | Licensing: Required - 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 Claims Examiner, WC knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.  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 analyze workers compensation 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 5 years of claims management experience or equivalent combination of education and experience required. Licensing \u002F Jurisdiction Knowledge: Home state license required, Main states: AL, FL, GA, NC,SC,TN TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Opportunity to work in an agile environment. 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, travel as required Auditory\u002FVisual: Hearing, vision and talking #claimsexaminer #claims #hybrid #LI-REMOTE #Sedgwick #Hotjobs 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 (63,404.00 - 88,765.00). 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",{"id":1673,"slug":1674,"title":1675,"location":13,"raw_job_location_address_addressLocality":1676,"raw_hiringOrganization_logo_url":13,"raw_description":1677},64641,"field-auto-appraiser-rhode-island-sedgwick-claims-management-services-inc","Field Auto Appraiser - Rhode Island","Telecommuter RI","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 Field Auto Appraiser - Rhode Island PRIMARY PURPOSE: To inspect, identify, and evaluate auto vehicles involved in a loss. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Appraises and determines costs of repairs to damaged vehicle in the field; determines repair versus replace and parts utilization. Evaluates and determines if the vehicle is repairable or salvageable based on industry standard estimatics software. Travels to inspection locations to appraise vehicles in the field. Prepares estimates using estimatics software. Works directly with auto repair facilities to determinate supplemental repair processing and provides a supplemental estimate. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Travels as required. QUALIFICATIONS Education & Licensing High school diploma or GED required. Licenses as required by state guidelines. Experience Three (3) years of related experience to include at least one (1) year of appraisal experience or equivalent combination of education and experience required. Skills & Knowledge Strong knowledge of automobiles Ability to understand and utilize appraisal software PC literate, including Microsoft Office products Strong organizational skills Excellent interpersonal skills Excellent negotiating 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: Must be able to stand and\u002For walk for long periods of time; must be able to kneel, squat, or bend; must be able to work outdoors in hot and\u002For cold weather conditions; have the ability to climb, crawl, stoop, kneel, reach\u002Fwork overhead; be able to lift\u002Fcarry up to 50 pounds; be able to push\u002Fpull up to 100 pounds; be able to drive up to 4 hours per day; and must have continual use of manual dexterity Auditory\u002FVisual: 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",{"id":1679,"slug":1680,"title":1681,"location":13,"raw_job_location_address_addressLocality":1682,"raw_hiringOrganization_logo_url":13,"raw_description":1683},64642,"director-finance-sedgwick-claims-management-services-inc","Director Finance","Telecommuter TN","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 Director Finance PRIMARY PURPOSE OF THE ROLE: To direct all aspects associated with global financial statement consolidation process ensuring consolidated and entity statements are stated accurately and in accordance with GAAP, monitoring and maintaining compliance with company policies, procedures and internal controls. ESSENTIAL RESPONSIBILITIES MAY INCLUDE Prepares financial statements in accordance with GAAP and all related footnotes. Develops and executes policies, procedures and strategic initiatives\u002Fprojects Manages multiple entity consolidations, including eliminations and multiple currencies. Reviews and manages balance sheet and income statement accounts ensuring proper controls are in place and that entity and consolidated statements are accurately stated, communicated, and reported in accordance with GAAP. Leads efforts related to the preparation of financial statements for various entities Manages month-end, quarter-end and year-end closing processes. Manages the preparation and provides work papers to external auditors and responds to any audit related questions. Provides strategic and tactical direction for all areas within responsible domains. Responsible for development and execution of departmental budgets. Establishes and implements new or revised applications, systems and programs related to area of responsibility. Responsible for financial reporting and analysis including distribution. Manages research efforts related to consolidated financial statement requests\u002Fquestions from investors and executive management. Communicates issues and other applicable information to management. SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Bachelor's degree with major in accounting from an accredited college or university required. Master’s degree with major in accounting preferred. Certified Public Accountant (CPA) designation preferred. Ten (10) years consolidations, intercompany, currency and elimination accounting experience or equivalent combination of education and experience required. Five (5) years supervisory \u002F management experience required. 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\u002FVisual: 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",{"id":1685,"slug":1686,"title":871,"location":13,"raw_job_location_address_addressLocality":1149,"raw_hiringOrganization_logo_url":13,"raw_description":1687},87313,"care-team-representative-sedgwick-claims-management-services-inc-13","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 Care Team Representative Entry-level, Care Team Representative Our teams thrive together! ✨ What we offer: A stable, consistent work environment—both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? See what a day in the life of a Care Team Representative is like: SED23026 - Mariah_01-09-24 (vidyard.com) &https:\u002F\u002Fshare.vidyard.com\u002Fwatch\u002FVCLjdFEUwPccjWaBtjLmwX Learn more about our Care Team: Care Team (ceros.com) PRIMARY PURPOSE: To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not limited to, expediting the claims process and providing detailed claim notes on all calls, resolving issues with one call\u002Fone person response, and directing calls to appropriate escalation path as needed. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Acts as primary liaison with callers from multiple client accounts within a shared services environment. Follows specifications in assisting with questions and solving problems related to the claims application and servicing processes. Performs claim intake and full-service customer support within regulatory requirements, company, and client expectations at all times. Educates and informs the customer about documentation required to file\u002Fprocess a claim, required time frames, payment information, and claim status. Educates claimants\u002Fcallers on client requirements and benefit plans documenting all required details of the call in a concise professional manner. Enters verbal and written claim information that meets both the internal and external customer’s requirements accurately into the appropriate system. Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist\u002Fmanagement as needed. Attendance during scheduled work hours is required. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. Experience One (1) year customer service experience or equivalent combination of education and experience required. Inbound call center experience preferred. Skills & Knowledge Excellent verbal and written communication skills PC literate, including Microsoft Office products, Windows environment Must meet minimum typing requirements Strong organizational skills Good interpersonal skills Ability to multi task in fast paced environment Ability to support multiple clients across communication channels and utilize multiple systems simultaneously Ability to work in a team environment and\u002For independently Ability to meet or exceed Performance Competencies Ability to meet all attendance expectations 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\u002FVisual: 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 (17.85). 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.  #entrylevel #contactcenterrep 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",{"id":1689,"slug":1690,"title":1691,"location":13,"raw_job_location_address_addressLocality":1682,"raw_hiringOrganization_logo_url":13,"raw_description":1692},64644,"servicenow-hr-application-analyst-sedgwick-claims-management-services-inc","ServiceNow HR Application Analyst","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 ServiceNow HR Application Analyst Overview We are seeking a mid-level ServiceNow HR Application Analyst to support and evolve our HR Service Delivery (HRSD) platform, with a strong focus on the Employee Center (ESC). This role is designed for someone ready to step beyond execution into solution ownership and decision-making, helping shape how HR services are delivered through ServiceNow. Key Responsibilities - Own configuration and ongoing enhancement of ServiceNow HRSD modules - Design and optimize the Employee Center experience - Analyze requirements and make solution design decisions - Configure workflows, Flow Designer automations, and platform logic - Evaluate configuration vs. customization trade-offs - Troubleshoot complex issues and guide resolution strategies Required Skills & Experience - Experience with ServiceNow HRSD - Strong Employee Center (ESC) configuration experience - End-to-end configuration expertise - Ability to make independent configuration decisions Technical Growth & Awareness - JavaScript exposure in ServiceNow - Portal\u002Fwidget scripting awareness - Interest in deeper development skills Soft Skills - Strong analytical thinking - Confident communicator - Ownership mindset -documentation Preferred Qualifications - ServiceNow CSA (certified system administrator) - HRSD certification (service delivery) What Sets This Role Apart A stepping-stone to senior level with real solution ownership. 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 $80,000-85,000 annually. 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",{"id":1694,"slug":1695,"title":1696,"location":13,"raw_job_location_address_addressLocality":1682,"raw_hiringOrganization_logo_url":13,"raw_description":1697},64645,"senior-and-appliedagentic-ai-engineer-sedgwick-claims-management-services-inc","Senior and Applied\u002FAgentic AI Engineer","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 Senior and Applied\u002FAgentic AI Engineer Job Responsibilities · Lead the architecture and delivery of enterprise-grade LLM and agentic AI systems that transform claims, risk, and operational workflows. · Define technical strategy for retrieval-augmented generation (RAG), multi-agent orchestration, and autonomous workflow automation. · Design and implement advanced agentic systems capable of planning, reasoning, tool selection, execution, reflection, and recovery. · Architect stateful, memory-aware AI systems that manage long-running claims processes across multiple touchpoints. · Build multi-agent collaboration models that coordinate coverage analysis, document validation, fraud signals, compliance checks, and decision support. · Establish orchestration frameworks that manage task routing, context persistence, structured outputs, and failure handling. · Design secure tool integration layers connecting agents to claims systems, policy platforms, data warehouses, document repositories, and external data services. · Implement deterministic guardrails, schema validation, and output verification pipelines to reduce hallucination and execution risk. · Lead development of document intelligence systems leveraging LLMs for summarization, entity extraction, discrepancy detection, and structured data reconstruction. · Define prompt engineering standards and reusable reasoning templates for consistent, domain-aware outputs. · Oversee embedding strategies, vector indexing architecture, retrieval optimization, and knowledge grounding approaches. · Design evaluation frameworks to measure reasoning depth, workflow completion accuracy, hallucination rates, latency, and cost efficiency. · Implement observability layers that track agent decisions, tool usage, retrieval effectiveness, and drift across models and prompts. · Drive optimization strategies for token efficiency, caching, batching, and inference scaling. · Ensure compliance with Responsible AI principles, enterprise governance standards, audit requirements, and regulatory constraints. · Partner with enterprise architecture, cybersecurity, and data governance teams to define secure deployment patterns. · Mentor engineers on LLM orchestration patterns, workflow decomposition, and safe agent design. · Translate executive-level business objectives into scalable AI platform capabilities. · Lead proof-of-concepts through full production deployment with measurable ROI outcomes. · Continuously evaluate emerging foundation models, orchestration frameworks, and agent tooling for enterprise readiness. Qualifications · Bachelor’s or Master’s degree in Computer Science, Artificial Intelligence, Engineering, or related discipline. · 7–10+ years of experience in AI engineering, machine learning systems, or distributed software architecture. · 3–5+ years designing and deploying LLM-powered systems in production environments. · Demonstrated experience architecting full agentic AI systems with planning, reflection, memory, and tool execution components. · Deep expertise in RAG architectures, embedding strategies, vector databases, and retrieval optimization. · Strong experience designing multi-agent orchestration frameworks and workflow engines. · Advanced proficiency in Python and enterprise API integration patterns. · Experience building secure, scalable microservices in cloud-native environments. · Strong understanding of distributed systems, event-driven architectures, and system reliability principles. · Experience implementing structured output enforcement, guardrails, and audit logging mechanisms. · Demonstrated ability to design evaluation and benchmarking frameworks for LLM and agent reliability. · Experience operating in regulated industries such as insurance, financial services, or healthcare preferred. · Proven leadership in technical design reviews, architecture governance, and cross-functional collaboration. · Strong ability to balance innovation with enterprise risk management and operational stability. 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",{"id":1699,"slug":1700,"title":1701,"location":13,"raw_job_location_address_addressLocality":1682,"raw_hiringOrganization_logo_url":13,"raw_description":1702},64646,"customer-success-manager-billreview-iq-sedgwick-claims-management-services-inc","Customer Success Manager – BillReview IQ","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 Customer Success Manager – BillReview IQ PRIMARY PURPOSE: The Customer Success Manager leads the management of large-scale, national, or international BillReview IQ client accounts on Legal-X and\u002For Legal eXchange. This position is accountable for strategic client relationship management, oversees complex service delivery, and drives customer retention and growth. The role requires advanced expertise in client engagement, addresses sophisticated reporting and operational needs, and provides leadership in identifying and executing expansion opportunities. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Executes contract renewals for major clients, including complex pricing negotiations. Develops and delivers advanced stewardship reports and dashboards tailored to client requirements. Advises clients on advanced bill review audit strategies and program optimization. Acts as the senior liaison for clients, proactively manages relationships, and ensures high satisfaction across multiple stakeholders. Leads and coordinates large-scale project initiatives, collaborating with cross-functional teams including the Expert Bill Review group. Identifies, develops, and pursues strategic cross-selling and business expansion opportunities. Analyzes and resolves high-impact issues affecting customer satisfaction and retention. Mentors and supports other team members as needed. 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. Experience Eight (8) years of related experience or equivalent combination of education and experience required to include three (3) years legal and\u002For claims adjuster experience.. Skills & Knowledge Demonstrates deep expertise in customer service and one or more of the following: workers’ compensation, liability claims management, or insurance litigation Exhibits superior communication, leadership, and negotiation skills Ability to understand client needs, discuss alternatives and make recommendations and manage client expectations Technical skills for gaining in-depth product knowledge, including self-directed learning Shows advanced proficiency with Microsoft Office and complex reporting tools Ability to manage multiple high-priority projects in a dynamic environment Possesses exceptional analytical, strategic thinking, and interpersonal skills Ability to work in a team environment Ability to handle conflict and confront challenging issues in a fast work 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\u002FVisual: 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",{"id":160,"slug":161,"title":162,"location":13,"raw_job_location_address_addressLocality":1149,"raw_hiringOrganization_logo_url":13,"raw_description":1704},"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 OSS Associate PRIMARY PURPOSE: To provide administrative support to the claims department. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Reviews scanned documents for key data. Researches and processes electronic mail; modifies documents to correct claim and\u002For responsible party. Adheres to Best Practices and follows indexing protocol. Maintains service level agreements and meets production goals. 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 general office experience or equivalent combination of education and experience required. Claims experience preferred. Skills & Knowledge Oral and written communication skills PC literate, including Microsoft Office products Analytical and interpretive skills Organizational skills 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, 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\u002FVisual: 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",{"id":1706,"slug":1707,"title":1499,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":1709},64648,"claims-examiner-auto-bodily-injury-sedgwick-claims-management-services-inc-2","Telecommuter TX","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, Auto | Bodily Injury PRIMARY PURPOSE OF THE ROLE: To analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. ARE YOU AN IDEAL CANDIDATE? To analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements. ESSENTIAL RESPONSIBLITIES MAY INCLUDE 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\u002Fprocessing with insured, client, and agent or broker when appropriate. Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. QUALIFICATIONS Education & Licensing: 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. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Skills: strong oral and written communication, including presentation skills, PC literate including Microsoft Office products, and ability to work in a team environment. Secure and maintain the State adjusting licenses as required for the position. Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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",{"id":1711,"slug":1712,"title":1713,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":1714},64650,"commercial-property-claims-desk-adjuster-remote-after-training-sedgwick-claims-management-services-inc","Commercial Property Claims Desk Adjuster - Remote after training","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 Commercial Property Claims Desk Adjuster - Remote after training PRIMARY PURPOSE: Handles losses and claims for commercial property insurers through the thorough examination of documents, records, loss reports, and other relevant documentation. Efficiently manages a case load using technology for efficient claim processing. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Evaluates insurance policies, claims forms, policies, endorsements, carrier instructions, and other records to determine insurance coverage. Conducts thorough investigations, gathers official reports as needed, consults police and hospital records and inspects physical damage or written estimates for damages based on a conducted inspection to determine extent of company's liability and varying methods of investigation, according to type of insurance. Interviews, telephones, and\u002For corresponds with claimant and witnesses regarding claim. Estimates cost of repair, replacement, or compensation. Prepares report of findings and negotiates claim settlements by adhering to carrier instructions and obtaining necessary information. Issues settlement checks, files regulatory documents, and handles salvage and subrogation as applicable. Recommends litigation by legal department when settlement cannot be negotiated. Attends litigation hearings and participates in depositions as necessary. Revises case reserves in assigned claims files to cover probable costs. Maintains an expected caseload efficiently. Utilizes technology and automation tools for efficient claim handling. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Must obtain IIA-AIC designation within 12 to 18 months in the role. Appropriate state adjuster license is required. Experience Three (3) year of related experience or equivalent combination of education and experience required. Prior experience handling property and casualty claims a plus but not required. Skills & Knowledge Empathetic claims handling demeanor Strong communication, analytical, organizational, and interpersonal skills PC literate, including Microsoft Office products Analytical and interpretive skills 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 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\u002FVisual: 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",{"id":1716,"slug":1717,"title":1718,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":1719},64651,"auto-adjuster-total-loss-settlement-specialist-sedgwick-claims-management-services-inc","Auto Adjuster \u002F Total Loss Settlement Specialist","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 Auto Adjuster \u002F Total Loss Settlement Specialist Job Summary Sedgwick is seeking an experienced Auto Adjuster \u002F Total Loss Settlement Specialist to join our growing team. This role is responsible for investigating and handling auto claims, determining liability, evaluating damages, managing total loss claims, negotiating settlements, and delivering exceptional customer service throughout the claims process. The ideal candidate will possess strong claims handling expertise, excellent negotiation skills, and the ability to efficiently manage claims while ensuring fair and accurate settlements in accordance with company standards and client expectations. Primary Responsibilities Claims Management Investigate and manage personal and commercial auto claims from assignment through resolution. Complete recorded statements with insureds, claimants, and witnesses as needed. Obtain and review police reports, accident reports, and supporting documentation. Determine liability based on facts, evidence, applicable laws, and policy coverage. Analyze damages, liability, coverage, and claim exposure. Establish and maintain appropriate claim reserves. Evaluate claims and negotiate settlements within designated authority levels. Ensure timely and accurate claim resolution in accordance with client expectations and company standards. Identify and pursue subrogation opportunities when appropriate. Communicate with claimants, insureds, attorneys, repair facilities, and other stakeholders throughout the claims process. Maintain accurate claim documentation and ensure all activities are properly recorded in the claim file. Total Loss Settlement Handling Review vehicle valuations and determine Actual Cash Value (ACV). Manage total loss claims from assignment through settlement. Negotiate total loss settlements with claimants and insureds. Coordinate title processing, salvage disposition, and settlement documentation. Review valuation reports and supporting documentation to ensure accuracy. Communicate settlement offers and explain valuation methodology to customers. Resolve disputed total loss valuations professionally and efficiently. Customer and Client Service Communicate claim status and resolution updates to clients, claimants, repair facilities, and vendors. Resolve escalated customer concerns in a professional and timely manner. Maintain strong client relationships through responsiveness and quality service. Ensure claim files are fully documented and meet quality and compliance standards. Operational Excellence Meet productivity, quality, and cycle time expectations. Maintain accurate claim documentation and reporting. Utilize technology and reporting tools to manage workloads effectively. Support process improvement initiatives and best practices. Assist with program growth and client service initiatives. Additional Responsibilities Perform other duties as assigned.. Support catastrophe and surge claim operations when needed. Assist with quality assurance reviews and process improvement initiatives. Participate in training and mentoring opportunities. Qualifications Education & Licensing Current adjuster's license or ability to obtain and maintain required state licenses. Professional industry certifications preferred. Experience Four (4) or more years of auto claims handling, auto adjusting, or related claims management experience preferred. Experience handling total loss claims and negotiating settlements . Experience handling standard and non-standard personal and commercial auto claims preferred Prior insurance carrier, TPA, or independent adjusting experience preferred. Knowledge & Skills Strong understanding of auto claims handling procedures and insurance principles. Knowledge of liability investigations, coverage analysis, and claims resolution. Knowledge of total loss valuation methodologies, title processing, and salvage procedures. Excellent negotiation and settlement skills. Strong written and verbal communication skills. Strong analytical and problem-solving abilities. Ability to manage multiple priorities in a fast-paced environment. Excellent customer service and interpersonal skills. Strong organizational and time management skills. Proficiency with Microsoft Office applications and claims management platforms. Ability to create and complete comprehensive, accurate, and professional claim documentation and reports. Ability to work independently and collaboratively within a team environment. Preferred Experience Experience handling insurance claims involving liability investigations and coverage decisions. Experience managing total loss evaluations and negotiating total loss settlements. Experience working directly with insurance carriers, TPAs, or independent adjusting firms. Salvage and recovery experience. CCC ONE, Mitchell, Audatex, or similar estimating platform experience. Bodily Injury (BI) claims experience is a plus. Bilingual skills are a plus but not required. Professional insurance designations or industry certifications are a plus. Work Environment When applicable and appropriate, consideration will be given to reasonable accommodations. Mental Requirements Strong analytical, problem-solving, and decision-making abilities. Ability to manage multiple priorities simultaneously. Ability to work under deadlines and maintain quality standards. Ability to exercise sound judgment and discretion. Physical Requirements Computer and keyboard use. Ability to communicate via phone, video conference, and email. Travel as required. Auditory\u002FVisual Requirements Hearing, vision, and verbal communication abilities sufficient to perform job duties. Why Join Sedgwick? Opportunity to be part of a growing and innovative claims organization. Work on specialized claims programs and emerging service offerings. Career growth and development opportunities. Collaborative and supportive work environment. Competitive compensation and benefits package. 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 position. They are not intended to be an exhaustive list of all duties, responsibilities, and qualifications. Management reserves the right to modify or change responsibilities as business needs require. 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 ($60,000-$65,000 USD annually). 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",{"id":1721,"slug":1722,"title":1723,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":1724},64652,"data-analyst-sedgwick-claims-management-services-inc","Data Analyst","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 Data Analyst PRIMARY PURPOSE To collect, analyze and report data; to be responsible for the data integrity; and to generate reports verifying and ensuring data integrity and accuracy. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Compiles data; prepares and distributes reports; and analyzes results. Ensures data integrity; develops and produces reports utilized in measuring data accuracy. May assist in the completion of appropriate client set-up and maintenance (parameter) forms. Supports internal and external users including reports, installation, screen, etc. Creates exception reports to identify fields of incorrect data. Generates custom reports for internal and external client. 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 preferred. Experience Five (5) years of related experience or equivalent combination of education and experience required. Two (2) years of query and report writing experience strongly preferred. Skills & Knowledge Strong knowledge of query and report writing 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 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\u002FVisual: 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 $49,530.00 - 69,342.00 - 89,154.00 USD Annual. 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",{"id":1726,"slug":1727,"title":1728,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":1729},64653,"general-liability-casualty-adjuster-sedgwick-claims-management-services-inc","General Liability \u002F Casualty Adjuster","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 General Liability \u002F Casualty Adjuster PRIMARY PURPOSE: To be an Account Manager with General Liability Claims experience responsible for the end-to-end management of liability claims involving both primary and excess coverage. This role ensures timely and accurate claim handling, mitigates financial exposure, supports strategic litigation management, investigation, evaluation, and resolution of claims while maintaining compliance with regulatory standards and client-specific requirements. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Investigate, evaluate, and resolve general liability claims, including bodily injury, and complex litigation matters. Handle claims under both primary and excess policies, ensuring proper coverage analysis and coordination. Communicate effectively with insureds, brokers, carriers, attorneys, and other parties involved in the claim process. Maintain accurate and timely documentation in proprietary claims systems. Collaborate with internal teams and external counsel to develop litigation strategies and settlement recommendations. Monitor claim progress, set reserves, and ensure timely reporting to clients and carriers. Adhere to jurisdictional regulations and company best practices. Participate in audits, quality reviews, and performance evaluations. Provide exceptional customer service and maintain strong client relationships. Participate in regular discussions with clients regarding claim status\u002Fdevelopments and reserving of excess claims. Engage defense counsel for coverage reviews of excess claims and defense of primary policy General Liability Claims. 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 preferred. State adjuster licenses required. Experience Six (6) years of related experience and\u002For training or equivalent combination of education and experience required. Skills & Knowledge Thorough legal and jurisdictional knowledge based on line of business Strong oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Excellent interpersonal skills Strong customer service 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\u002FVisual: 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",{"id":1731,"slug":1732,"title":1481,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":1483},64654,"general-liability-adjuster-sedgwick-claims-management-services-inc-6",{"id":1734,"slug":1735,"title":1736,"location":13,"raw_job_location_address_addressLocality":1149,"raw_hiringOrganization_logo_url":13,"raw_description":1737},87316,"it-systems-analyst-specialist-sr-sedgwick-claims-management-services-inc","IT Systems Analyst Specialist Sr","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 IT Systems Analyst Specialist Sr PRIMARY PURPOSE: To lead the technical analysis efforts for implementations and large, multi-line projects; to review, analyze and document internal and client user needs; and to provide mentorship and leadership within the business analysis team. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Partners with BA\u002FPO to analyze approved business requirements, workflows, rules, and acceptance expectations. Translates approved requirements into detailed system requirements, technical specifications, and actionable technical tasks. Documents system behavior, integrations, interfaces, data impacts, mappings, edge cases, and relevant non-functional considerations. Identifies technical impacts, dependencies, constraints, and impediments and provides recommendations to Engineering and Architecture. Maintains traceability from approved business requirements through technical specifications, design, testing, and delivered system behavior. Supports backlog readiness by ensuring technical requirements, dependencies, impacts, and system considerations are sufficiently understood before development. Provides input into user story LOE and planning by assessing technical complexity, system impacts, dependencies, and implementation risks. Validates delivered system behavior against documented technical requirements and supports Development \u002F QA issue analysis and defect triage. Responsible for technical documentation creation, including technical design documentation (TDD). Develops and maintains technical release documentation for releases. Manages Single Sign-On (SSO) implementations, certificate renewals, and ongoing maintenance for client-facing applications. Serves as the primary technical liaison for clients during SSO onboarding, configuration, testing and deployment. Leads system configuration conversations for client implementation projects, gathering requirements to ensure successful system configuration and deployment. Facilitates execution of configurations, including production readiness reviews and cutover activities. Provides post-implementation support to ensure a smooth transition to ongoing operations and successful client adoption. 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 in Information Systems, Computer Science, Engineering, or a related field from an accredited college or university preferred Experience: Five (5) years of related experience or an equivalent combination of education and experience required Experience translating business requirements into technical or system specifications required Experience supporting system integrations, data flows, and application behavior Experience working in agile or hybrid delivery environments preferred Experience in enterprise or regulated environments preferred Skills & Knowledge Advanced systems analysis and technical requirements documentation skills Strong ability to translate complex business needs into scalable technical solutions Experience defining system interfaces, APIs, data models, and integrations Understanding of system architecture, dependencies, and data flows Ability to assess complexity, dependencies, risks, and technical trade-offs Strong analytical, problem-solving, and critical-thinking capabilities Ability to work independently and manage multiple priorities Strong collaboration skills across Product, Business, Architecture, Development, QA, and Operations Excellent written and verbal communication skills 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\u002FVisual: 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",{"id":1739,"slug":1740,"title":1741,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":1742},64656,"senior-vice-president-business-development-casualty-sedgwick-claims-management-services-inc","Senior Vice President Business Development Casualty","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 Senior Vice President Business Development Casualty PRIMARY PURPOSE OF THE ROLE: The Senior Vice President of Business Development is a key senior leader responsible for driving organizational growth, expanding market presence, and developing long‑term strategic partnerships. This role leads part of the business development function, identifies high‑value opportunities, and collaborates with senior leadership to execute the company’s growth strategy. The SVP provides visionary direction, builds strong external relationships, and ensures alignment between business development initiatives and overall organizational goals. ESSENTIAL RESPONSIBILITIES MAY INCLUDE Strategic Leadership Develops and leads the company’s business development strategy to support long‑term growth and competitive positioning. Evaluates market trends, emerging opportunities, and industry shifts to inform strategic decision‑making. Partners with the executive team to set revenue goals, growth targets, and organizational priorities. Business Growth & Market Expansion Identifies, pursues, and secures new business opportunities, strategic partnerships, joint ventures, and acquisitions. Oversees pipeline development and ensures consistent advancement of high‑value opportunities. Expands the company’s footprint in existing and new markets by building relationships with key stakeholders and industry leaders. Relationship Management Cultivates and maintains strong executive‑level relationships with clients, partners, investors, and external organizations. Represents the company at industry events, conferences, and business forums to elevate brand visibility. Negotiates high‑impact contracts, agreements, and partnerships that align with organizational goals. Team Leadership & Development Leads, mentors, and develops a high‑performing business development team with a focus on accountability, innovation, and results. Fosters cross‑functional collaboration with Sales, Marketing, Finance, Operations, and Product teams. Establishes performance metrics, monitoring systems, and reporting mechanisms to drive team success. Financial & Operational Excellence Oversees budgeting, forecasting, and resource allocation for business development initiatives. Uses data‑driven insights to evaluate opportunity viability, ROI, and strategic risks. Ensures compliance with organizational policies, legal standards, and industry regulations. QUALIFICATIONS Bachelor’s degree in business administration, finance, risk management, or a related field, from an accredited college or university preferred. Possession of, or progress towards, CPCU and\u002For ARM designation required. Ten plus (10+) years of related experience, to include relationship building in the claims management or risk management area, or equivalent combination of education and experience required. Proven track record of leading large scale growth initiatives and securing high value partnerships. Executive Senior leadership experience within a complex, high growth, or multi-unit organization. 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\u002FVisual: 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. #LI-TS1 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",{"id":1744,"slug":1745,"title":1746,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":1747},64657,"per-diem-general-liability-adjuster-sedgwick-claims-management-services-inc","Per Diem General Liability Adjuster","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 Per Diem General Liability Adjuster PRIMARY PURPOSE: Handles complex, technically challenging claims on automobile, homeowner, and excess liability policies. Adjusts claims with complex coverage issues involving liability, damages, evidence, or other complex legal issues, while providing an exceptional customer experience. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Adjusts claims that arise on Automobile, Homeowner and Excess Liability policies. Develops exposures and evaluates injury claims based on damages, the insurance contract, company policies, and applicable state laws. Investigates and evaluates coverage, liability and damages in handling of claims involving serious and catastrophic injuries, coverage, and other legal issues. Ensures timely referral of suits to counsel and evaluates changes in exposure through the course of discovery, considering costs and strategic plan of actions to prepare for trial or determine settlement capability. Responsible for managing defense counsel in litigation of serious and complex claim, litigated claims as well as complex coverage scenarios; manages defense counsel in litigation of serious and complex claims. Formulates effective plans to bring the claims to resolution while focusing on indemnity and expense leakage. Evaluates coverage and drafts coverage letters to include both reservation of rights and coverage denials. Maintains proper reserves on all pending claims. 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. State mandated adjusting licenses as required. Insurance designations such as CPCU, AIC, ARM preferred. Experience Eight (8) years of related experience to include experience in personal lines claims, evaluating coverage and drafting coverage letters to include both reservation of rights and coverage denials, or equivalent combination of education and experience required. Experience with commercial lines claims and litigation in multiple states preferred. Skills & Knowledge Exposure to and knowledge of affluent market segment Strong knowledge of tort theories, legal concepts, negotiation strategies, and litigation management 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 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\u002FVisual: 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",{"id":1749,"slug":1750,"title":1751,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":1752},64658,"senior-business-analyst-sedgwick-claims-management-services-inc","Senior Business Analyst","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 Senior Business Analyst PRIMARY PURPOSE: The Sr Business Analyst supports product teams by translating business needs and product priorities into detailed, actionable requirements and execution plans. Partnering closely with the Product Manager, this role refines and manages the product backlog, supports prioritization, and ensures delivery aligns with intended business outcomes. The Business Analyst may execute delegated Product Manager activities when capacity or capability constraints exist and play a key role in validating delivered functionality, tracking outcomes, and supporting product execution. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Partners with Product Managers on backlog refinement and prioritization, including sequencing work based on value dependencies and capacity. Defines the development-ready stories and requirements by breaking down epics and features into user stories, defines acceptance criteria, and documents high‑level non‑functional requirements. Executes the delegated Product Managers’ responsibilities when the PM capacity or capability is limited, ensuring continuity of product execution. Collaborates with development teams and Solution Architects to ensure stories are well understood and aligned with business outcomes. Validates solutions aligned to the business units by participating in and supporting User Acceptance Testing to confirm delivered functionality meets defined requirements and acceptance criteria. Measures visibility into delivery and outcomes by tracking and reporting on stakeholders to surface risks, dependencies, and performance insights. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Tracks product budget usage and spend against plans Raises risks, budget concerns, and reallocation recommendations to Product Managers Supports sprint ceremonies by clarifying requirements and answering questions during delivery Supports product demos, walkthroughs, and stakeholder communications Serves as a subject matter resource for business workflows and operational processes Performs other duties as assigned. QUALIFICATIONS Education & Licensing Bachelor’s degree in Business Administration, Information Systems, or a related field from an accredited college or university preferred. Experience Five (5) years of related experience or an equivalent combination of education and experience required. Experience performing business analysis, requirements definition, or supporting product delivery required. Experience in claims, insurance, healthcare, or other regulated operational environments preferred. Experience working within agile or hybrid delivery teams preferred. Skills & Knowledge Strong business analysis and requirements documentation skills Ability to translate business needs into detailed user stories and acceptance criteria Familiarity with agile delivery practices and backlog management Ability to assess scope, dependencies, and delivery complexity Strong analytical, problem‑solving, and organizational skills Experience tracking delivery metrics and supporting OKR reporting Ability to understand and communicate budget impacts and delivery trade‑offs Excellent verbal and written communication skills Strong cross‑functional collaboration and stakeholder management skills 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\u002FVisual: 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",{"id":1754,"slug":1755,"title":1756,"location":13,"raw_job_location_address_addressLocality":1757,"raw_hiringOrganization_logo_url":13,"raw_description":1758},64660,"workers-compensation-claims-examiner-va-jurisdiction-experience-required-remote-sedgwick-claims-management-services-inc","Workers Compensation Claims Examiner | VA Jurisdiction Experience Required | Remote","Telecommuter VA","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 Examiner | VA Jurisdiction Experience Required | Remote Job Description 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 Virginia Workers Compensation 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: 4+ 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: VA 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\u002FVisual: 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 (80K - 90K ). 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 #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. 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",{"id":1760,"slug":1761,"title":1762,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":1763},64661,"vp-responsible-ai-sedgwick-claims-management-services-inc","VP Responsible AI","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 VP Responsible AI ESSENTIAL FUNCTIONS and RESPONSIBILITIES · Own Sedgwick's enterprise Responsible AI and AI Governance strategy, operating model, roadmap, and maturity evolution. · Serve as the executive business owner for the credo governance platform, including vendor relationship management, platform adoption, workflow design, risk frameworks, controls, reporting, audits, renewals, and strategic direction. · Serve as the executive business owner for the OpenLayer platform, including observability, evaluation, testing, runtime guardrails, monitoring, model quality oversight, and operational governance capabilities. · Own executive relationships with Credo AI and OpenLayer leadership teams and drive product roadmap alignment to Sedgwick requirements. · Establish and maintain Sedgwick's Responsible AI framework using industry standards, regulations, and internal policies. · Own the enterprise AI inventory, use-case registry, model registry, agent registry, and AI risk register. · Define AI risk-tiering methodologies and approval requirements for models, agents, copilots, automation workflows, and third-party AI products. · Design and operate a highly automated AI governance process that minimizes manual reviews while maintaining appropriate controls, auditability, and risk oversight. The workflow includes automated intake, risk classification, policy assignment, routing, control selection, approvals, monitoring, and evidence generation. · Lead the transformation from committee-driven approvals to policy-driven governance with automated controls and risk-based escalation paths. · Ensure governance controls are embedded directly into AI development, CI\u002FCD, deployment, monitoring, and operational processes. · Establish governance requirements for AI systems built internally, acquired through vendors, embedded in third-party applications, or inherited through acquisitions. · Partner with Legal, Compliance, Privacy, Risk, Security, Internal Audit, and Technology leadership to maintain governance alignment. AI Risk, Compliance & Assurance (close partnership with Sedgwick Privacy Compliance and Cyber Security organization) Establish and maintain AI control frameworks aligned to emerging AI regulations, industry standards, client obligations, and enterprise risk requirements. Own AI compliance evidence, audit readiness, control testing, and governance reporting. Ensure governance controls address bias, privacy, explainability, transparency, security, robustness, hallucination risk, model drift, and human oversight requirements. Define governance requirements for vendor AI products, foundation models, copilots, agents, and autonomous workflows. Lead management of AI incidents, exceptions, waivers, and remediation programs. Develop governance KPIs, KRIs, scorecards, and executive dashboards. OpenLayer & Operational Governance Oversight Ensure pre-deployment evaluations are executed for quality, risk, robustness, hallucination, toxicity, and compliance requirements. Oversee runtime monitoring for drift, policy violations, security threats, model degradation, and operational risk. Ensure continuous monitoring evidence is captured and routed into governance reporting and audit processes. Establish closed-loop governance processes that convert production issues into improved controls, policies, evaluations, and testing requirements. Leadership Expectations Build and lead a cross-functional Responsible AI, AI Governance Chair or co-chair enterprise AI Governance councils and executive committees. Influence executive leadership, regulators, clients, auditors, and technology partners on Responsible AI strategy. Act as Sedgwick's senior authority on Responsible AI, AI Governance, and AI risk management. Drive a culture that enables rapid AI innovation while maintaining trust, transparency, compliance, security, and accountability across the enterprise. Success Measures Percentage of AI use cases governed through automated workflows. Policy compliance across AI systems and vendors. Audit and regulatory readiness scores. Reduction in governance cycle time. AI inventory and registration completeness. Number of AI systems continuously monitored through OpenLayer. Data quality and lineage coverage across AI workloads. Reduction in manual governance reviews through risk-based automation. Executive and client confidence in Sedgwick's Responsible AI program. SUPERVISORY RESPONSIBILITIES Provides strategic leadership, direction, coaching, and development to Responsible AI, AI Governance, and related governance program teams. Builds, leads, and develops a high-performing organization focused on AI governance, risk management, compliance, controls, oversight, and operational excellence. Establishes organizational objectives, performance expectations, talent development plans, succession strategies, and resource allocation priorities. Oversees recruitment, selection, onboarding, performance management, and professional development of team members. QUALIFICATIONS Bachelor's degree in Computer Science, AI or Data Engineering. A Master’s degree is preferred. Fifteen (15) years of progressive leadership experience in computer science, artificial intelligence, data engineering, technology governance, risk management, compliance, or a related field. Significant experience leading enterprise-scale AI governance, responsible AI, model risk management, data governance, technology risk, or digital transformation programs. Demonstrated experience developing and operationalizing governance frameworks, control models, risk-tiering methodologies, policy standards, approval workflows, and compliance monitoring processes. Experience working with AI\u002FML systems, generative AI, foundation models, copilots, agents, automation workflows, model registries, AI inventories, and third-party AI products. Experience implementing or overseeing governance, risk, compliance, observability, model monitoring, model evaluation, or AI control platforms. Proven ability to partner with Legal, Compliance, Privacy, Risk, Security, Internal Audit, Technology, Data, and business leadership to align governance requirements across the enterprise. Experience preparing for audits, regulatory reviews, client inquiries, control testing, evidence collection, governance reporting, and executive-level risk reviews. Demonstrated experience leading cross-functional teams, executive governance councils, committees, or enterprise-wide transformation initiatives. Experience managing vendor relationships, technology platforms, product roadmaps, contract renewals, and strategic partnerships preferred. Experience in a highly regulated industry or complex global enterprise environment preferred. · 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",{"id":1765,"slug":1766,"title":1767,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":1768},64663,"vp-internal-audit-sedgwick-claims-management-services-inc","VP Internal Audit","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 VP Internal Audit About the Role Sedgwick is seeking a seasoned and highly effective Vice President, IT Internal Audit to help lead and advance the Company’s technology audit and assurance capabilities. Reporting to the Global Head of Internal Audit, this executive will lead Sedgwick’s IT internal audit program, including IT audits, IT SOX, SAP controls, and technology risk assurance across a complex global environment. This is a high-impact leadership role for a candidate who combines strategic perspective, technical depth, and strong execution discipline. The Vice President will play a central role in shaping Sedgwick’s approach to IT risk, controls, and compliance, while also working directly in complex areas such as IT audit testing strategy, SAP controls, ERP implementation risk, and remediation validation. A particularly important dimension of the role will be supporting Sedgwick through its global SAP S\u002F4HANA migration and implementation. This leader will help Internal Audit provide meaningful oversight and assurance throughout the transformation, including evaluating implementation governance, controls readiness, security and access design, segregation of duties, testing, data migration, and go-live risk. This is an outstanding opportunity for a proven IT audit leader who wants to help shape a modern internal audit function, partner closely with senior leadership, and make a meaningful impact during a major global transformation. What You’ll Do • Lead the Company’s IT Internal Audit program, including risk assessment, planning, execution, reporting, and follow-up. • Oversee and enhance Sedgwick’s IT SOX program, including testing strategy and assurance over IT general controls, automated controls, interfaces, reports, and other key technology-dependent controls. • Drive a risk-based IT audit plan focused on areas such as ERP systems, cybersecurity, infrastructure, cloud environments, third-party technology risk, and major system implementations. • Provide direct leadership over IT audit testing strategy, including approach, methodology, evidence expectations, and quality of execution. • Serve as a senior subject matter leader for SAP controls, including security, logical access, segregation of duties, privileged access, change management, configuration, interfaces, key reports, and automated controls. • Partner closely with Internal Audit leadership to ensure technology and SAP risks are appropriately addressed in broader financial, operational, and compliance audits. • Play an active role in Internal Audit’s involvement in Sedgwick’s global SAP S\u002F4HANA transformation, helping assess: o program governance o controls readiness o role design and access models o segregation of duties and mitigating controls o data migration and integration risks o testing and cutover readiness o post-implementation control sustainability • Lead and directly review remediation validation for IT and SAP-related findings to ensure corrective actions are practical, effective, and sustainable. • Collaborate with management and external auditors on IT SOX and SAP controls, including testing coordination, issue resolution, and reliance discussions. • Communicate technology and controls risks clearly and effectively to senior leadership, with a practical, business-oriented perspective. • Help strengthen and modernize Internal Audit’s approach to auditing ERP transformation, digital risk, and enterprise technology change. • Build, mentor, and develop a high-performing team and foster strong collaboration across Internal Audit, IT, Finance, and business leadership. What We’re Looking For • Bachelor’s degree in Information Systems, Accounting, Finance, Computer Science, or a related field • 12+ years of progressive experience in IT audit, IT risk, SOX, internal controls, or ERP controls, including senior leadership experience • Strong background leading IT internal audit and IT SOX programs in a complex, large-scale organization • Deep expertise in: o IT general controls o IT SOX and technology-related financial controls o ERP and application controls o IT audit testing strategy and execution o issue tracking, follow-up, and remediation validation • Significant experience with SAP environments, including controls related to access, security, segregation of duties, change management, configuration, interfaces, reports, and automated controls • Experience supporting or auditing SAP implementations or major ERP transformation programs, ideally including SAP S\u002F4HANA • Strong understanding of implementation and transformation risk, including governance, testing, access design, data migration, and go-live readiness • Ability to assess both design effectiveness and operating effectiveness of controls in a dynamic, global environment • Executive presence and strong communication skills, with the ability to influence and partner effectively across senior business and technology stakeholders Preferred Credentials • CISA preferred • CIA, CPA, CISSP, or similar relevant certification a plus • SAP or SAP controls-related certification preferred, or equivalent experience in SAP risk, controls, and GRC Why Join Sedgwick This role offers the opportunity to help shape the future of Sedgwick’s Internal Audit function at a pivotal moment. The Vice President, IT Internal Audit will have meaningful visibility across the organization and a direct role in strengthening assurance over critical technology risks while supporting one of the Company’s most important transformation initiatives. You’ll join a leadership team that values strong partnership, sound judgment, and practical problem-solving — and you’ll have the opportunity to make a lasting impact on the control environment, the audit function, and the business more broadly. 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\u002FVisual: 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. #LI-TS1 #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. 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",{"id":1770,"slug":1771,"title":1772,"location":13,"raw_job_location_address_addressLocality":1773,"raw_hiringOrganization_logo_url":13,"raw_description":1774},64666,"complex-claims-analyst-sedgwick-claims-management-services-inc","Complex Claims Analyst","Telecommuter WI","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 Complex Claims Analyst ARE YOU AN IDEAL CANDIDATE? If you have five 5+ years of trucking\u002Ftransportation and litigation claims experience and a strong background in complex liability claims, we would love to hear from you. The ideal candidate brings strong analytical skills, sound judgment, and the ability to navigate complex claim issues and drive effective resolutions. PRIMARY PURPOSE OF THE ROLE To prospectively identify complex claims issues and complaints; to strategically triage referrals to the appropriate examiner or complex claims advisors for handling; or to independently handle and expedite resolution of less complex complaints and\u002For claim issues. ESSENTIAL RESPONSIBILITIES MAY INCLUDE Analyzes data to identify complex claims requiring further intervention through triaging internal referrals, complaints from regulatory agencies and external entities. Proactively and strategically triages complex claim issues or complaints; determines the most appropriate resource to resolve. Uses knowledge of all aspects of claims handling in evaluating the issue for expedited handling or assignment for continued handling. Articulates and documents clear and concise file notes to allow stakeholders to understand the issue evaluation and determination. Provides technical direction, feedback, and resolution on specified claims. Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing: Five (5) years of liability claims experience or equivalent combination of experience and education required. Specific jurisdictional expertise preferred. Bachelor's degree from an accredited college or university preferred. Industry designation(s) preferred. Licenses as required for specific jurisdictions. Skills & Knowledge Subject matter expertise in liability and transportation claims processing Ability to obtain and maintain appropriate licensing Ability to manage claims across multiple jurisdictions Excellent oral and written communication skills PC literate, including Microsoft Office products Strong analytical and interpretive skills Strong organizational skills Strong time management skills Excellent interpersonal skills Ability to work in a team environment Ability to meet or exceed Service Expectations Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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",{"id":1776,"slug":1777,"title":748,"location":13,"raw_job_location_address_addressLocality":1192,"raw_hiringOrganization_logo_url":13,"raw_description":1778},87321,"disability-representative-sedgwick-claims-management-services-inc-14","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 Disability Representative Disability Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near our Dynamic Center of Excellence📍 7795 Walton Parkway suite 200 New Albany, OH 43054 ✨ What we offer: A stable, consistent work environment—both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? PRIMARY PURPOSE OF THE ROLE: To process claims and determine benefits due pursuant to a disability plan; to make timely payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets; and to ensure the ongoing processing of claims. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic and empathetic candidates that want to grow a career. Ideal candidates will thrive in a collaborative team environment, show motivation, and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Makes claim determinations to approve non-complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Determines benefits due, makes timely claims payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status either by phone, written correspondence and\u002For claims system. QUALIFICATIONS Education & Licensing: High school diploma or GED required. Skills: Strong oral and written communication, computer literate – including Microsoft Office, organizational skills required PC literate, including Microsoft Office products, Windows environment. Must meet minimum typing requirements. Experience: Clerical or customer service experience or equivalent combination of education and experience preferred TAKING CARE OF YOU Entry-level colleagues are offered a world class training program with a comprehensive curriculum. An assigned mentor and manager that will support and guide you on your career journey. Career development and promotional growth opportunities A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more. Work environment requirements: Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking. Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 21.82. 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",{"id":1780,"slug":1781,"title":1782,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":1783},64668,"claims-representative-auto-sedgwick-claims-management-services-inc","Claims Representative, Auto","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 Representative, Auto PRIMARY PURPOSE OF THE ROLE: To analyze and process low to mid-level auto and transportation claims. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Develops and maintains action plans to ensure state required contract deadlines are met and to move the file towards prompt and appropriate resolution. Identifies and pursues subrogation opportunities; secures and disposes of salvage. Communicates claim action\u002Fprocessing with insured, client, and agent or broker when appropriate. Maintains professional client relations. Performs coverage, liability, and damage analysis on all claims assignments. Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education: Bachelor's degree from an accredited college or university preferred. Secure and maintain the State adjusting licenses as required for the position. Familiarity with personal and commercial lines policies and endorsements Ability to review and assess Property Damage estimates, total loss evaluations, and related expenses to effectively negotiate first and third party claims. Knowledge of total loss processing, State salvage forms and title requirements, preferred 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 Service Expectations Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. When applicable and appropriate, consideration will be given to reasonable accommodations. 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. 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 $50,000-$55,000. 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. 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",{"id":1785,"slug":1786,"title":1787,"location":13,"raw_job_location_address_addressLocality":1773,"raw_hiringOrganization_logo_url":13,"raw_description":1788},64669,"claims-team-lead-auto-sedgwick-claims-management-services-inc-2","Claims Team Lead, Auto","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 Team Lead, Auto PRIMARY PURPOSE OF THE ROLE: To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical\u002Fjurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims ESSENTIAL RESPONSIBLITIES MAY INCLUDE Supervises multiple teams of examiners, multiple product line examiners and\u002For several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit. Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. Provides technical\u002Fjurisdictional direction to examiner reports on claims adjudication. Compiles reviews and analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal. Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner. Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client. Assures that direct reports are properly licensed in the jurisdictions serviced. Ensures claims files are coded correctly and adequate documentation is made by claims examiners. Performs other duties as assigned. Supports the organization's quality program(s). SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing: Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred. Experience: Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience. Skills & knowledge: thorough knowledge of claims management processes and procedures for multiple product lines, excellent oral and written communication, including presentation skills, PC literate, including Microsoft Office products, leadership\u002Fmanagement skills, analytical and interpretive skills, ability to work in a team environment, and the ability to meet or exceed Performance Competencies Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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",{"id":1790,"slug":1791,"title":1792,"location":13,"raw_job_location_address_addressLocality":1793,"raw_hiringOrganization_logo_url":13,"raw_description":1794},64670,"senior-adjuster-property-sedgwick-claims-management-services-inc","Senior Adjuster Property","CS- Toledo, OH - Crysler","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 Senior Adjuster Property PRIMARY PURPOSE: To investigate and adjust property and casualty claims, both residential and commercial, with little to no supervision. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Inspects claims and contacts involved parties in a timely manner. Investigates circumstances of claim(s) as required for coverage determination, cause, and compensable damages\u002Freserves. Examines insurance policies and other records to determine insurance coverage. Prepares estimates for cost of repair and\u002For replacement. Conducts interviews with claimant and witnesses regarding submitted claim(s). Negotiates and settles both 1st and 3rd party claims. Addresses salvage and subrogation as required by the client. Maintains client relationships to assure repeated business referrals. 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. IIA-AIC designation required. Appropriate state adjuster license is required. Experience Two (2) years of related experience or equivalent combination of education and experience required. Skills & Knowledge Strong oral and written communication, including presentation skills PC literate, including Microsoft Office products Demonstrated commitment to timely reporting Strong customer service skills Strong interpersonal skills Attention to detail and accuracy Good time management and organizational skills Ability to work independently or 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: Must be able to stand and\u002For walk for long periods of time. Must be able to kneel, squat or bend. Must be able to work outdoors in hot and\u002For cold weather conditions. Have the ability to climb, crawl, stoop, kneel, reaching\u002Fworking overhead Be able to lift\u002Fcarry up to 50 pounds Be able to push\u002Fpull up to 100 pounds Be able to drive up to 4 hours per day. Must have continual use of manual dexterity. Auditory\u002FVisual: 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 $50-$75k. 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. We are always accepting applications. 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",{"id":1796,"slug":1797,"title":1798,"location":13,"raw_job_location_address_addressLocality":1793,"raw_hiringOrganization_logo_url":13,"raw_description":1799},64672,"field-case-manager-vocational-sedgwick-claims-management-services-inc","Field Case Manager - Vocational","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 Field Case Manager - Vocational This Field Case Manager will cover our North West Ohio region, including Toledo, Findlay, Sandusky, Elyria, Lima, and Southern MI. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face to face interaction with injured workers and medical professionals. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure preferred; or Bachelor's degree in health or human services field required with a one of the following certifications: CCM, CDMS, CRC, CRRN, or COHN. Valid driver’s license required. High speed internet required. Employment may be contingent upon successful completion of a motor vehicle record (MVR) check. 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\u002FVisual: Hearing, vision and talking TAKING CARE OF YOU BY Offering flexibility and autonomy. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer a diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #fieldcasemanager #CCM #CDMS #CRC #CRRN #COHN #vocrehab #casemanagement 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",{"id":1801,"slug":1802,"title":1803,"location":13,"raw_job_location_address_addressLocality":1198,"raw_hiringOrganization_logo_url":13,"raw_description":1804},87322,"claims-representative-workers-compensation-ontario-california-sedgwick-claims-management-services-inc","Claims Representative - Workers Compensation | Ontario, California","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 Representative - Workers Compensation | Ontario, California 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 Workers Compensation & supervisory 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 complex or technically difficult general liability claims to determine benefits due; to work with high exposure liability claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; to identify subrogation of claims and negotiate settlements; and to provide backup for team lead when out of the office. 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 RESPONSIBLITIES MAY INCLUDE 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. Manages the litigation process; ensures timely and cost-effective claims resolution. Coordinates vendor referrals for additional investigation and\u002For litigation management. Leads team meetings and assigns accountability for follow-up items. Gathers important compliance\u002Fclaims processing information to be presented at team meetings. Assists in interviews of adjusters, clerical staff and provides feedback to hiring manager. Provides limited assistance\u002Fsupport to team lead with monthly review of adjuster workloads; notes trends and suggests adjustments when necessary. May include up to (3) three direct reports. SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership, and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing: 5 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: Nationwide Licensing: Required Location: On-Site at our Ontario, CA office TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Opportunity to work in an agile environment. 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\u002FVisual: 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 ($26.55 - 37.18). 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 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",{"id":1806,"slug":1807,"title":1808,"location":13,"raw_job_location_address_addressLocality":1245,"raw_hiringOrganization_logo_url":13,"raw_description":1809},87323,"return-to-work-associate-sedgwick-claims-management-services-inc-2","Return To Work Associate","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 Return To Work Associate PRIMARY PURPOSE: To perform return-to-work assessment under general supervision; to coordinate return-to-work related activities including gathering medical information for accommodation evaluation; to resolve workers' compensation cases; to provide customer support; and to support return-to-work\u002Faccommodation staff. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Performs initial evaluations assessment via telephone calls to physician and employer. Evaluates need for alternative return-to-work plan and coordinates return-to-work related activities. Supports return-to-work and\u002For job accommodation processes for return-to-work management. Supports return-to-work\u002Fjob accommodation staff through the completion of components of the return-to-work management process. Provides return-to-work support for injured workers, physicians, employers and claims teams. Gathers return-to-work data from providers, nurses and return-to-work specialists for record keeping. Resolves workers' compensation cases by applying current policies and procedures per state workers' compensation laws and client program design. Enters data into the claims management system accurately. Adheres to quality assurance standards. 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 claims management experience or equivalent combination of education and experience required. Return-to-work 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 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\u002FVisual: 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",{"id":1811,"slug":1812,"title":821,"location":13,"raw_job_location_address_addressLocality":1245,"raw_hiringOrganization_logo_url":13,"raw_description":1813},87324,"field-case-manager-sedgwick-claims-management-services-inc-11","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 Field Case Manager This Field Case Manager will cover our Orlando, FL region and must live in this area in order to be considered. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; through advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face-to-face interaction with injured workers and medical professionals. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure preferred; or bachelor’s degree in health or human services field required with one of the following certifications: CCM, CDMS, or CRC. Valid driver’s license required. High speed internet required. Employment may be contingent upon successful completion of a motor vehicle record (MVR) check, where job related. 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\u002FVisual: Hearing, vision and talking TAKING CARE OF YOU BY Offering a blended work environment. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer a diverse and comprehensive benefits package including: Three Medical, and two dental plans to choose from. Tuition reimbursement eligible. 401K plan that matches 50% on every $ you put in up to the first 6% you save. 4 weeks PTO your first full year. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #fieldcasemanager 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",{"id":1815,"slug":1816,"title":1817,"location":13,"raw_job_location_address_addressLocality":1245,"raw_hiringOrganization_logo_url":13,"raw_description":1818},87325,"director-of-operations-sedgwick-claims-management-services-inc","Director of Operations","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 Director of Operations PRIMARY PURPOSE: To be responsible for the technical and operational functions within assigned office(s) including compliance with company standards and industry best practices; to ensure consistent delivery of quality services including direct operational responsibility of an office in the location where the manager resides; to be responsible for staffing and training needs; and to be responsible for budget preparation and profit and loss management for assigned offices. Has direct and\u002For indirect responsibility for 50-99 colleagues. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Responsible for overall operations management for all assigned locations\u002Foffices. Establishes policy and procedures to assure compliance to best practices, claims management services standards, state regulations, and client service requirements. Establishes business plan with goals and objectives for the partnership and locations\u002Foffices. Monitors management reports relating to the partner\u002Foffice performance. Assists with the coordination of sales and client service efforts. SUPERVISORY RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. Provides support, guidance, leadership and motivation to promote maximum performance. 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\u002FVisual: 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. Strong technical claims knowledge Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership\u002Fmanagement\u002Fmotivational skills 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 Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions. Administers company personnel policies in all areas and follows company staffing standards and training recommendations. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. CPCU, ARM, AIM, and\u002For AIC certifications preferred. Licenses as required. Experience Ten (10) years of related experience or equivalent combination of education and experience required to include seven (7) years of claims management experience and four (4) years of supervisory experience. LOA\u002FFMLA experience preferred. 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",{"id":1820,"slug":1821,"title":1822,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":1823},64684,"billing-specialist-sedgwick-claims-management-services-inc","Billing Specialist","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 Billing Specialist SHIFT: Tuesday - Saturday 11am - 8pm EST PRIMARY PURPOSE: To provide monitoring payment for a mix of standard and complex outstanding receivable bills. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Contacts broker\u002Faccount on payment discrepancies and unpaid bills to resolve outstanding receivables in a timely fashion. Processes and corrects external entries. Researches payment deficiencies and reconciles outstanding invoices; disburses overpayments on true-up invoices. Independently reviews and interprets sold documentation and completes Billing set-up. Processes manual billing and seeks alternatives to automate manual tasks. Prepares monthly updates for management reports. Maintains appropriate file documentation and system diary notes. Processes disbursements and corrections on true-ups. Coordinates correction activities and follows through to resolution. Completes task book assignments. Identifies customer needs and acts on them. 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 Two (2) years of accounting, bookkeeping or insurance related billing experience required. Clerical or customer service experience preferred. Skills & Knowledge Expert knowledge of billing systems. Expert knowledge of data flows for medical bill review and other charge-to file processes Expert knowledge of insurance programs, claims and implications to outstanding receivables Expert knowledge of loss processing flows and claim based processing flows Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Strong organizational 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\u002FVisual: 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\u002Fhr. Always accepting applications. 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",{"id":1825,"slug":1826,"title":1212,"location":13,"raw_job_location_address_addressLocality":1245,"raw_hiringOrganization_logo_url":13,"raw_description":1213},87326,"disability-representative-sr-bilingualfrench-sedgwick-claims-management-services-inc-2",{"id":1828,"slug":1829,"title":1830,"location":13,"raw_job_location_address_addressLocality":1831,"raw_hiringOrganization_logo_url":13,"raw_description":1832},87327,"patient-care-coordinator-sedgwick-claims-management-services-inc-2","Patient Care Coordinator","Orlando, FL - Washington","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 Patient Care Coordinator PRIMARY PURPOSE: To provide world class customer service and service delivery to our clients and patients through processing referrals in the delivery of medical goods and services. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Reaches out to patients in relation to new or already processing referrals confirming patient demographic information, providing updates on the referral, and\u002For confirming delivery of said goods or service. Communicates with vendor partners, claims adjusters and nurse case managers providing updates on new referrals as well as referrals already in process. Procures vendor partners for each referral as it relates to the goods or services requested. Responsible for making or taking phone calls on existing referrals, new referrals, or other team members referrals. Provides quotes back to clients for approval or follow up on quotes already sent to obtain written approval for requested referrals ensuring that each referral is deemed medically necessary and approved by the claim’s adjuster. Confirms all required and relevant billing information exists in each referral as it relates to the workflow and billing processes in place and moves those referrals to be billed each day. Processes referrals per state regulations and workers compensation guidelines. 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. Experience Two (2) years of industry experience in healthcare network and patient care scheduling or equivalent combination of education and experience required. Skills & Knowledge Strong customer service skills Strong critical thinking skills Self-Starter Excellent oral and written communication skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Excellent interpersonal 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 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\u002FVisual: 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 (17an hour). 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",{"id":1834,"slug":1835,"title":1836,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":1837},64689,"claims-examiner-no-fault-pip-lit-required-new-york-sedgwick-claims-management-services-inc","Claims Examiner | No Fault- PIP | Lit Required | New York","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 | No Fault- PIP | Lit Required | New York PRIMARY PURPOSE OF THE ROLE : Investigates, negotiates, and resolves personal injury protection (PIP) and medical payments (Med Pay) claims in accordance with policy provisions, best practices, and jurisdictional requirements. Responsible for the input of claim data and guiding insureds and claimants through the claim process and options. ESSENTIAL RESPONSIBLITIES MAY INCLUDE: Manages claims and adjusts moderately complex to complex, PIP\u002FMed Pay, claims across multiple jurisdictions. Investigates loss details, evaluates, negotiates, and resolves claims within appropriate authority guidelines; maintains a high level of productivity, confidentiality, and customer service. Reviews assigned files and claim instructions for proper claim handling, establishes reserves and issues payment based on claim details and claim damages. Clearly documents thought process, investigation, evaluation, negotiation, and settlement decisions. Prioritizes assigned claims workload to keep policyholders and other involved parties informed and provides timely claims status updates. Serves as a subject matter expert on of state laws, regulations, statutes, and procedures to ensure proper handling of assigned claims. Delivers best in class claim service through setting appropriate expectation proactive communications with customers, brokers, and other claim professionals throughout the claims process. Works independently within significant limits and authority on assignments of higher technical complexity and coordination. Identifies possibly suspicious claims. Takes recorded statements. Identifies, confirms, and makes coverage decisions on complex claims. QUALIFICATIONS Education & Licensing: Six (6) years of related experience, to include three (3) years of PIP\u002FMed pay adjusting experience, or equivalent combination of education and experience required. 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. 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 – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 $75,000 to $85,000. 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. 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",{"id":1839,"slug":1840,"title":1841,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":1842},64693,"claims-examiner-workers-compensation-i-ca-experienced-required-i-remote-sedgwick-claims-management-services-inc","Claims Examiner Workers Compensation I CA experienced required I Remote","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 Compensation I CA experienced required I 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 California workers compensation examiner 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. 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. ARE YOU AN IDEAL CANDIDATE? To analyze California workers compensation 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. ESSENTIAL RESPONSIBLITIES 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: 5 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. Licensing \u002F Jurisdiction Knowledge: California TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Opportunity to work in an agile environment. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. Work environment requirements for entry-level opportunities include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 $63,404 - $95,000\u002Fyr. 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. 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",{"id":1844,"slug":1845,"title":1499,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":1846},64694,"claims-examiner-auto-bodily-injury-sedgwick-claims-management-services-inc-6","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, Auto | Bodily Injury PRIMARY PURPOSE OF THE ROLE: To analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. ARE YOU AN IDEAL CANDIDATE? To analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements. ESSENTIAL RESPONSIBLITIES MAY INCLUDE 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\u002Fprocessing with insured, client, and agent or broker when appropriate. Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing: 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. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Skills: strong oral and written communication, including presentation skills, PC literate including Microsoft Office products, and ability to work in a team environment. Secure and maintain the State adjusting licenses as required for the position. Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 $80,000 to $85,000 per year. 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. 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. 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",{"id":1848,"slug":1849,"title":1850,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":1851},64695,"claims-examiner-workers-compensation-i-ny-experience-required-sedgwick-claims-management-services-inc","Claims Examiner Workers Compensation I NY experience 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 Examiner Workers Compensation I NY 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 workers compensation examiner 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. 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. ARE YOU AN IDEAL CANDIDATE? To analyze workers compensation 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. ESSENTIAL RESPONSIBLITIES 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: 5 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. Licensing \u002F Jurisdiction Knowledge: New York License TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Opportunity to work in an agile environment. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 $60,234 - $90,000\u002Fyr. 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. 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",{"id":1853,"slug":1854,"title":1855,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":1856},64696,"claims-examiner-workers-compensation-i-ne-jurisdiction-experience-required-sedgwick-claims-management-services-inc","Claims Examiner Workers Compensation I NE jurisdiction experience 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 Examiner Workers Compensation I NE jurisdiction 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 workers compensation examiner 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. 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. ARE YOU AN IDEAL CANDIDATE? To analyze workers compensation 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. ESSENTIAL RESPONSIBLITIES 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: 5 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. Licensing \u002F Jurisdiction Knowledge: NH, VT, MA, CT, RI, DC, DE, WV, VA TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Opportunity to work in an agile environment. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 $60,234 - $90,000\u002Fyr. 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. 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",{"id":1858,"slug":1859,"title":1860,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":1861},64697,"claims-examiner-workers-compensation-i-nv-experience-required-sedgwick-claims-management-services-inc","Claims Examiner Workers Compensation I NV experience 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 Examiner Workers Compensation I NV 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 workers compensation examiner 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. 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. ARE YOU AN IDEAL CANDIDATE? To analyze workers compensation 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. ESSENTIAL RESPONSIBLITIES 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: 5 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. Licensing \u002F Jurisdiction Knowledge: Nevada License TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Opportunity to work in an agile environment. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 $60,234 - $90,000\u002Fyr. 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. 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",{"id":1863,"slug":1864,"title":1865,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":1866},64698,"claims-examiner-workers-compensation-i-tx-experience-required-sedgwick-claims-management-services-inc","Claims Examiner Workers Compensation I TX experience 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 Examiner Workers Compensation I TX 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 workers compensation examiner 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. 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. ARE YOU AN IDEAL CANDIDATE? To analyze workers compensation 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. ESSENTIAL RESPONSIBLITIES 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: 5 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. Licensing \u002F Jurisdiction Knowledge: Texas License TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Opportunity to work in an agile environment. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 $60,234 - $85,000\u002Fyr. 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. 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",{"id":1868,"slug":1869,"title":1870,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":1871},64699,"claims-representative-iap-workers-compensation-training-program-sedgwick-claims-management-services-inc","Claims Representative (IAP) - Workers Compensation Training Program","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 Representative (IAP) - Workers Compensation Training Program Are you looking for an impactful job that offers an opportunity to develop a professional career? A stable and consistent work environment in an office setting. A training program to learn how to investigate and resolve complex situations for employees and customers from some of the world’s most reputable brands. 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 including medical, dental, vision & 401k. PRIMARY PURPOSE OF THE ROLE: To be oriented and trained as a new industry professional. This role begins with a comprehensive 4-week concept-based learning and professional training program, followed by a dedicated onboarding experience before entering the on-the-job phase. You will be assigned a mentor and manager that will support and guide you on your career journey and be equipped with the foundational skills needed for a successful career in claims adjusting. While in the program, you’ll have the opportunity to grow and advance within the industry. Next Class Date: 10\u002F12\u002F26 ARE YOU AN IDEAL CANDIDATE? We are seeking enthusiastic and service-oriented individuals for an entry-level trainee position who are: Strong Communicators Empathetic Multi-Taskers Accountable Structured Thinkers Ambitious Agile Learners Team Collaborators ESSENTIAL RESPONSIBLITIES INCLUDE Attendance and completion of designated claims professional training program. Adjusting various levels of workers’ compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim. Communicating effectively with injured workers, insureds\u002Femployers, medical providers, attorneys and carrier representatives, primarily through telephonic, video conference and email. Thoroughly investigating new and existing claims by gathering relevant information including medical records, employer reports, and witness statements. Investigating employer\u002Femployee relationships, policy verification, coverage and any potential for subrogation issues or fraud indicators. Determining coverage, compensability and appropriate benefits in accordance with jurisdictional guidelines and carrier program requirements. Documenting claims files and properly coding claim activity. Preparing detailed reports documenting findings and recommendations. Administering claim benefits i.e., indemnity and medical benefits, through maintenance of calendared claim-related action items, ensuring state compliance. Participating in virtual and\u002For in-person meetings, claim reviews and business functions as needed for educational training, claim discussions and various meetings. QUALIFICATIONS Education Requirement – High School Diploma or GED. Bachelor's degree preferred and 2 years of customer service experience and\u002For combination of education and experience. 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\u002FVisual: 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 $25.65\u002Fhr. 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. #claims #entrylevel 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",{"id":1873,"slug":1874,"title":1870,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":1875},64700,"claims-representative-iap-workers-compensation-training-program-sedgwick-claims-management-services-inc-2","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 Representative (IAP) - Workers Compensation Training Program Are you looking for an impactful job that offers an opportunity to develop a professional career? A stable and consistent work environment in an office setting. A training program to learn how to investigate and resolve complex situations for employees and customers from some of the world’s most reputable brands. 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 including medical, dental, vision & 401k. PRIMARY PURPOSE OF THE ROLE: To be oriented and trained as a new industry professional. This role begins with a comprehensive 4-week concept-based learning and professional training program, followed by a dedicated onboarding experience before entering the on-the-job phase. You will be assigned a mentor and manager that will support and guide you on your career journey and be equipped with the foundational skills needed for a successful career in claims adjusting. While in the program, you’ll have the opportunity to grow and advance within the industry. Next Class Date: 10\u002F12\u002F26 ARE YOU AN IDEAL CANDIDATE? We are seeking enthusiastic and service-oriented individuals for an entry-level trainee position who are: Strong Communicators Empathetic Multi-Taskers Accountable Structured Thinkers Ambitious Agile Learners Team Collaborators ESSENTIAL RESPONSIBLITIES INCLUDE Attendance and completion of designated claims professional training program. Adjusting various levels of workers’ compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim. Communicating effectively with injured workers, insureds\u002Femployers, medical providers, attorneys and carrier representatives, primarily through telephonic, video conference and email. Thoroughly investigating new and existing claims by gathering relevant information including medical records, employer reports, and witness statements. Investigating employer\u002Femployee relationships, policy verification, coverage and any potential for subrogation issues or fraud indicators. Determining coverage, compensability and appropriate benefits in accordance with jurisdictional guidelines and carrier program requirements. Documenting claims files and properly coding claim activity. Preparing detailed reports documenting findings and recommendations. Administering claim benefits i.e., indemnity and medical benefits, through maintenance of calendared claim-related action items, ensuring state compliance. Participating in virtual and\u002For in-person meetings, claim reviews and business functions as needed for educational training, claim discussions and various meetings. QUALIFICATIONS Education Requirement – High School Diploma or GED. Bachelor's degree preferred and 2 years of customer service experience and\u002For combination of education and experience. 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\u002FVisual: 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 $25.65. 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. #claims #entrylevel 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",{"id":1877,"slug":1878,"title":1879,"location":13,"raw_job_location_address_addressLocality":1277,"raw_hiringOrganization_logo_url":13,"raw_description":1880},87332,"business-development-director-sedgwick-claims-management-services-inc","Business Development Director","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 Business Development Director PRIMARY PURPOSE: To expand and enhance the company's top line through diligent relationship building and maintenance with prospective clients across an area; to identify and address prospective and existing client opportunities for marketing the company's programs; and to ensure sales goals, objectives and profit margins are met. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Identifies, develops and maintains internal and external relationships\u002Fpartnerships. Builds relationships with prospects. Facilitates the development of new partnerships and the company; facilitates and remains involved in the implementation process ensuring a smooth transition of new client programs. Develops the detailed knowledge of individual prospect operations targeting specific needs which may be opportunities for marketing company programs. Ensures the identification of expertise required addressing individual prospect requirements; identifies resources for prospect solicitation and service teams. Utilizes the appropriate national resources to facilitate responses and pricing for RFPs, proposals, and presentations. Manages the design of service programs ensuring client need fulfillment. Develops and implements an annual sales and service plan including identification of potential client prospects, their needs, and the methodology of presenting company's ability to fulfill those needs. Meets sales goals of $2-3 million. 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 required. Bachelor's degree with major in Business Administration, Finance or Risk Management preferred. Licenses as required. Possession of, or progress towards, CPCU and\u002For ARM designation required. Experience Ten (10) years of related experience or equivalent combination of education and experience required to include five (5) years of relationship building in the claims management or risk management area. 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\u002FVisual: 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",{"id":1882,"slug":1883,"title":1884,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":1885},64703,"claims-team-lead-i-workers-compensation-i-ca-experience-required-sedgwick-claims-management-services-inc","Claims Team Lead I Workers Compensation I CA experience 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 Team Lead I Workers Compensation I CA experience required Job Description 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 Workers Compensation & supervisory 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 supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical\u002Fjurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. 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 RESPONSIBLITIES MAY INCLUDE Supervises multiple teams of examiners, multiple product line examiners and\u002For several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit. Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. Provides technical\u002Fjurisdictional direction to examiner reports on claims adjudication. Compiles reviews and analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal. Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner. Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client. Assures that direct reports are properly licensed in the jurisdictions serviced. Ensures claims files are coded correctly and adequate documentation is made by claims examiners. SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership, and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing: 5 years of California Workers Compensation claims management experience or equivalent combination of education and experience required. Supervisory Experience Preferred 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: California TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Opportunity to work in an agile environment. 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 $75,000 - $100,000\u002Fyr. 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. 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",{"id":1887,"slug":1888,"title":1889,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":1890},64704,"claims-team-lead-workers-compensation-jurisdiction-southeast-states-licensing-fl-or-home-state-required-remote-sedgwick-claims-management-services-inc","Claims Team Lead - Workers Compensation | Jurisdiction: Southeast States | Licensing: FL or Home State Required - Remote","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 Team Lead - Workers Compensation | Jurisdiction: Southeast States | Licensing: FL or Home State Required - 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? 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 supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical\u002Fjurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Supervises multiple teams of examiners, multiple product line examiners and\u002For several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit. Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. Provides technical\u002Fjurisdictional direction to examiner reports on claims adjudication. Compiles reviews and analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal. Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner. Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client. Assures that direct reports are properly licensed in the jurisdictions serviced. Ensures claims files are coded correctly and adequate documentation is made by claims examiners. Performs other duties as assigned. Supports the organization's quality program(s). SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing: 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. Experience: Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience. Licensing \u002F Jurisdiction Knowledge: FL, AL, AR, GA, Mississippi, TN, SC, NC 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, travel as required Auditory\u002FVisual: 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 ($67k-$85k). 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 #RiskManagement 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",{"id":1892,"slug":1893,"title":1894,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":1895},64705,"concierge-performance-associate-remote-sedgwick-claims-management-services-inc","Concierge Performance Associate - REMOTE","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 Concierge Performance Associate - REMOTE Remote Position with a 12:00 PM – 9:00 PM schedule, including one required weekend shift per week. PRIMARY PURPOSE: To assist Property Repair Solutions customers (homeowners, contractors, carriers) with any questions or concerns they may have and\u002For the work being done by the program contractors; to ensure that all customer expectations are met and\u002For exceeded to the best of our ability. ESSENTIAL FUNCTIONS and RESPONSIBILITIES · Receives, reviews and dispatches new jobs to contractors based on job type and location. · Places outbound calls to sell programs to customers, assigns contractors, makes customer appointments, provides assistance to insurance adjusters, and sets up program expectations. · Monitors pending jobs and makes follow-up calls to homeowners to ensure that the process is going smoothly and answers questions as needed. · Receives inbound calls to answer customer service questions, resolve minor issues, and schedule appointments for customers with contractors or escalate issues to the proper channels. · Attendance during scheduled work hours is required. 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 construction management, restoration and\u002For insurance claims and customer service required. Chronicle software experience preferred. Skills & Knowledge · Excellent oral and written communication skills · PC literate, including Microsoft Office products · Good problem resolution skills · Good judgment and sound decision making skills · Ability to build a consensus among various parties · Strong relationship building skills · Excellent organizational skills, accuracy, and attention to detail · Initiative and ability to multi-task · Above average speed and accuracy key stroke skills · High level of professionalism · Ability to work under pressure in a fast paced environment and maintain a positive demeanor · Ability to work independently or in a team environment · Ability to meet or exceed Performance Competencies · Bi-lingual English\u002FSpanish a plus. 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\u002FVisual: 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 $16.00\u002Fhr. 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. 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",{"id":1897,"slug":1898,"title":641,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":1899},64706,"rn-field-case-manager-sedgwick-claims-management-services-inc-11","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 RN Field Case Manager We are growing all across the US and are looking for experienced Workers Comp Field Case Managers! Must be an RN and prefers 1.5 years of prior Workers Compensation Case Management experience in order to be considered. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face to face interaction with injured workers and medical professionals. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure required. Valid driver’s license required. High speed internet required. Employment may be contingent upon successful completion of a motor vehicle record (MVR) check. 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\u002FVisual: Hearing, vision and talking TAKING CARE OF YOU BY Offering a blended work environment. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer a diverse and comprehensive benefits package including: Three Medical, and two dental plans to choose from. Tuition reimbursement eligible. 401K plan that matches 50% on every $ you put in up to the first 6% you save. 4 weeks PTO your first full year. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #fieldcasemanager 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 $80,000-$95,000\u002Fquarterly bonus eligibility and Sign on Bonus 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. Always accepting applications.” 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",{"id":1901,"slug":1902,"title":1903,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":1904},64708,"utilization-review-coordinator-sedgwick-claims-management-services-inc","Utilization Review Coordinator","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 Utilization Review Coordinator PRIMARY PURPOSE: To assign utilization review requests; to verify and enter data in appropriate system(s); and to provide general support to clinical staff in a team environment. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Accesses, triages and assigns cases for utilization review (UR). Responds to telephone inquiries proving accurate information and triage as necessary. Enters demographics and UR information into claims or clinical management system; maintains data integrity. Obtains all necessary information required for UR processing from internal and external sources per policies and procedures. Distributes incoming and outgoing correspondence, faxes and mail; uploads review documents into paperless system as necessary. Supports other units 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 Two (2) years of administrative experience or equivalent combination of experience and education required. Customer service in medical field preferred. Workers compensation, disability and\u002For liability claims processing experience preferred. Skills & Knowledge Knowledge of medical and insurance terminology Knowledge of ICD9 and CPT coding Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Detail Oriented 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. TAKING CARE OF YOU BY We offer a diverse and comprehensive benefits package including: Three Medical, and two dental plans to choose from. Tuition reimbursement eligible. 401K plan that matches 50% on every $ you put in up to the first 6% you save. 4 weeks PTO your first full year. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. 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 $18-20.00\u002Fhr. 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. 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",{"id":1906,"slug":1907,"title":1908,"location":13,"raw_job_location_address_addressLocality":1909,"raw_hiringOrganization_logo_url":13,"raw_description":1910},87333,"field-auto-appraiser-philadelphia-pa-sedgwick-claims-management-services-inc","Field Auto Appraiser -Philadelphia, PA","Philadelphia, PA - Market - 1650","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 Field Auto Appraiser -Philadelphia, PA PRIMARY PURPOSE: To inspect, identify, and evaluate auto vehicles involved in a loss. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Appraises and determines costs of repairs to damaged vehicle in the field; determines repair versus replace and parts utilization. Evaluates and determines if the vehicle is repairable or salvageable based on industry standard estimatics software. Travels to inspection locations to appraise vehicles in the field. Prepares estimates using estimatics software. Works directly with auto repair facilities to determinate supplemental repair processing and provides a supplemental estimate. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Travels as required. QUALIFICATIONS Education & Licensing High school diploma or GED required. Licenses as required by state guidelines. Experience Three (3) years of related experience to include at least one (1) year of appraisal experience or equivalent combination of education and experience required. Skills & Knowledge Strong knowledge of automobiles Ability to understand and utilize appraisal software PC literate, including Microsoft Office products Strong organizational skills Excellent interpersonal skills Excellent negotiating 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: Must be able to stand and\u002For walk for long periods of time; must be able to kneel, squat, or bend; must be able to work outdoors in hot and\u002For cold weather conditions; have the ability to climb, crawl, stoop, kneel, reach\u002Fwork overhead; be able to lift\u002Fcarry up to 50 pounds; be able to push\u002Fpull up to 100 pounds; be able to drive up to 4 hours per day; and must have continual use of manual dexterity Auditory\u002FVisual: 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 $50,000-$70,000\u002Fyr. 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. 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",{"id":1912,"slug":1913,"title":1914,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":1915},64710,"liability-claims-examiner-auto-liability-amp-general-liability-experience-required-multi-jurisdictions-licensing-required-sedgwick-claims-management-services-inc","Liability Claims Examiner | Auto Liability & General Liability Experience Required | Multi-jurisdictions | Licensing 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 Liability Claims Examiner | Auto Liability & General Liability Experience Required | Multi-jurisdictions | Licensing 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 examiner 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 analyze General Liability, Auto Liability & Premise 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 5 years of claims management experience or equivalent combination of education and experience required. Jurisdiction Knowledge: Multi Jurisdictions Licensing: Required, NY Preferred TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Opportunity to work in an agile environment. 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\u002FVisual: 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 (75K - 85K). 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. 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",{"id":1917,"slug":1918,"title":776,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":1919},64711,"telephonic-case-manager-sedgwick-claims-management-services-inc","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 Telephonic Case Manager PRIMARY PURPOSE OF THE ROLE: While partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy, communication and coordination of medical services. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. ESSENTIAL RESPONSIBLITIES MAY INCLUDE: Performs initial and ongoing clinical assessment via telephone calls to evaluate the injured worker's injury, medical treatment, psychosocial needs, cultural implications and support systems. Effectively communicates and builds relationships with the claims’ examiner, client, injured worker, attorney and supervisor. Identifies issues related to delayed recovery and\u002For return to work and problem solves with a creative thinking approach Negotiates treatment and disability duration with providers through use of medical and disability duration guidelines, adhering to quality. Identifies opportunities to expedite care for cost containment and timely medical recovery. Provides recommendations for alternate clinical resources to support claim resolution. Maintains client's privacy and confidentiality, promotes client safety and advocacy; and adheres to ethical, legal, accreditation and regulatory standards. EDUCATION AND LICENSING: Current unrestricted RN license(s) in a state or territory of the United States required. Bachelor's degree in nursing (BSN) from accredited college or university or equivalent work experience preferred. Certification in case management, rehabilitation nursing or a related specialty is highly preferred. TAKING CARE OF YOU BY: Offering flexibility and autonomy. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. Thrives when everyone is working towards the same vision\u002Fgoals. We offer a diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day. 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\u002FVisual: Hearing, vision and talking NEXT STEPS If your application is selected to advance to the next round, recruiter will be in touch. 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 $72,000 - $75,000. 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. #nurse #telephoniccasemanager 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",{"id":1921,"slug":1922,"title":1923,"location":13,"raw_job_location_address_addressLocality":1450,"raw_hiringOrganization_logo_url":13,"raw_description":1924},64712,"workers-compensation-claims-examiner-ny-jurisdiction-amp-subrogation-experience-amp-ny-licensing-required-sedgwick-claims-management-services-inc","Workers Compensation Claims Examiner | NY Jurisdiction & Subrogation Experience & NY Licensing 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 Examiner | NY Jurisdiction & Subrogation Experience & NY Licensing 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? To analyze Lost-Time Workers Compensation 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. Subrogation experience required. 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. OFFICE LOCATION Hybrid if within commutable distance to the Syracuse, NY office Remote if outside of commutable distance ESSENTIAL RESPONSIBLITIES 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: 5 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: NY Licensing: NY 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\u002FVisual: 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 (80 - 90K). 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",{"id":1926,"slug":1927,"title":1928,"location":13,"raw_job_location_address_addressLocality":1929,"raw_hiringOrganization_logo_url":13,"raw_description":1930},87334,"claims-adjuster-liability-sedgwick-claims-management-services-inc","Claims Adjuster - Liability","Phoenix, AZ - Black Canyon","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 Adjuster - Liability PRIMARY PURPOSE: To analyze mid- and higher-level general liability claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Manages mid-level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level. Assesses liability and resolves claims within evaluation. Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract. Manages subrogation of claims and negotiates settlements. Communicates claim action with claimant and client. Ensures claim files are properly documented and claims coding is correct. May process complex lifetime medical and\u002For defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review. Maintains professional client relationships. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. QUALIFICATION Education & Licensing Bachelor's degree from an accredited college or university preferred. Experience Four (4) 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\u002FVisual: 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",{"id":1932,"slug":1933,"title":1934,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":1935},64714,"vice-president-clinical-pharmacy-sedgwick-claims-management-services-inc","Vice President, Clinical Pharmacy","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 Vice President, Clinical Pharmacy PRIMARY PURPOSE: To support the strategy and performance of Sedgwick’s pharmacy program, serving as a client-facing pharmacy and clinical thought leader within Managed Care. Leveraging deep workers’ compensation pharmacy expertise, this role supports the review and continuous improvement of the Sedgwick pharmacy program, translates claims and book-of-business data into actionable strategy, and partners directly with clients to represent pharmacy strategy and deliver value. The role represents Sedgwick as a recognized voice in the industry. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. ESSENTIAL RESPONSIBLITIES MAY INCLUDE: Provide senior, VP-level leadership across the pharmacy program, shaping strategy, direction, quality and performance. Bring deep workers' compensation pharmacy expertise across program strategy, design, clinical decision-making, and complex pharmacy management. Act as a client-facing leader, partnering directly with clients, representing pharmacy strategy in engagements, and translating program capabilities into client value. Own the review, refinement, and continuous improvement of pharmacy programs, elevating consistency, quality, defensibility, and outcomes. Provide analysis of claims data and book-of-business metrics, translating trends into actionable strategy. Serve as an external thought leader, representing the organization in industry forums and strengthening its market reputation. Partner cross-functionally with operational, clinical, and business leaders to align pharmacy strategy with organizational objectives. Works with pharmacy benefit managers on pricing models, reporting and specific program development such as the development of a pharmacy benefit network (PBN), new formularies and creating new and improved edits to custom triggers. Works with client services to create custom reporting for large clients; meets with clients to explain complexities of the program and demonstrate the benefits. Strategically supports our pharmacy benefit management vendor partnerships and the Sedgwick team who operationally support the product for clients. Prepares and delivers presentations for national conferences and client meetings. Stays ahead of the marketplace and assists client services in maintaining client relationships by clarifying offerings, value of products and defining real savings. Responsible for understanding the entire workers compensation pharmacy industry landscape and what that means to Sedgwick and clients. Works directly with clients and client services to develop solutions and discusses formularies and current pharmacy issues and trends in the industry. Responsible for determining the feasibility of bringing pharmacy benefit services as a Sedgwick offering; conducts research and determines if there is a business case. Delves into the details of pharmacy networks and pushes vendor partners to offer a transparent cost model with potential to have insight into rebates. SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing PharmD degree from an accredited university or school of pharmacy preferred or Bachelor’s degree with commensurate experience in PBM management and health care benefit knowledge. Active unrestricted license to practice pharmacy as a PharmD or clinical pharmacist in at least one state in the United States preferred. Experience Ten (10) years of related experience or equivalent combination of education and experience required to include two (2) years of recent clinical practice experience and two (2) years of management experience. Workers' Compensation industry experience preferred. Skills & Knowledge Knowledge of current pharmacy trends and alternative resources and treatments in out-patient and alternative care settings Substantial workers’ compensation pharmacy background and command of the WC managed care landscape Demonstrated client-facing experience with senior stakeholders Strong analytical skills, with the ability to interpret claims and book-of-business data to inform strategy Track record of pharmacy program leadership, development, quality improvement, and innovation Recognized or emerging thought leader, comfortable representing an organization externally Executive-level presence, communication, and cross-functional leadership skills Understands how the brand drug rebate process works and if there is a potential to provide this back to clients Knowledge of utilization management Knowledge of workers' compensation Analytical and interpretive skills Proven management\u002Fleadership skills Excellent oral and written communication skills, including presentation skills PC literate, including Microsoft Office products Excellent interpersonal skills Ability to work in a team environment Ability to meet or exceed Performance Competencies TAKING CARE OF YOU: Offering flexibility and autonomy. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day. Work environment: When applicable and appropriate, consideration will be given to reasonable accommodation. Physical: Computer keyboarding, travel as required Auditory\u002Fvisual: Hearing, vision and talking 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. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. 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 $140,000 - $165,000\u002Fyear. 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. 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",{"id":1937,"slug":1938,"title":1939,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":1940},64716,"workers-compensation-claims-examiner-ny-jurisdictional-and-licensing-required-public-entity-sedgwick-claims-management-services-inc","Workers Compensation Claims Examiner | NY Jurisdictional and Licensing Required | Public Entity","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 Examiner | NY Jurisdictional and Licensing Required | Public Entity 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 examiner 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 analyze Lost-Time Workers Compensation 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 3-5 years of claims management experience or equivalent combination of education and experience required. Public Entity Workers Compensation preferred Jurisdiction Knowledge: NY Required; NJ Preferred Licensing: NY TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Opportunity to work in a remote environment 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\u002FVisual: 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 - 95K). 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. #claimsexaminer #claims #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. 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",{"id":1942,"slug":1943,"title":1944,"location":13,"raw_job_location_address_addressLocality":1929,"raw_hiringOrganization_logo_url":13,"raw_description":1945},87335,"workers-compensation-liaison-phoenix-az-sedgwick-claims-management-services-inc","Workers Compensation Liaison | Phoenix, AZ","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 Liaison | Phoenix, AZ 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? ARE YOU AN IDEAL CANDIDATE? To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure liability claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; to identify subrogation of claims and negotiate settlements; and to provide backup for team lead when out of the office. 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 RESPONSIBLITIES MAY INCLUDE 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. Manages the litigation process; ensures timely and cost-effective claims resolution. Coordinates vendor referrals for additional investigation and\u002For litigation management. Leads team meetings and assigns accountability for follow-up items. Gathers important compliance\u002Fclaims processing information to be presented at team meetings. Assists in interviews of adjusters, clerical staff and provides feedback to hiring manager. Provides limited assistance\u002Fsupport to team lead with monthly review of adjuster workloads; notes trends and suggests adjustments when necessary. May include up to (3) three direct reports. SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership, and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing: 5 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: Nationwide Licensing: Workers compensation adjuster license preferred (any state), not required. Location: Phoenix, AZ - hybrid role TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Opportunity to work in an agile environment. 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\u002FVisual: 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 ($55,000-$75,000). 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. If evergreen nationwide, CO or onsite in CO.]  #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. 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",{"id":1947,"slug":1948,"title":1949,"location":13,"raw_job_location_address_addressLocality":1272,"raw_hiringOrganization_logo_url":13,"raw_description":1950},87336,"workers-compensation-claims-representative-jurisdiction-tx-ok-la-licensing-tx-required-hybrid-sedgwick-claims-management-services-inc","Workers Compensation - Claims Representative | Jurisdiction: TX, OK, LA | Licensing: TX Required (Hybrid)","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 | Jurisdiction: TX, OK, LA | Licensing: TX Required (Hybrid) 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 Workers Compensation 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.  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: 3 day in office, 2 days remote in our Plano, TX office. PRIMARY PURPOSE OF THE ROLE To analyze Workers Compensation 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 2 years of claims management experience or equivalent combination of education and experience required. Licensing: TX Required and OK, LA preferred Jurisdiction Knowledge: TX, OK, LA TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Opportunity to work in an agile environment. 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\u002FVisual: Hearing, vision and talking #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. 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",{"id":201,"slug":202,"title":203,"location":13,"raw_job_location_address_addressLocality":1952,"raw_hiringOrganization_logo_url":13,"raw_description":1953},"Portland, OR - Redwood","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 Assistant - Workers Compensation | Portland, OR (on-site) 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? 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 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 seeking enthusiastic and service-oriented individuals for an entry-level position. OFFICE LOCATION: Portland, OR (On-Site) PRIMARY PURPOSE: To provide support to the claims staff and to perform other office tasks depending on the client program. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Sets up and enters new claims into claims management system. Inputs and reviews notes\u002Fdiaries in claims management system as instructed. Processes payments. Processes mail; handles filing, faxing and photocopying. Reviews, prepares, creates, and\u002For sends letters, reports, and forms. Answers and initiates telephone calls, sets up medical appointments, and may provide customer service as required. Other activities\u002Fprojects as assigned including the preparation and distribution of computer reports. 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 Six (6) months of clerical or customer service experience or equivalent combination of education and experience required. Skills & Knowledge Excellent oral and written communication PC literate, including Microsoft Office products Strong organizational 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\u002FVisual: Hearing, vision and talking NOTE: Credit security clearance, confirmed via a background credit check, is required for this position. TAKING CARE OF YOU 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 $18.00-$21.00.00\u002Fhour. 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",{"id":181,"slug":182,"title":183,"location":13,"raw_job_location_address_addressLocality":1333,"raw_hiringOrganization_logo_url":13,"raw_description":1955},"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 Associate | Riverside, CA or Ontario, CA (On-Site) 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 core values that include empathy, accountability, collaboration, growth, and inclusion. LOCATION: IN-OFFICE ONTARIO, CALIFORNIA or RIVERSIDE, CALIFORNIA PRIMARY PURPOSE: To analyze low level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices ESSENTIAL FUNCTIONS and RESPONSIBILITIES Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision. Supports other claims representatives, examiners and leads with larger or more complex claims as necessary. Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency. Communicates claim action\u002Fprocessing 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\u002For defined period medical claims. Maintains professional client relationships. 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; Licenses as required Experience: One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience 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\u002FVisual: 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 $25-28\u002Fhr. 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",{"id":1957,"slug":1958,"title":1959,"location":13,"raw_job_location_address_addressLocality":1343,"raw_hiringOrganization_logo_url":13,"raw_description":1960},87339,"workers-compensation-claims-assistant-sedgwick-claims-management-services-inc","Workers Compensation Claims Assistant","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 Assistant 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? 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 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 seeking enthusiastic and service-oriented individuals for an entry-level position. OFFICE LOCATIONS Roseville, CA (In-office) San Diego, CA (In-office) PRIMARY PURPOSE: To provide support to the claims staff and to perform other office tasks depending on the client program. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Sets up and enters new claims into claims management system. Inputs and reviews notes\u002Fdiaries in claims management system as instructed. Processes payments. Processes mail; handles filing, faxing and photocopying. Reviews, prepares, creates, and\u002For sends letters, reports, and forms. Answers and initiates telephone calls, sets up medical appointments, and may provide customer service as required. Other activities\u002Fprojects as assigned including the preparation and distribution of computer reports. 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 Six (6) months of clerical or customer service experience or equivalent combination of education and experience required. Skills & Knowledge Excellent oral and written communication PC literate, including Microsoft Office products Strong organizational 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 Auditory\u002FVisual: Hearing, vision and talking TAKING CARE OF YOU 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 $20.00-$22.50\u002Fhour. 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. #claims #entrylevel 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",{"id":249,"slug":250,"title":251,"location":13,"raw_job_location_address_addressLocality":1402,"raw_hiringOrganization_logo_url":13,"raw_description":1962},"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 Team Lead | Salt Lake City UT 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 Workers Compensation & supervisory 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 supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical\u002Fjurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. WORK LOCATION: This position is currently designated as remote. However, candidates must reside within a reasonable commuting distance of, or be willing to relocate to, the Salt Lake City, Utah area. The successful candidate will be expected to transition to a hybrid work schedule and report to the Salt Lake City office. 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 RESPONSIBLITIES MAY INCLUDE 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. Manages the litigation process; ensures timely and cost-effective claims resolution. Coordinates vendor referrals for additional investigation and\u002For litigation management. Leads team meetings and assigns accountability for follow-up items. Gathers important compliance\u002Fclaims processing information to be presented at team meetings. Assists in interviews of adjusters, clerical staff and provides feedback to hiring manager. Provides limited assistance\u002Fsupport to team lead with monthly review of adjuster workloads; notes trends and suggests adjustments when necessary. May include up to (3) three direct reports. SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership, and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing: 5 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: CA or NV 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\u002FVisual: 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 (100k-115k). 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 #LI-REMOTE 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",{"id":1964,"slug":1965,"title":1966,"location":13,"raw_job_location_address_addressLocality":1967,"raw_hiringOrganization_logo_url":13,"raw_description":1968},64748,"claims-associate-workers-compensation-medical-only-100-onsite-sedgwick-claims-management-services-inc","Claims Associate - Workers Compensation (Medical Only) - 100% onsite","West Des Moines, IA - University","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 - Workers Compensation (Medical Only) - 100% onsite Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career? 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 OF THE ROLE: To analyze reported lower-level Medical Only workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices. OFFICE LOCATION: 100% in office; 4200 University Avenue, Suite 317 West Des Moines, IA 50266 ARE YOU AN IDEAL CANDIDATE? We are looking for an enthusiastic candidate to fill a Workers Compensation Associate position. Ideal candidates will thrive in a collaborative team environment, show motivation and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused. ESSENTIAL RESPONSIBILITIES MAY INCLUDE Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision. Supports other claims representatives, examiners and leads with larger or more complex claims as necessary. Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency. Communicates claim action\u002Fprocessing 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\u002For defined period medical claims. Maintains professional client relationships QUALIFICATIONS Education & Licensing: High school diploma or GED required. Licenses as required. Experience: One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred. TAKING CARE OF YOU Flexible work schedule. Ability to work in an agile environment Referral incentive program. Career development and promotional growth opportunities. A diverse and comprehensive benefit package offering including medical, dental vision, 401K. 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\u002FVisual: 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",{"id":1970,"slug":1971,"title":1972,"location":13,"raw_job_location_address_addressLocality":1973,"raw_hiringOrganization_logo_url":13,"raw_description":1974},87348,"claims-associate-consumer-bilingual-sedgwick-claims-management-services-inc","Claims Associate - Consumer (Bilingual)","Seven Hills, OH - Lombardo","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 - Consumer (Bilingual) PRIMARY PURPOSE: To process claims and determine benefits due pursuant to credit card or other financial program benefits plans; to make timely payments and adjustments for specified program claims; and to provide superior customer service. **Ability to read, write and converse with fluency in professional Spanish.** ESSENTIAL FUNCTIONS and RESPONSIBILITIES Processes first party property claims based on basic coverage as defined by client-specific program. Makes coverage determinations based on investigation\u002Fevaluation. Adjudicates proper settlement or denials up to designated authority level. Handles high volume of claims, phone calls and correspondence ensuring claim files are properly documented; meets quality and production goals; and meets customer guidelines and deadlines. 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. Licenses as required or willingness\u002Fability to move toward obtaining appropriate licensing as required. Experience One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred. Skills & Knowledge Knowledge of first party property and casualty claim adjudication as applicable to line of business Good oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Good organizational skills Good interpersonal skills Ability to work in a team environment Ability to meet or exceed Performance Competencies Ability to read, write and converse with fluency in professional Spanish 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\u002FVisual: 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",{"id":1976,"slug":1977,"title":1978,"location":13,"raw_job_location_address_addressLocality":1979,"raw_hiringOrganization_logo_url":13,"raw_description":1980},64750,"claims-examiner-workers-compensation-hybrid-west-hills-ca3-days-remote-sedgwick-claims-management-services-inc","Claims Examiner - Workers Compensation (HYBRID- West Hills, CA\u002F3 Days Remote)","West Hills, CA - Fallbrook","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 Compensation (HYBRID- West Hills, CA\u002F3 Days 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. OFFICE LOCATIONS: West Hills, CA (Agile) 3 days remote PRIMARY PURPOSE OF THE ROLE: To analyze Workers Compensation 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. ESSENTIAL RESPONSIBLITIES 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: 5 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. Licensing \u002F Jurisdiction Knowledge: SIP required or must be obtained within one (1) year of employment; California workers compensation jurisdictional knowledge 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. 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\u002FVisual: 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 $80,000 - $90,000. 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. 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",{"id":1982,"slug":1983,"title":753,"location":13,"raw_job_location_address_addressLocality":1979,"raw_hiringOrganization_logo_url":13,"raw_description":1984},64751,"leave-of-absence-coordinator-sedgwick-claims-management-services-inc-12","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 Leave of Absence Coordinator Leave of Absence Coordinator Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near our dynamic Center of Excellence West Hills, CA. 8521 Fallbrook Ave. Suite 250, West Hills, CA ✨ What we offer: A stable, consistent work environment—both in-office and virtual $22.21 -23.00 per hour A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us PRIMARY PURPOSE OF THE ROLE: To analyze reported leave requests and determine paid leave benefits due based on client paid leave plans, policies, state and federal regulations and to make timely calculations, payments and\u002For adjustments for client paid leave plans ensuring that on-going claim management is within company service standards and industry best practices. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic and empathetic candidates that want to grow a career. Ideal candidates will thrive in a collaborative team environment, show motivation, and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Establishes FMLA claims; tracks and codes documentation in accordance with internal workflow processes. Analyzes FMLA and other paid leave claims to determine eligibility, certification, payment calculations, payments and\u002For adjustments in compliance with client paid leave plans, policies, and state and federal regulations. Identifies action plan, determines benefits due, and makes timely case decisions based on service expectations as established by the client. Communicates decisions and on-going expectations with claimants and clients. Maintains professional client relationships. Attendance during scheduled work hours is required. QUALIFICATIONS Education & Licensing: High school diploma or GED required. Skills: Strong oral and written communication, computer literate – including Microsoft Office, organizational skills required PC literate, including Microsoft Office products, Windows environment. Must meet minimum typing requirements. Experience: Clerical or customer service experience or equivalent combination of education and experience preferred TAKING CARE OF YOU Entry-level colleagues are offered a world class training program with a comprehensive curriculum An assigned mentor and manager that will support and guide you on your career journey Career development and promotional growth opportunities A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 ($22.21 - $23.00). 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.  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",{"id":1986,"slug":1987,"title":833,"location":13,"raw_job_location_address_addressLocality":1979,"raw_hiringOrganization_logo_url":13,"raw_description":1988},64752,"benefits-liaison-sedgwick-claims-management-services-inc-3","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 Benefits Liaison PRIMARY PURPOSE: To coordinate activities of absence programs for specific client; to assist\u002Fsupport Benefits Program Manager; to implement customer surveys; to assist in client training and benefits fairs; and to prepare reports for program administration. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Serves as liaison between Company and client human resources (HR) and employees in management of the absence programs. Communicates with client, employee, healthcare providers and Company operations team to coordinate resolution of escalated issues involving absence program. Assists manager in evaluating results of absence programs and best practice in absence administration; assists in assessing effectiveness of absence plan administration, communication and documentation; assists in development of management reports; assists in preparation of reports assessing financial impact of program administration. Maintains records and files pertinent to absence programs. Monitors satisfaction with leave and disability administration via periodic customer surveys and recommends needed changes. Works with appropriate stakeholders for client and Company to ensure continuous performance and process improvement. Maintains knowledge of legal requirements and best practices relevant to absence programs and administration. Works with management to update and maintain absence program procedures relating to administration, compliance requirements, audits of leaves; employee handbook and other program-related documents. Assists with client training and development of communications; assists in administration of benefits fairs as needed. Assists client in reviewing and requesting approvals from Company operations team to conduct Independent Medical Examinations (IMEs) and Functional Capacity Evaluations (FCEs). ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as needed. QUALIFICATIONS Education & Licensing Bachelor's degree or equivalent from an accredited college or university preferred. Experience Six (6) years absence management experience or equivalent combination of education and experience required. Demonstrated progressive responsibilities strongly preferred. Project management, office operations management, disability\u002Fabsence management, insurance-related and\u002For statistical analysis experience preferred. Skills & Knowledge Knowledge of legal requirements and best practices relevant to absence programs and administration Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Negotiation skills Good interpersonal skills Self motivated with ability to work independently 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\u002FVisual: 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 $60,000.00 - $70,000.00 USD Annual. 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",{"id":1990,"slug":1991,"title":1992,"location":13,"raw_job_location_address_addressLocality":1979,"raw_hiringOrganization_logo_url":13,"raw_description":1993},64753,"disability-specialist-sedgwick-claims-management-services-inc","Disability Specialist","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 Disability Specialist Disability Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near our Dynamic Center of Excellence West Hills, CA. 8521 Fallbrook Ave. Suite 250, West Hills, CA ✨ What we offer: A stable, consistent work environment—both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? PRIMARY PURPOSE: Provides disability case management and routine claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims; coordinates investigative efforts, thoroughly reviewing contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes claim determinations, based on the information received, to approve routine disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes routine medical information (i.e. attending physical statements, office notes, off work notes, etc.) or consults with a nurse to determine if the claimant is disabled as defined by the disability plan. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians) regularly. Determines benefits due, makes timely claims payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages routine disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases as appropriate to team lead and clinical case management to assist with claim determination. Meets the organization’s quality program(s) minimum requirements. Maintains professional client relationships and provides excellent customer service. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. Experience Two (2) years of related experience or equivalent combination of education and experience required. One (1) year of office or customer service experience required. One (1) year of benefits or claims management experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement with limited supervision 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required Auditory\u002FVisual: 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. 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 $25.09. 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",{"id":1995,"slug":1996,"title":748,"location":13,"raw_job_location_address_addressLocality":1979,"raw_hiringOrganization_logo_url":13,"raw_description":1997},64754,"disability-representative-sedgwick-claims-management-services-inc-11","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 Disability Representative Disability Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near our Dynamic Center of Excellence West Hills, CA. 8521 Fallbrook Ave. Suite 250, West Hills, CA ✨ What we offer: A stable, consistent work environment—both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? PRIMARY PURPOSE: Provides disability case management and routine claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims; coordinates investigative efforts, thoroughly reviewing contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes claim determinations, based on the information received, to approve routine disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes routine medical information (i.e. attending physical statements, office notes, off work notes, etc.) or consults with a nurse to determine if the claimant is disabled as defined by the disability plan. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians) regularly. Determines benefits due, makes timely claims payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages routine disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases as appropriate to team lead and clinical case management to assist with claim determination. Meets the organization’s quality program(s) minimum requirements. Maintains professional client relationships and provides excellent customer service. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. Experience Two (2) years of related experience or equivalent combination of education and experience required. One (1) year of office or customer service experience required. One (1) year of benefits or claims management experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement with limited supervision 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required Auditory\u002FVisual: 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. 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 $22.00 to 24.00. 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. 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",{"id":1999,"slug":2000,"title":2001,"location":13,"raw_job_location_address_addressLocality":1979,"raw_hiringOrganization_logo_url":13,"raw_description":2002},64756,"claims-examiner-workers-compensation-hybrid-west-hills-ca-sedgwick-claims-management-services-inc","Claims Examiner - Workers Compensation (Hybrid - West Hills, CA)","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 Team Lead - Workers Compensation (Hybrid - West Hills, CA) 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. OFFICE LOCATIONS: West Hills, CA (Agile) 3 days remote PRIMARY PURPOSE OF THE ROLE: To analyze Workers Compensation 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. ESSENTIAL RESPONSIBLITIES 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: 5 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. Licensing \u002F Jurisdiction Knowledge: SIP required or must be obtained within one (1) year of employment; California workers compensation jurisdictional knowledge 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. 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\u002FVisual: 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 $80,000 - $90,000. 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. 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",{"id":2004,"slug":2005,"title":272,"location":13,"raw_job_location_address_addressLocality":1979,"raw_hiringOrganization_logo_url":13,"raw_description":2006},64757,"disability-representative-sr-sedgwick-claims-management-services-inc-17","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 Disability Representative Sr PRIMARY PURPOSE: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed. Determines benefits due pursuant to a disability plan, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases to team lead and clinical case management for additional review when appropriate. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Ability to manage ambiguity Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement autonomously within established procedures 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 $26.00 - $28.00 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. 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",{"id":2008,"slug":2009,"title":272,"location":13,"raw_job_location_address_addressLocality":1979,"raw_hiringOrganization_logo_url":13,"raw_description":2010},64758,"disability-representative-sr-sedgwick-claims-management-services-inc-18","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 Disability Representative Sr Preferred candidates must live by our center of excellence in West Hills, California. 8521 Fallbrook Ave West Hills, CA 91304 PRIMARY PURPOSE: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed. Determines benefits due pursuant to a disability plan, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases to team lead and clinical case management for additional review when appropriate. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Ability to manage ambiguity Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement autonomously within established procedures 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 $26.00 - $28.00 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. 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. Always hiring 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",{"id":2012,"slug":2013,"title":2014,"location":13,"raw_job_location_address_addressLocality":1973,"raw_hiringOrganization_logo_url":13,"raw_description":2015},87349,"claims-representative-auto-sedgwick-claims-management-services-inc-2","Claims Representative , Auto","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 Representative , Auto Job Description PRIMARY PURPOSE OF THE ROLE: To analyze and process auto and general liability property damage claims. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Processes auto and general liability property damage claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Develops and maintains action plans to ensure state required contract deadlines are met and to move the file towards prompt and appropriate resolution. Identifies and pursues subrogation opportunities; secures and disposes of salvage. Communicates claim action\u002Fprocessing with insured, client, and agent or broker when appropriate. Maintains professional client relations. Performs coverage, liability, and damage analysis on all claims assignments. Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. QUALIFICATIONS Education: Bachelor's degree from an accredited college or university preferred. Secure and maintain the State adjusting licenses as required for the position. Familiarity with personal and commercial lines policies and endorsements Ability to review and assess Property Damage estimates, total loss evaluations, and related expenses to effectively negotiate first and third party claims. Knowledge of total loss processing, State salvage forms and title requirements, preferred 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 Service Expectations Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. When applicable and appropriate, consideration will be given to reasonable accommodations 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 $50,000 to $55,000. 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. 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",{"id":2017,"slug":2018,"title":1782,"location":13,"raw_job_location_address_addressLocality":1973,"raw_hiringOrganization_logo_url":13,"raw_description":2019},87350,"claims-representative-auto-sedgwick-claims-management-services-inc-3","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 Representative, Auto Job Description PRIMARY PURPOSE OF THE ROLE: To analyze and process auto and general liability property damage claims. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Processes auto and general liability property damage claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Develops and maintains action plans to ensure state required contract deadlines are met and to move the file towards prompt and appropriate resolution. Identifies and pursues subrogation opportunities; secures and disposes of salvage. Communicates claim action\u002Fprocessing with insured, client, and agent or broker when appropriate. Maintains professional client relations. Performs coverage, liability, and damage analysis on all claims assignments. Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. QUALIFICATIONS Education: Bachelor's degree from an accredited college or university preferred. Secure and maintain the State adjusting licenses as required for the position. Familiarity with personal and commercial lines policies and endorsements Ability to review and assess Property Damage estimates, total loss evaluations, and related expenses to effectively negotiate first and third party claims. Knowledge of total loss processing, State salvage forms and title requirements, preferred 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 Service Expectations Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. When applicable and appropriate, consideration will be given to reasonable accommodations 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 $50,000 to $55,000. 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. 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",{"id":2021,"slug":2022,"title":2023,"location":13,"raw_job_location_address_addressLocality":1979,"raw_hiringOrganization_logo_url":13,"raw_description":2024},64761,"ltd-case-specialist-sedgwick-claims-management-services-inc","LTD Case Specialist","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 LTD Case Specialist (Hourly) PRIMARY PURPOSE: To analyze claims and determine benefits due ensuring compliance with plan provisions; to determine need for outside vendors, surveillance, and\u002For independent medical evaluations; to negotiate settlements and to make claim payments and revisions within designated authority level; and to calculate and collect overpayments. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Analyzes assigned claims and determines benefits due. Informs claimants of documentation required to process their claim and timeframes. Manages claim to ensure compliance with plan provisions. Provides appropriate documentation to LTD Manager for reporting purposes. Determines need for outside vendors, surveillance and\u002For independent medical evaluations as required and seeks advice from management, as necessary. Refers cases to LTD Supervisor, LTD Manager, or Project Manager. Negotiates settlement of appropriate claims within designated authority level. Makes claim payments and revisions to benefit amounts. Communicates status on decisions to client, claimant and supervisor. Calculates and collects overpayments. 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 preferred. Licenses as required. Experience Four (4) years of medical disability experience or equivalent combination of education and experience required. 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 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 $26.55 - 30.00 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. 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",{"id":2026,"slug":2027,"title":2028,"location":13,"raw_job_location_address_addressLocality":1979,"raw_hiringOrganization_logo_url":13,"raw_description":2029},64762,"leave-of-absence-representative-sedgwick-claims-management-services-inc","Leave of Absence Representative","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 Leave of Absence Representative PRIMARY PURPOSE: Analyzes reported leave requests including Family Medical Leave (FMLA), complex paid and unpaid state, military, and company-specific; to determine paid leave benefits due based on client paid leave plans, policies, state, and federal regulations; Makes timely and accurate calculations, payments and\u002For adjustments for client paid leave plans and ensures that on-going claim management is within company service standards and industry best practices. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Establishes FMLA and other paid and unpaid state, military, and\u002For company-specific leave claims; tracks and codes documentation in accordance with internal workflow processes. Handles complex statutory components for leaves based on client needs. Analyzes FMLA and other complex paid and unpaid leave claims to determine eligibility, certification, payment calculations, payments and\u002For adjustments in compliance with client paid leave plans, policies, and state and federal regulations. Reviews claim information received to identify action plan, determine benefits due, and make timely case decisions based on plan descriptions and service expectations as established by the client. Communicates decisions and on-going expectations clearly and professionally with claimants and clients by phone, written correspondence and\u002For claims system. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. State certification or licensing in statutory leaves is beneficial. Experience Two (2) years disability management and\u002For FMLA administration experience or equivalent combination of education and experience required. FMLA administration experience preferred. Skills & Knowledge Knowledge of state and federal FMLA regulations Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical and interpretive skills Strong organizational and multitasking skills Excellent interpersonal skills Ability to exercise judgement in accordance with well-defined policies and procedures Ability to work in a team environment Ability to meet or exceed performance competencies as required by program 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 $23.00. 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. 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",{"id":2031,"slug":2032,"title":2028,"location":13,"raw_job_location_address_addressLocality":1979,"raw_hiringOrganization_logo_url":13,"raw_description":2033},64763,"leave-of-absence-representative-sedgwick-claims-management-services-inc-2","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 Leave of Absence Representative PRIMARY PURPOSE: Analyzes reported leave requests including Family Medical Leave (FMLA), complex paid and unpaid state, military, and company-specific; to determine paid leave benefits due based on client paid leave plans, policies, state, and federal regulations; Makes timely and accurate calculations, payments and\u002For adjustments for client paid leave plans and ensures that on-going claim management is within company service standards and industry best practices. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Establishes FMLA and other paid and unpaid state, military, and\u002For company-specific leave claims; tracks and codes documentation in accordance with internal workflow processes. Handles complex statutory components for leaves based on client needs. Analyzes FMLA and other complex paid and unpaid leave claims to determine eligibility, certification, payment calculations, payments and\u002For adjustments in compliance with client paid leave plans, policies, and state and federal regulations. Reviews claim information received to identify action plan, determine benefits due, and make timely case decisions based on plan descriptions and service expectations as established by the client. Communicates decisions and on-going expectations clearly and professionally with claimants and clients by phone, written correspondence and\u002For claims system. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. State certification or licensing in statutory leaves is beneficial. Experience Two (2) years disability management and\u002For FMLA administration experience or equivalent combination of education and experience required. FMLA administration experience preferred. Skills & Knowledge Knowledge of state and federal FMLA regulations Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical and interpretive skills Strong organizational and multitasking skills Excellent interpersonal skills Ability to exercise judgement in accordance with well-defined policies and procedures Ability to work in a team environment Ability to meet or exceed performance competencies as required by program 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 $24.50. 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. 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",{"id":2035,"slug":2036,"title":272,"location":13,"raw_job_location_address_addressLocality":1428,"raw_hiringOrganization_logo_url":13,"raw_description":802},87351,"disability-representative-sr-sedgwick-claims-management-services-inc-44",{"id":79,"slug":80,"title":81,"location":13,"raw_job_location_address_addressLocality":1402,"raw_hiringOrganization_logo_url":13,"raw_description":2038},"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 Examiner | Salt Lake City, UT 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 examiner 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 LOCATION This position is currently designated as remote. However, candidates must reside within a reasonable commuting distance of, or be willing to relocate to, the Salt Lake City, Utah area. The successful candidate will be expected to transition to a hybrid work schedule and report to the Salt Lake City office. PRIMARY PURPOSE OF THE ROLE To analyze workers compensation 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 5 years of claims management experience or equivalent combination of education and experience required. Licensing \u002F Jurisdiction Knowledge: Must be licensed in California or Nevada 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\u002FVisual: 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 (80k-100k). 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 #LI-REMOTE 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",{"id":2040,"slug":2041,"title":272,"location":13,"raw_job_location_address_addressLocality":1428,"raw_hiringOrganization_logo_url":13,"raw_description":2042},87353,"disability-representative-sr-sedgwick-claims-management-services-inc-45","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 Disability Representative Sr Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Southfield, MI : 300 Galleria Officentre Southfield MI 48034 PRIMARY PURPOSE: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed. Determines benefits due pursuant to a disability plan, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases to team lead and clinical case management for additional review when appropriate. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Ability to manage ambiguity Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement autonomously within established procedures 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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",{"id":2044,"slug":2045,"title":2046,"location":13,"raw_job_location_address_addressLocality":2047,"raw_hiringOrganization_logo_url":13,"raw_description":2048},87355,"litigation-consultant-commercial-bodily-injury-sedgwick-claims-management-services-inc","Litigation Consultant | Commercial Bodily Injury","Sun Prairie, WI - QBE","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 Litigation Consultant | Commercial Bodily Injury 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\u002Facts on reports\u002Fforms; responds to inquiries; seeks legal opinion and early resolution; and communicates resolution to appropriate parties. Handles high end cases with serious injuries and\u002For complex coverage scenarios. Responds to decisions, agreement, and\u002For court order; creates action plan; determines need for examination; gains client authorization. Identifies cases for settlements\u002Fredemptions. Gathers\u002Fdocuments additional information and coordinates with client designees. Requests legal\u002Fprivate 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\u002Fadjusts 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. Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing: 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. 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. Skills: Technically skilled and familiar with legal pleadings, discovery, excellent oral and written communication, including presentation skills, PC literate, including Microsoft Office products, analytical and interpretive skills, strong organizational skill, excellent negotiation skills, ability to work in a team environment, and ability to meet or exceed Performance Competencies Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 $80,000. 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. 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",{"id":2050,"slug":2051,"title":2052,"location":13,"raw_job_location_address_addressLocality":1450,"raw_hiringOrganization_logo_url":13,"raw_description":2053},87356,"workers-compensation-claims-examiner-ny-jurisdiction-experience-ny-license-required-dedicated-client-sedgwick-claims-management-services-inc","Workers Compensation Claims Examiner | NY Jurisdiction Experience & NY License Required | Dedicated Client","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 Examiner | NY Jurisdiction Experience & NY License Required | Dedicated Client 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 New York Lost-Time Workers Compensation 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. OFFICE LOCATION\u002FSCHEDULE: Syracuse, NY Hybrid Schedule : 2 days in-office\u002F3 days work from home 37.5 hour work week OPEN TO REMOTE IF OUTSIDE OF COMMUTABLE DISTANCE TO Syracuse, NY OFFICE 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: NY Licensing: NY required TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Opportunity to work in an agile environment. 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 (80K - 90K). 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",{"id":2055,"slug":2056,"title":2057,"location":13,"raw_job_location_address_addressLocality":1482,"raw_hiringOrganization_logo_url":13,"raw_description":2058},87357,"casualty-claims-specialist-sedgwick-claims-management-services-inc","Casualty Claims Specialist","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 Casualty Claims Specialist PRIMARY PURPOSE: To investigate claims against insurance or other companies for personal, casualty, or property loss or damages; attempts to effect out-of-court settlement with claimant. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Examines claim forms and other records to determine insurance coverage. Interviews, telephones, or corresponds with claimant and witnesses; consults police and hospital records; and inspects property damage to determine extent of company's liability, varying method of investigation according to type of insurance. Prepares report of findings and negotiates settlement with claimant. Recommends litigation by legal department when settlement cannot be negotiated. Attends litigation hearings. Revises case reserves in assigned claims files to cover probably costs. Assists in preparing loss experience report to help determine profitability and calculates adequate future rates. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organizations quality program(s). QUALIFICATIONS Education & Licensing High School diploma or GED required. Experience Six (6) years of general office experience or equivalent combination of education and experience required. Claims industry experience preferred. Skills & Knowledge Knowledge of professional liability claims Ability to review information and ensure accuracy and applicable policy placement Oral and written communication skills PC literate, including Microsoft Office products Attention to detail and accuracy 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\u002FVisual: 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",{"id":2060,"slug":2061,"title":1353,"location":13,"raw_job_location_address_addressLocality":2062,"raw_hiringOrganization_logo_url":13,"raw_description":2063},87359,"general-adjuster-sedgwick-claims-management-services-inc-4","Telecommuter AK","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 General Adjuster \"We are open to relocating a qualified adjuster for this opportunity.\" PRIMARY PURPOSE: To investigate and adjust property and casualty claims, both residential and commercial, with little to no supervision. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Inspects claims and contacts involved parties in a timely manner. Investigates circumstances of claim(s) as required for coverage determination, cause, and compensable damages\u002Freserves. Examines insurance policies and other records to determine insurance coverage. Prepares estimates for cost of repair and\u002For replacement. Conducts interviews with claimant and witnesses regarding submitted claim(s). Negotiates and settles both 1st and 3rd party claims. Addresses salvage and subrogation as required by the client. Maintains client relationships to assure repeated business referrals. 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. IIA-AIC designation required. Appropriate state adjuster license is required. Experience Two (2) years of related experience or equivalent combination of education and experience required. Skills & Knowledge Strong oral and written communication, including presentation skills PC literate, including Microsoft Office products Demonstrated commitment to timely reporting Strong customer service skills Strong interpersonal skills Attention to detail and accuracy Good time management and organizational skills Ability to work independently or 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: Must be able to stand and\u002For walk for long periods of time. Must be able to kneel, squat or bend. Must be able to work outdoors in hot and\u002For cold weather conditions. Have the ability to climb, crawl, stoop, kneel, reaching\u002Fworking overhead Be able to lift\u002Fcarry up to 50 pounds Be able to push\u002Fpull up to 100 pounds Be able to drive up to 4 hours per day. Must have continual use of manual dexterity. Auditory\u002FVisual: 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",{"id":2065,"slug":2066,"title":2067,"location":13,"raw_job_location_address_addressLocality":2068,"raw_hiringOrganization_logo_url":13,"raw_description":2069},87360,"soc-manager-sedgwick-claims-management-services-inc","SOC Manager","AU-Brisbane","The 'Apply with SEEK' option will be utilized for International applicants, mainly Australia. If this does not apply to you please use the 'Apply' option. 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 SOC Manager Sedgwick is seeking an experienced and collaborative SOC Manager to lead our Security Operations Centre team. In this role, you will oversee 24x7x365 security monitoring and incident response, strengthen operational capability, and help shape the ongoing maturity of our global security operations program. You will combine technical cybersecurity expertise with strong people leadership, working across security engineering, incident response, IT and business teams to protect the organisation and improve how we detect, investigate and respond to threats. What are my accountabilities? • Lead and develop a team of SOC Analysts responsible for monitoring and responding to security events across a 24x7x365 environment. • Oversee security investigations and incident response activities, partnering with IT and other teams as required. • Plan and facilitate incident response, post-incident review and tabletop exercises, using measurable benchmarks to identify progress and gaps. • Develop and maintain SOC playbooks, policies, procedures and operating guidelines aligned with industry best practice. • Drive automation and workflow improvements so analysts can focus on higher-value and more complex security work. • Develop meaningful metrics, KPIs, scorecards and service objectives to measure organisational risk and SOC effectiveness. • Partner with security engineering, threat and assessment teams to improve tool usage, monitoring coverage and response capability. • Lead capability building through coaching, mentoring, training and a sustainable talent pipeline for SOC Analysts. • Contribute to security projects and the broader IT security strategy and roadmap, delivering agreed outcomes within budget and service expectations. • Remain responsive to critical incidents and system stability matters, including participation in an after-hours rotation when required. About you • Seven or more years of cybersecurity experience, with a strong focus on security monitoring, detection and response or closely related work. • Demonstrated experience leading high-performing technical teams, ideally within global or 24x7 operations. • Strong knowledge of SIEM, EDR, IDS\u002FIPS, threat intelligence, security automation and orchestration, DLP, FIM, firewalls, identity and access management and related security technologies. • Ability to lead through influence, collaborate across functions and communicate technical concepts clearly to both technical and non-technical audiences. • Strong analytical, problem-solving and decision-making capability, with the confidence to manage complex and time-sensitive incidents. • Excellent written and verbal communication skills, including the ability to provide clear reporting to cybersecurity leaders and stakeholders. • A relevant bachelor’s degree is preferred. Certifications such as GCIH, GDAT, GCED, Microsoft Certified: Security Operations Analyst Associate or CISSP will be highly regarded. Caring Counts It's at the heart of everything we do, and we show we care by living our core values: Caring, Empathy, Accountability, Inclusion, Collaboration and Growth. Sedgwick is an equal opportunity employer and has been named an Inclusive Employer by the Diversity Council of Australia 2023-2024. We are committed to ensuring that our recruitment process is fair and accessible for all candidates. If you require any special accommodations, we encourage you to let us know at the time of your application. Why Sedgwick? Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. We are committed to providing excellent service to our clients and are passionate about helping them through difficult times. With a wide range of services across multiple business units, we offer opportunities to build capability, broaden your experience and grow your career. Some of the benefits of working with us are: • Hybrid working arrangement. #LI-Hybrid • Professional development through Sedgwick Australia University • 0.5% on top of the Superannuation Guarantee • Domestic and international career pathways Sedgwick is an Equal Opportunity Employer. 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",{"id":2071,"slug":2072,"title":871,"location":13,"raw_job_location_address_addressLocality":1482,"raw_hiringOrganization_logo_url":13,"raw_description":1687},87361,"care-team-representative-sedgwick-claims-management-services-inc-14",{"id":2074,"slug":2075,"title":2076,"location":13,"raw_job_location_address_addressLocality":1476,"raw_hiringOrganization_logo_url":13,"raw_description":2077},87363,"ergonomic-specialist-sedgwick-claims-management-services-inc","Ergonomic Specialist","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 Ergonomic Specialist 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? 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. PRIMARY PURPOSE OF THE ROLE: The Ergonomics Specialist performs standardized ergonomic assessments of workspaces, job tasks, and equipment; documents ergonomic exposures; and recommends practical controls within established guidelines. This role supports the development, implementation, and evaluation of ergonomic program strategies; assesses ergonomic exposures and offers practical solutions to reduce risk; develops and delivers educational programs and materials; serves as a liaison to internal and external groups on ergonomics-related issues and opportunities; and provides guidance on ergonomic issues and program development. ESSENTIAL RESPONSIBLITIES MAY INCLUDE: Evaluates workplace and job design by conducting ergonomic assessments of office, remote, industrial, and other work environments using approved assessment tools, observation, colleague interviews, measurements, and available work activity and injury data. Develops, implements, and evaluates ergonomic program strategies; collaborates with individuals, committees, and teams to audit existing programs, including the development and evaluation of policies, standards, procedures, risk-reduction strategies, training programs, and vendor applications. Analyzes workplace injury and loss data; prepares formal reports and presentations addressing findings; and provides advice and counseling to help reduce workplace injuries. Develops and delivers approved ergonomic education programs, demonstrations, and job-specific coaching for colleagues, leaders, and clients. Develops and delivers approved ergonomic education, demonstrations and job-specific coaching for colleagues, leaders and clients. Provides advice and counseling to individuals to reduce musculoskeletal workplace exposures and injuries. Recommends workstation, equipment, tool, task, and workflow adjustments consistent with established ergonomic principles. Maintains timely and accurate assessment records, reports, and supporting documentation in designated systems and in accordance with applicable quality and confidentiality requirements. Provides guidance regarding compliance with regulatory developments in human factors and ergonomics. Works with the sales team to support the development of prospective clients as needed. Participates in local and national activities to advance ergonomic knowledge and influence industry practices. QUALIFICATIONS Education & Licensing Bachelor's degree in ergonomics, engineering, physical or occupational therapy, kinesiology from an accredited college or university. Certified Ergonomic Assessment Specialist (CEAS) or other related ergonomic certification preferred Experience Four (4) years of related experience or equivalent combination of education and experience required. An equivalent combination of relevant education and experience may be considered. TAKING CARE OF YOU BY · We offer a diverse and comprehensive benefits package including: Three Medical, and two dental plans to choose from. Tuition reimbursement eligible. 401K plan that matches 50% on every $ you put in up to the first 6% you save. 4 weeks PTO your first full year. 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, travel as required Auditory\u002FVisual: Hearing, vision and talking NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. 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 $70,000 - $85,000\u002Fyear. 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",{"id":2079,"slug":2080,"title":2081,"location":13,"raw_job_location_address_addressLocality":1476,"raw_hiringOrganization_logo_url":13,"raw_description":2082},87365,"remote-liability-claims-examiner-general-liability-exp-required-sedgwick-claims-management-services-inc","Remote Liability Claims Examiner | General Liability Exp. 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 Remote Liability Claims Examiner | General Liability Exp. 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 address and handle high end Public Entity General Liability cases with serious injuries, complex coverage scenarios and legal inquiries or disputes; to develop a strategy to bring a case to satisfactory resolution. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Reviews\u002Facts on reports\u002Fforms; responds to inquiries; seeks legal opinion and early resolution; and communicates resolution to appropriate parties. Handles high end cases with serious injuries and\u002For complex coverage scenarios. Responds to decisions, agreement, and\u002For court order; creates action plan; determines need for examination; gains client authorization. Identifies cases for settlements\u002Fredemptions. Gathers\u002Fdocuments additional information and coordinates with client designees. Requests legal\u002Fprivate 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\u002Fadjusts 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. Experience Five (5) years of General liability claims management experience or equivalent combination of education and experience required. 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\u002FVisual: Hearing, vision and talking 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 $90,000 - $115,000. 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. #Claims #ClaimsExaminer #LI-Remote 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",{"id":2084,"slug":2085,"title":361,"location":13,"raw_job_location_address_addressLocality":1476,"raw_hiringOrganization_logo_url":13,"raw_description":2086},87366,"workers-compensation-claims-examiner-sedgwick-claims-management-services-inc-4","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 Examiner 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're looking for a claims professional with California workers' compensation experience who enjoys solving complex problems and delivering outstanding service. The ideal candidate has experience handling litigated and high-exposure claims, understands California jurisdictional requirements, and can confidently manage claims through investigation, benefit determination, settlement negotiation, and resolution. PRIMARY PURPOSE OF THE ROLE To analyze complex or technically difficult California 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 RESPONSIBLITIES MAY INCLUDE 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. Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner. QUALIFICATIONS Education & Licensing: Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Experience: Four (4) years of California workers compensation claims management experience or equivalent combination of education and experience required. Licensing \u002F Jurisdiction Knowledge: California jurisdictional knowledge required; SIP required or must be obtained within one year of hire date. 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\u002FVisual: 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 $85,000 - $110,000. 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. #Claims #ClaimsExaminer #LI-Remote 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",{"id":2088,"slug":2089,"title":2090,"location":13,"raw_job_location_address_addressLocality":630,"raw_hiringOrganization_logo_url":13,"raw_description":2091},87367,"bi-lingual-service-center-team-lead-sedgwick-claims-management-services-inc","Bi-lingual Service Center Team Lead","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 Bi-lingual Service Center Team Lead PRIMARY PURPOSE: To develop, implement and maintain the delivery of world-class service including quality assurance, client services, and workforce management ensuring departmental objectives are met. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Assesses and evaluates current team competencies to develop a baseline of service opportunities. Leads efforts to refine Service Center measures and tracking systems for program improvements. Maintains records of training activities, colleague progress and program effectiveness. Analyzes and resolves customer service issues. Supervises a Service Center unit (team) providing leadership, direction and support and monitors team's daily performance. Monitors workloads and status; supports colleagues by providing advice on handling complex issues; and identifies and resolves problems and issues. Works with team leadership to develop, implement and monitor staff development plans with a focus on overall customer service skills. Communicates with upper management regarding unit issues and resolutions. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Experience Four (4) years of call center or customer service experience or equivalent combination of education and experience required. Supervisory experience preferred. Skills & Knowledge Strong customer service skills including call center client processes and procedures Excellent team coaching, training, facilitation and development skills Excellent oral and written communication, including presentation skills Excellent customer service 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\u002FVisual: 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",{"id":2093,"slug":2094,"title":2095,"location":13,"raw_job_location_address_addressLocality":1476,"raw_hiringOrganization_logo_url":13,"raw_description":2096},87368,"risk-services-consultant-california-telecommuter-sedgwick-claims-management-services-inc","Risk Services Consultant (California Telecommuter)","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 Risk Services Consultant (California Telecommuter) This position is open to a hybrid opportunity in Sacramento, CA OR may be open to a remote, work-at-home, telecommute role in California*. This role will require approximately 50% travel in the state of California. The Risk Control Services Consultant will manage and provide risk control services to multiple clients by developing or implementing risk control service plans. The purpose of the role is to provide and communicate risk mitigation methods, procedures, and programs, while being able to measure and evaluate the effectiveness of safety programs. The role also serves as a liaison to vendors, insurance markets, and other parties and support the development of new business, products, and client retention. Enjoy flexibility - Work at home, remote, telecommuter setting. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. PRIMARY PURPOSE OF THE ROLE To provide risk mitigation services to multiple clients; to participate in the development and delivery of Sedgwick and client risk control service plans; to participate in large engagements requiring multiple analysts; to facilitate risk mitigation methods, procedures, and programs; and to serve as liaison to Sedgwick colleagues and clients. ESSENTIAL RESPONSBILITIES MAY INCLUDE Inspects workplaces and work sites to identify and document violations of federal, state or local safety laws; identifies dangers for the company and clients. Participates in the development of risk mitigation programs and procedures to include (but not limited to) development of policy, standards, procedures, risk reduction strategies, training, and application of applicable vendors; serves as local liaison to vendors and other parties. Communicates information to include loss reports, presentations, analyses and interpretation, and advice and counsel. Maintains current knowledge of and adheres to company internal policies and procedures, corporate directives, and standard operating procedures. Participates in the development of new business, products, and client retention. Participates on local level in activities for the advancement of the profession. Performs other duties as assigned. Travels as required. QUALIFICATIONS Education & Licensing: Six (6) years of related risk services experience or equivalent combination of education and experience required. Experience with public entities, insurance, or risk pooling is highly preferred. Bachelor's degree with major in in Occupational Safety and Health, Industrial Safety, Business Administration, or related field from an accredited college or university preferred. One or more of the following professional certifications is preferred: Graduate Safety or Associate Safety Professional (GSP or CSP), Associate in Risk Management (ARM) , Professional Risk Consultant (PRC) or Occupational Health and Safety Technologist (OHST). Skills & Knowledge Knowledge of OSHA 1910 and 1926 CFR Basic Industrial Hygiene (noise and air sampling) Good oral and written communication, including presentation skills PC literate, including Microsoft Office products Good organizational skills Good interpersonal skills Strong negotiation skills Good problem solving skills Ability to work in a team environment Ability to meet or exceed Performance Competencies 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- 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: Sit for extended periods, computer keyboarding Auditory\u002FVisual: 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 $60,000 to $65,000. 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. 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 $80,000 to $90,000 USD annual salary. 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. 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 #LI-GC1 *subject to change based on company need. 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",{"id":2098,"slug":2099,"title":2100,"location":13,"raw_job_location_address_addressLocality":2101,"raw_hiringOrganization_logo_url":13,"raw_description":2102},87369,"physical-therapy-utilization-review-advisor-sedgwick-claims-management-services-inc","Physical Therapy Utilization Review Advisor","Telecommuter CO","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 Work environment: When applicable and appropriate, consideration will be given to reasonable accommodation. Physical: Computer keyboarding, travel as required Auditory\u002Fvisual: Hearing, vision and talking 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. TAKING CARE OF YOU BY We offer a diverse and comprehensive benefits package including: Three Medical, and two dental plans to choose from. Tuition reimbursement eligible. 401K plan that matches 50% on every $ you put in up to the first 6% you save. 4 weeks PTO your first full year. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. 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 $80,000 - $88,000\u002Fyear. 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",{"id":2104,"slug":2105,"title":1787,"location":13,"raw_job_location_address_addressLocality":630,"raw_hiringOrganization_logo_url":13,"raw_description":2106},87370,"claims-team-lead-auto-sedgwick-claims-management-services-inc-4","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 Team Lead, Auto PRIMARY PURPOSE OF THE ROLE: To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical\u002Fjurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Supervises multiple teams of examiners, multiple product line examiners and\u002For several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit. Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. Provides technical\u002Fjurisdictional direction to examiner reports on claims adjudication. Compiles reviews and analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal. Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner. Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client. Assures that direct reports are properly licensed in the jurisdictions serviced. Ensures claims files are coded correctly and adequate documentation is made by claims examiners. Performs other duties as assigned. Supports the organization's quality program(s). SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing: Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred. Experience: Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience. Skills & knowledge: thorough knowledge of claims management processes and procedures for multiple product lines, excellent oral and written communication, including presentation skills, PC literate, including Microsoft Office products, leadership\u002Fmanagement skills, analytical and interpretive skills, ability to work in a team environment, and the ability to meet or exceed Performance Competencies Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 $70,000 - $100,000\u002Fyr. 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. 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",{"id":2108,"slug":2109,"title":1568,"location":13,"raw_job_location_address_addressLocality":630,"raw_hiringOrganization_logo_url":13,"raw_description":2110},87371,"director-demand-generation-abm-integrated-marketing-strategy-sedgwick-claims-management-services-inc","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 Director Demand Generation & ABM, Integrated Marketing Strategy Job Description PRIMARY PURPOSE: The Director, Integrated Marketing Strategy & ABM leads the development and execution of integrated marketing campaigns that align brand, demand generation and account-based marketing (ABM) strategies to drive pipeline growth, executive engagement and strategic account penetration. This role partners closely with sales, business development, product\u002Fservice line leaders, creative, communications, digital and analytics teams to design and execute multi-channel campaigns focused on priority industries, buyer personas and target accounts. The position serves as a strategic connector between business priorities and marketing execution — ensuring campaigns are insight-driven, measurable, highly coordinated and aligned to revenue goals. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Leads the development of marketing strategies to support growth by partnering with business unit Presidents and their teams. Partner with sales leadership to identify and prioritize strategic accounts. Collaborates with marketing centers of excellence to deploy marketing tactics in support of strategies. Provides stakeholder updates to business unit leadership; shares results and optimizes plans based on learnings. Works with fellow Brand Strategists to develop and design best practices and best-in-class marketing approaches. Leads integrated marketing campaigns spanning awareness, engagement, activation and sales enablement. Responsible for team marketing budget, and Agile Team resources towards the highest value growth initiatives. Develops campaign strategies coordinating digital, events, content, nurture, webinar, ABM and sales outreach tactics. Designs and executes account-based marketing programs aligned to target industries, buyer personas and organizational priorities. Coordinates personalized outreach programs, landing pages, executive events and nurture experiences. Supports demand generation and lead capture initiatives tied to MQL, SQL and pipeline goals. Manages performance optimization through testing, reporting and analytics. Collaborates cross-functionally with creative, communications, digital, analytics and business teams. Lead conference and executive event marketing strategy, including pre-event, onsite and post-event engagement programs. Develops campaign briefs, messaging frameworks, KPI definitions and executive-ready reporting. Drives continuous optimization across campaign performance, targeting, conversion and engagement. 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 in marketing, business, or a related field, from an accredited college or university preferred. Experience Eight (8) to twelve (12+) years of B2B marketing experience, with emphasis in integrated marketing, demand generation, and account-based marketing (ABM). Demonstrated success developing, executing, and optimizing integrated, multi-channel campaigns that drive pipeline growth and measurable business outcomes. Proven experience partnering with sales leadership, business development, and executive stakeholders to align marketing strategies with revenue priorities. Strong background in campaign performance analysis, translating insights into data-driven optimization and strategic recommendations. Experience working effectively within matrixed, cross-functional organizations and leading collaboration across marketing, analytics, and business teams. Proficiency with marketing automation, CRM, and ABM\u002Fintent data platforms (e.g., HubSpot, Salesforce, 6sense, Demandbase), with experience supporting enterprise growth and go-to-market initiatives. Skills & Knowledge Strong understanding of lead management, attribution, funnel reporting, and pipeline measurement. Knowledge of lifecycle marketing and revenue operations processes. Familiarity with intent data, audience segmentation, and account scoring methodologies. Strong analytical skills with the ability to interpret data and drive performance optimization. Excellent communication, presentation, and executive presence skills. Strong organizational and project management skills. Ability to collaborate across cross-functional teams and align stakeholders. 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\u002FVisual: 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 $160,000 annually and bonus eligibility. 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",{"id":2112,"slug":2113,"title":361,"location":13,"raw_job_location_address_addressLocality":1476,"raw_hiringOrganization_logo_url":13,"raw_description":2086},87372,"workers-compensation-claims-examiner-sedgwick-claims-management-services-inc-5",{"id":2115,"slug":2116,"title":2117,"location":13,"raw_job_location_address_addressLocality":630,"raw_hiringOrganization_logo_url":13,"raw_description":2118},87373,"director-of-product-management-data-science-sedgwick-claims-management-services-inc","Director of Product Management, Data Science","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 Director of Product Management, Data Science PRIMARY PURPOSE: The Director of Product Management, Data Science defines and executes product strategy and outcomes for a portfolio of data science products, including predictive models, statistical and forecasting solutions, and advanced analytics capabilities. This role owns roadmap direction, investment prioritization, and delivery accountability, ensuring data science work moves beyond analysis and experimentation into scalable, production-ready solutions that deliver measurable business value. The Director leads Product Managers, partners closely with Data Science, Data Engineering, and architecture leadership, and ensures data science products are accurate, well-governed, and aligned with enterprise objectives. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Set product vision & roadmap Defines and owns the product vision and multi-year roadmap for a portfolio of data science products, aligning business priorities with data platform direction, architectural standards, and long-term scalability. Leads portfolio discovery and strategic planning to identify high-value opportunities for predictive modeling, forecasting, segmentation, and optimization, assessing business impact, data availability and quality, technical feasibility, and investment considerations before committing to build. Ensures business problems are framed in ways data science can solve, with clear decision points, success measures, and an understanding of how model outputs will be used in operational workflows. Partners with senior business, technology, data science, and operations leaders to align scope, sequencing, and investment decisions, ensuring shared understanding of constraints, data dependencies, and model limitations. Establishes outcomes that connect model performance to business results, and communicates product strategy, progress, risks, and architectural implications to executive stakeholders. Oversee, coordinate & support development work Oversees delivery across product and data science teams, ensuring alignment between product strategy, model development, technical execution, and client outcomes. Sets expectations for backlog quality and acceptance criteria across teams, including standards for model performance thresholds, validation methods, interpretability, and data requirements. Partners with Data Science, Data Engineering, and architecture leadership to manage dependencies, data pipelines, integrations, capacity planning, and delivery risks across the portfolio. Ensures a clear path from exploratory analysis and proof of concept to production, including defined criteria for advancing, scaling, or retiring models. Owns accountability for portfolio KPIs and contributions to Product Group and enterprise OKRs, including model accuracy and stability, adoption, business value realized, quality, efficiency, and sustainability. Portfolio governance & lifecycle management Maintains a holistic view of business processes, data sources, systems, and platform dependencies impacting the portfolio and informs strategic and delivery decisions accordingly. Partners with data governance, privacy, legal, compliance, and model risk teams to ensure data science products meet regulatory requirements and model governance standards, including documentation, validation, fairness, and interpretability. Evaluates and approves significant product, model, process, and system changes, assessing impact, risk, technical health, and value tradeoffs. Acts as a senior escalation point for stakeholders, resolving conflicts related to priorities, dependencies, and delivery outcomes. Leads the full product and model lifecycle, including release readiness, post-deployment monitoring for performance and drift, recalibration and retirement decisions, and continuous improvement, ensuring traceability from strategic intent through realized business value. ADDITIONAL FUNCTIONS AND RESPONSIBILITIES Builds data literacy across business stakeholders, helping leaders interpret model outputs, understand uncertainty, and set realistic expectations for outcomes and timelines. Stays current on advances in data science methods and practices, and assesses their relevance to the portfolio. Performs other duties as assigned. Travel as required. QUALIFICATIONS Education & Licensing Bachelor's degree in Statistics, Data Science, Mathematics, Computer Science, Economics, or a related quantitative field from an accredited college or university preferred. Advanced degree preferred. Licenses as needed. Experience Ten (10) or more years of experience in product management or product strategy, including at least three (3) years managing data science, predictive analytics, or machine learning products, required. Demonstrated track record of taking predictive models or other data science solutions from concept through production deployment and measurable business impact required. Experience with agile development strongly preferred. Experience in claims, insurance, healthcare, financial services, or other regulated environments preferred. Skills & Knowledge Expert knowledge of agile methodologies and product operating models, including scaling delivery across multiple teams and products. Strong working knowledge of the data science lifecycle, including problem framing, data preparation, feature development, model development, validation, deployment, monitoring, and recalibration. Solid grounding in statistical concepts, including regression, classification, forecasting, sampling, and statistical significance. Fluency in model evaluation measures (e.g., precision, recall, AUC, calibration, error rates) and the ability to translate model performance into business impact. Understanding of experimental design, including A\u002FB testing, control groups, and pilot design, to validate model value before scaling. Familiarity with common data science tools and languages such as Python, R, and SQL, sufficient to engage credibly with practitioners. Working knowledge of model governance, model risk management, and data privacy requirements in regulated industries. Ability to translate business and portfolio strategy into product vision, roadmaps, and execution standards. Strong portfolio-level judgment to balance investment, capacity, risk, technical health, and business outcomes. Advanced ability to lead complex, high-stakes discussions with senior technical, data science, business, and executive stakeholders, including explaining statistical concepts and model results to non-technical audiences. Proven people leadership capability, including developing Product Managers, setting expectations, and building high-performing teams. WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodation. 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\u002FVisual: 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",{"id":2120,"slug":2121,"title":2122,"location":13,"raw_job_location_address_addressLocality":630,"raw_hiringOrganization_logo_url":13,"raw_description":2123},87374,"it-systems-analyst-advisor-sedgwick-claims-management-services-inc","IT Systems Analyst Advisor","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 IT Systems Analyst Advisor ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Leads the analysis and translation of complex business and functional requirements into system requirements and technical specifications across multiple initiatives. Leads the creation and review of detailed technical specifications and technical tasks, ensuring development teams have sufficient clarity to implement complex and cross-system solutions. Translates highly complex and ambiguous business needs into scalable system requirements and technical specifications. Defines processing logic, validations, exception handling, and expected system behavior for enterprise-level or cross-functional use cases. Ensures system requirements and technical specifications are complete, high quality, and aligned with delivery needs and enterprise standards. Maintains traceability across business requirements, system design, and delivered solutions across programs. Defines, reviews, and provides guidance on system specifications, including data structures, interfaces, integrations, and data transformations. Analyzes enterprise-wide system impacts, dependencies, and data flows across platforms Defines and documents non-functional system requirements, including security, performance, scalability, resilience, and auditability, in partnership with Architecture and Engineering. Evaluates technical constraints, architectural considerations, and solution trade-offs in partnership with architects and senior technical leaders. Advises on and influences solution architecture and design decisions. Provides technical guidance to support backlog readiness, ensuring system requirements, dependencies, impacts, and technical considerations are sufficiently defined across teams. Facilitates or leads complex refinement, planning, and design discussions involving multiple stakeholder groups. Evaluates technical complexity, dependencies, risks, and trade-offs across initiatives and provides input to support prioritization and sequencing decisions. Anticipates risks and systemic impacts, proactively driving cross-functional resolution. Ensures technical requirements and implementation remain aligned with approved business requirements and product direction. Partners with QA and engineering leadership to ensure testing strategies align with system requirements and enterprise standards. Validates delivered functionality against system requirements, technical specifications, expected system behavior, and downstream impacts. Leads or consults on defect triage for high-impact or systemic issues. Troubleshoots highly complex or cross-domain system, data, and integration issues. Provides expert guidance on resolution of enterprise or high-risk issues. Produces and governs high-quality documentation standards aligned with enterprise practices. Establishes and drives best practices, frameworks, and standards for requirements analysis and system documentation. Identifies and leads initiatives to improve processes, system efficiency, scalability, and data quality Acts as a subject matter expert and advisor, mentoring analysts and providing thought leadership across teams. QUALIFICATIONS Education & Licensing Bachelor’s degree in Information Systems, Computer Science, Engineering, or a related field from an accredited college or university preferred Experience Ten (10) years of related experience or an equivalent combination of education and experience required. Experience translating business requirements into technical or system specifications required. Experience supporting system integrations, data flows, and application behavior Experience working in agile or hybrid delivery environments preferred. Experience in enterprise or regulated environments preferred Skills & Knowledge Expert-level systems analysis and technical requirements documentation skills Strong ability to interpret complex business needs and translate them into scalable, high-quality technical solutions Deep experience defining interfaces, APIs, data models, and integrations Strong understanding of system architecture, dependencies, and enterprise data flows Ability to evaluate complexity, dependencies, risks, and technical trade-offs across initiatives Advanced analytical, problem-solving, and critical-thinking capabilities Ability to operate with a high level of autonomy and influence outcomes Strong collaboration and stakeholder engagement skills across Product, Business, Architecture, Development, QA, and Operations Excellent written and verbal communication skills 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\u002FVisual: Hearing, vision and talking 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",{"id":2125,"slug":2126,"title":1830,"location":13,"raw_job_location_address_addressLocality":630,"raw_hiringOrganization_logo_url":13,"raw_description":2127},87375,"patient-care-coordinator-sedgwick-claims-management-services-inc-3","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 Patient Care Coordinator PRIMARY PURPOSE: To provide world class customer service and service delivery to our clients and patients through processing referrals in the delivery of medical goods and services. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Reaches out to patients in relation to new or already processing referrals confirming patient demographic information, providing updates on the referral, and\u002For confirming delivery of said goods or service. Communicates with vendor partners, claims adjusters and nurse case managers providing updates on new referrals as well as referrals already in process. Procures vendor partners for each referral as it relates to the goods or services requested. Responsible for making or taking phone calls on existing referrals, new referrals, or other team members referrals. Provides quotes back to clients for approval or follow up on quotes already sent to obtain written approval for requested referrals ensuring that each referral is deemed medically necessary and approved by the claim’s adjuster. Confirms all required and relevant billing information exists in each referral as it relates to the workflow and billing processes in place and moves those referrals to be billed each day. Processes referrals per state regulations and workers compensation guidelines. 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. Experience Two (2) years of industry experience in healthcare network and patient care scheduling or equivalent combination of education and experience required. Skills & Knowledge Strong customer service skills Strong critical thinking skills Self-Starter Excellent oral and written communication skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Excellent interpersonal 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 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\u002FVisual: 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. 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 $17.00. 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",{"id":2129,"slug":2130,"title":2131,"location":13,"raw_job_location_address_addressLocality":630,"raw_hiringOrganization_logo_url":13,"raw_description":2132},87376,"power-platform-architect-ai-sedgwick-claims-management-services-inc","Power Platform Architect - AI","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 Power Platform Architect - AI ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Strategy and Program Leadership Define and execute the enterprise Power Platform strategy, roadmap, and operating model. Turn business priorities into a clear delivery plan with measurable outcomes. Identify and prioritize high-value automation, low-code, data, and AI opportunities. Advise senior business and technology leaders on platform capabilities, investments, risks, and adoption. Drive program maturity while balancing speed, innovation, governance, and supportability. Architecture and Governance Define solution architecture, integration patterns, security standards, environment strategy, and platform guardrails. Establish and mature Power Platform governance and Center of Excellence capabilities. Create reusable frameworks, components, standards, and reference architectures. Ensure solutions align with enterprise architecture, data, privacy, security, compliance, and application lifecycle management requirements. Monitor platform health, technical debt, capacity, licensing considerations, and operational risks. Delivery and Execution Lead solutions from intake and design through build, testing, deployment, adoption, and support transition. Drive multiple initiatives, manage dependencies, remove blockers, and maintain delivery momentum. Provide hands-on technical leadership and step into solution design or troubleshooting when needed. Ensure solutions are practical, scalable, maintainable, and focused on measurable business value. Build accountability across delivery teams and communicate progress, decisions, risks, and actions clearly. Enablement and Adoption Mentor architects, developers, analysts, makers, and citizen developers. Establish practical guidance that enables teams without creating unnecessary bureaucracy. Promote reusable solutions, disciplined engineering practices, and responsible platform adoption. Partner with business teams to improve adoption and realize expected benefits. Stay current on Power Platform, Copilot Studio, Microsoft 365, Azure, and relevant AI capabilities. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travel to client sites as required. QUALIFICATIONS Education & Licensing Bachelor's degree in Computer Science, Information Systems, Engineering, Business Technology, or a related field preferred. Equivalent combination of education, professional certifications, and relevant work experience will be considered. Experience Twelve (12)+ years of experience in software engineering, application delivery, solution architecture, or enterprise technology leadership. Seven (7)+ years of hands-on Microsoft Power Platform experience, including Power Apps, Power Automate, Power BI, and Dataverse. Five (5)+ years leading enterprise-scale Power Platform programs, governance initiatives, platform architecture, or Center of Excellence capabilities. Skills & Knowledge Demonstrated experience establishing architecture standards, governance models, security controls, environment strategies, and application lifecycle management practices. Proven track record of delivering complex business solutions from concept through production and adoption. Experience integrating Power Platform with Microsoft 365, Azure services, APIs, data platforms, and enterprise applications. Strong stakeholder management and communication skills, including the ability to influence senior leaders and explain technical decisions in clear business language. Ability to work independently in a remote U.S. environment and lead effectively across distributed teams. Experience with Copilot Studio, AI agents, generative AI, and intelligent automation. Experience building or leading a Power Platform Center of Excellence or enterprise citizen development program. Microsoft Power Platform solution architect or developer certifications. Experience with Azure integration, identity, security, DevOps, and enterprise data services. Extremely delivery-focused, accountable, and outcome-oriented. Strategic thinker who can convert vision into a practical plan and execute it. Hands-on leader who is comfortable solving difficult problems and working through ambiguity. Strong collaborator who can align business and technology stakeholders. Pragmatic architect who enables progress while maintaining appropriate standards and controls. Clear communicator who raises risks early and drives decisions and follow-through. 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\u002FVisual: Hearing, vision and talking 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",{"id":2134,"slug":2135,"title":2136,"location":13,"raw_job_location_address_addressLocality":1515,"raw_hiringOrganization_logo_url":13,"raw_description":2137},87377,"claims-examiner-liability-gl-bi-jurisdiction-all-states-home-state-license-required-remote-sedgwick-claims-management-services-inc","Claims Examiner - Liability | GL & BI | Jurisdiction: All States | Home State License Required - Remote","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 | GL & BI | Jurisdiction: All States | Home State License Required - 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?   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.  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 [Update as appropriate] To analyze General liability and Bodily Injury 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 5 years of claims management experience or equivalent combination of education and experience required. Licensing: Home state required Jurisdiction Knowledge: All states TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Opportunity to work in an agile environment. 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\u002FVisual: 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 ($70-$80k). 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. 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",{"id":225,"slug":226,"title":227,"location":13,"raw_job_location_address_addressLocality":1515,"raw_hiringOrganization_logo_url":13,"raw_description":2139},"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 Adjuster Liablity PRIMARY PURPOSE: To analyze mid- and higher-level general liability claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Manages mid-level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level. Assesses liability and resolves claims within evaluation. Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract. Manages subrogation of claims and negotiates settlements. Communicates claim action with claimant and client. Ensures claim files are properly documented and claims coding is correct. May process complex lifetime medical and\u002For defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review. Maintains professional client relationships. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. QUALIFICATION Education & Licensing Bachelor's degree from an accredited college or university preferred. Experience Four (4) 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\u002FVisual: 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",{"id":2141,"slug":2142,"title":2143,"location":13,"raw_job_location_address_addressLocality":1515,"raw_hiringOrganization_logo_url":13,"raw_description":2144},87380,"general-adjuster-ne-atlanta-sedgwick-claims-management-services-inc","General Adjuster - NE Atlanta","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 General Adjuster - NE Atlanta PRIMARY PURPOSE: To investigate claims against insurance or other companies for personal, casualty, or property loss or damages; attempts to effect out-of-court settlement with claimant. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Handles complex losses locally unassisted up to designated authority; assists on larger losses, including handling accounting-based losses (business interruption and stock) Examines claim form and other records to determine insurance coverage. Interviews, telephones, or corresponds with claimant and witnesses regarding claim. Consults police and hospital records; and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance. Estimates cost of repair, replacement, or compensation. Prepares report of findings and negotiates settlement with claimant. Recommends litigation by legal department when settlement cannot be negotiated. Attends litigation hearings. Revises case reserves in assigned claims files to cover probable costs. Assists in preparing loss experience report to help determine profitability and calculates adequate future rates. 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. Must have earned the IIA-AIC designation and be actively pursuing another professional insurance designation. Appropriate state adjuster license is required. Experience Five (5) years of related experience or equivalent combination of education and experience required. Skills & Knowledge Strong oral and written communication, including presentation skills PC literate, including Microsoft Office products Demonstrated commitment to timely reporting Strong customer service skills Strong interpersonal skills Attention to detail and accuracy Good time management and organizational skills Ability to work independently or 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: Must be able to stand and\u002For walk for long periods of time. Must be able to kneel, squat or bend. Must be able to work outdoors in hot and\u002For cold weather conditions. Have the ability to climb, crawl, stoop, kneel, reaching\u002Fworking overhead Be able to lift\u002Fcarry up to 50 pounds Be able to push\u002Fpull up to 100 pounds Be able to drive up to 4 hours per day. Must have continual use of manual dexterity. Auditory\u002FVisual: 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",{"id":2146,"slug":2147,"title":2148,"location":13,"raw_job_location_address_addressLocality":1515,"raw_hiringOrganization_logo_url":13,"raw_description":2149},87381,"drp-service-center-specialist-sedgwick-claims-management-services-inc","DRP Service Center Specialist","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 DRP Service Center Specialist PRIMARY PURPOSE: To assist customer service representatives in expediting the application by providing claims general information; to track trends; to investigate client feedback both internally and externally; and to assist in developing corrective\u002Fpreventative action. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Tracks trends, investigates client feedback both internally and externally, and assists in developing corrective\u002Fpreventative action. Participates in cross-functional teams as required. Assists in gathering\u002Fdistribution of internal\u002Fexternal customer\u002Fproduct surveys. Directs workflow and workload assignments for the team. Communicates claims process with claimant and client either by phone and\u002For written correspondence. Informs claimants of documentation required to process their claim, the required time frames, payment information and claim status either by phone, written correspondence and\u002For claims system. Participates in and maintains a quality service culture within the customer service team. Acts as a customer liaison by assisting the customer with problem resolution related to the application process and service; maintains professional client relationships. Enters verbal and written application information that meets both the internal and external customers' requirements. Directs customer calls to the appropriate person. Contributes to achieving client driven performance objectives and other service standards. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program. QUALIFICATIONS Education & Licensing HS diploma or GED required. Associate degree from an accredited college or university preferred. Experience Two (2) years call center or customer service experience or equivalent combination of education and experience required. Skills & Knowledge Strong customer service skills Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Strong organizational skills Excellent 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\u002FVisual: 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",{"id":2151,"slug":2152,"title":2153,"location":13,"raw_job_location_address_addressLocality":1515,"raw_hiringOrganization_logo_url":13,"raw_description":2154},87382,"quality-assurance-specialist-sedgwick-claims-management-services-inc","Quality Assurance Specialist","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 Quality Assurance Specialist PRIMARY PURPOSE: To assess, promote and confirm data quality and\u002For performance of investigative service partners and internal resources by performing quality audits of case files or client records to ensure optimal service delivery and compliance. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Assesses performance of internal, client or vendor case files or records at regular intervals for accuracy, consistency and compliance with service level expectations and service agreements. Identifies trends and areas of opportunity for increased service efficiency and quality. Works in partnership with stakeholders to ensure all required and relevant data elements, including but not limited to client demographics, client contacts, 3rd party connections, contract records, and performance guarantees are accurately and consistently captured in the client relationship management system. Compiles audit results and submits to manager for review. Provides audit results for quarterly stewardship reports. Monitors ongoing action items logs and project plans with appropriate stakeholders. Updates vendor resources to mapping program 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 preferred. Experience Four (4) years of investigative experience or equivalent combination of education and experience required. Skills & Knowledge Oral and written communication skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Ability to work independently or 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\u002FVisual: 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",{"id":2156,"slug":2157,"title":2158,"location":13,"raw_job_location_address_addressLocality":1515,"raw_hiringOrganization_logo_url":13,"raw_description":2159},87383,"service-center-associate-12-sedgwick-claims-management-services-inc","Service Center Associate-12","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 Service Center Associate-12 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\u002For 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\u002For 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\u002For 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. Supports the organization's quality program(s). 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\u002FVisual: 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",{"id":2161,"slug":2162,"title":2163,"location":13,"raw_job_location_address_addressLocality":1515,"raw_hiringOrganization_logo_url":13,"raw_description":2164},87384,"workers-compensation-claims-examiner-jurisdiction-experience-ga-license-required-dedicated-client-remote-sedgwick-claims-management-services-inc","Worker's Compensation Claims Examiner | Jurisdiction Experience: GA | License: Required | Dedicated Client | Remote","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 Worker's Compensation Claims Examiner | Jurisdiction Experience: GA | License: Required | Dedicated Client | 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 Workers Compensation 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 analyze Georgia 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 3 - 5 years of claims management experience or equivalent combination of education and experience required. Jurisdiction Knowledge: GA required; additional multiple states preferred Licensing: required - valid Worker’s Compensation license that is reciprocal with multiple jurisdictions 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\u002FVisual: 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 (70 - 75K). 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 #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. 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",{"id":2166,"slug":2167,"title":1504,"location":13,"raw_job_location_address_addressLocality":1547,"raw_hiringOrganization_logo_url":13,"raw_description":1505},87386,"disability-clinical-specialist-sedgwick-claims-management-services-inc-3",{"id":2169,"slug":2170,"title":2171,"location":13,"raw_job_location_address_addressLocality":1558,"raw_hiringOrganization_logo_url":13,"raw_description":2172},87387,"claims-team-lead-workers-compensation-jurisdiction-il-mn-mi-wi-ia-in-licensing-home-state-required-hyrbid-sedgwick-claims-management-services-inc","Claims Team Lead - Workers Compensation | Jurisdiction: IL, MN, MI, WI, IA, IN | Licensing: Home State Required (Hyrbid)","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 Team Lead - Workers Compensation | Jurisdiction: IL, MN, MI, WI, IA, IN | Licensing: Home State Required (Hyrbid) 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? 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 This is a hybrid position, with three days working from home and two days in the office each week. Employees will report to either our 175 W. Jackson office in Chicago, IL or our 3500 Lacey Road office in Downers Grove, IL. PRIMARY PURPOSE OF THE ROLE To supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical\u002Fjurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Supervises multiple teams of examiners, multiple product line examiners and\u002For several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit. Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. Provides technical\u002Fjurisdictional direction to examiner reports on claims adjudication. Compiles reviews and analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal. Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner. Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client. Assures that direct reports are properly licensed in the jurisdictions serviced. Ensures claims files are coded correctly and adequate documentation is made by claims examiners. Performs other duties as assigned. Supports the organization's quality program(s). SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing: 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. Experience: Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience. Licensing: Home state required Jurisdiction Knowledge: IL, MN, MI, WI, IA, IN TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Opportunity to work in an agile environment. 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, travel as required Auditory\u002FVisual: 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 ($70k-$98k). 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. 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",{"id":2174,"slug":2175,"title":2176,"location":13,"raw_job_location_address_addressLocality":822,"raw_hiringOrganization_logo_url":13,"raw_description":2177},87388,"contents-evaluator-associate-sedgwick-claims-management-services-inc","Contents Evaluator Associate","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 Contents Evaluator Associate PRIMARY PURPOSE: To work with management on staff development and to review work and provide diplomatic feedback to maintain quality of work product. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Prepares reports and correspondence to customers, other VeriClaim adjusters, and\u002For insureds. Evaluates residential and commercial contents inventories obtained by or submitted to VeriClaim on both a replacement cost and actual cash value basis. Applies limitations and\u002For exclusions based on coverage afforded by the policy. Finalizes inventory in preparation of reporting including: preparing enclosures, preparing letters, and making detailed notes for reporting purposes. Facilitates the use of replacement services as requested by the Contents Adjuster. Reviews and processes replacement receipts. Communicates with colleagues, management, customers, and insureds in a courteous and professional manner. Conforms with and abides by all regulations, policies, work procedures, and instructions. 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. Bachelor’s degree from an accredited college or university preferred. Experience Three (3) years customer service experience or equivalent combination of education and experience preferred. Skills & Knowledge Good oral and written communication skills PC literate, including Microsoft Office products Ability to read and comprehend policy language 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\u002FVisual: 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 ($19-$20 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",{"id":2179,"slug":2180,"title":1504,"location":13,"raw_job_location_address_addressLocality":1547,"raw_hiringOrganization_logo_url":13,"raw_description":1505},87389,"disability-clinical-specialist-sedgwick-claims-management-services-inc-4",{"id":2182,"slug":2183,"title":2184,"location":13,"raw_job_location_address_addressLocality":1547,"raw_hiringOrganization_logo_url":13,"raw_description":2185},87390,"vp-program-management-sedgwick-claims-management-services-inc","VP Program Management","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 VP Program Management ESSENTIAL RESPONSIBILITIES MAY INCLUDE Establish the structure and operating rhythm necessary to advance complex enterprise initiatives. Coordinate multiple interrelated projects and workstreams to ensure collective delivery against program objectives. Maintain focus on intended business outcomes and proactively adjust priorities and approach as program needs evolve. Drive disciplined execution and accountability across program participants. Manage dependencies across business units, functions, IT teams, vendors, and enterprise stakeholders. Identify gaps in ownership and facilitate resolution before they impact program outcomes. Bring together the right stakeholders to resolve issues, make decisions, and advance the initiative. Ensure individual projects and workstreams remain aligned with overall program objectives. Leads staff in achieving project objectives, timelines and cost. Identifies required resources and researches project data, procedures, and history for a thorough understanding of project direction. Establishes strategic project plans with goals, objectives and budgets. Prepare executive-level updates emphasizing outcomes, decisions, risks, and required actions rather than activity reporting. Develop and maintain an integrated view of program health, dependencies, risks, and critical decisions. Identify emerging risks and barriers early and drive appropriate mitigation. Escalate issues requiring executive intervention with clear options, implications, and recommendations. Ensure decisions translate into accountable action. Share best practices across the Program Management team and support development of Project Managers and other transformation resources. Participates in oral presentations to senior leadership and executive to gain commitment and support on go-forward strategy. 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 Bachelor's degree in insurance, finance, or project management from an accredited college or university required. PMP, PgMP, MSP, Lean Six Sigma, or similar credentials are helpful but not required. MBA preferred. Experience 12+ years of progressively responsible experience in program management, transformation, strategy execution, operations, consulting, or related enterprise leadership roles. required Demonstrated experience leading complex initiatives involving multiple functions and interconnected workstreams. Experience working directly with senior executives and functional leadership. Demonstrated ability to influence outcomes without direct authority. Strong strategic thinking combined with disciplined execution and results orientation. Ability to operate effectively in ambiguous and rapidly evolving environments. Demonstrated experience establishing governance and execution frameworks. Strong business and financial acumen. Exceptional written, verbal, and executive-level communication skills. Ability to synthesize complex information into clear recommendations and actions. Experience working across business and technology organizations. Skills & Knowledge 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 Proven management\u002Fleadership 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 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\u002FVisual: Hearing, vision and talking 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",{"id":2187,"slug":2188,"title":2189,"location":13,"raw_job_location_address_addressLocality":1547,"raw_hiringOrganization_logo_url":13,"raw_description":2190},87391,"workforce-absence-dir-client-services-sedgwick-claims-management-services-inc","Workforce Absence Dir Client Services","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 Workforce Absence Dir Client Services PRIMARY PURPOSE: To determine account management strategies related to client service plans; to be responsible for retention of existing clients, customer satisfaction, revenue growth, client surveys, and new business; to provide 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 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\u002For 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 account manager experience or five (5) years adjuster experience including two (2) years in a supervisory capacity. 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 and facilitation skills Leadership\u002Fmanagement\u002Fmotivational skills Ability to work in a team environment Excellent account rounding ability Strong understanding of workers compensation, liability and disability claims management In-depth knowledge of client servicing Ability to handle conflict and confront challenging issues in a fast work 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\u002FVisual: 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",{"id":2192,"slug":2193,"title":2176,"location":13,"raw_job_location_address_addressLocality":822,"raw_hiringOrganization_logo_url":13,"raw_description":2177},87392,"contents-evaluator-associate-sedgwick-claims-management-services-inc-2",{"id":2195,"slug":2196,"title":2176,"location":13,"raw_job_location_address_addressLocality":822,"raw_hiringOrganization_logo_url":13,"raw_description":2197},87393,"contents-evaluator-associate-sedgwick-claims-management-services-inc-3","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 Contents Evaluator Associate PRIMARY PURPOSE: To evaluate content inventories and assist in the research of personal property claims. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Evaluates residential and commercial contents inventories on both a Replacement Cost and Actual Cash Value (ACV) basis. Finalizes inventory in preparation of reporting including: preparing enclosures, preparing letters, and making detailed notes for reporting purposes. Facilitates use of replacement services as requested by the Contents Adjuster. Reviews and processes replacement receipts. Applies limitations and\u002For exclusions on claims based on coverage afforded by the policy. Tracks time and logs file notes of daily field activity. 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. Resident Insurance Adjuster License (Fire and Other Hazards) preferred. Experience One (1) year customer service experience or equivalent combination of education and experience required. Accounting and insurance background are preferred Skills & Knowledge Oral and written communication skills PC literate, including Microsoft Office products Good comprehensive decision making skills Ability to read and comprehend policy language Ability to work independently and 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\u002FVisual: Hearing, vision and talking NOTE: Credit security clearance, confirmed via a background credit check, is required for this position. 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 ($19 - $20 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. 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",{"id":2199,"slug":2200,"title":1504,"location":13,"raw_job_location_address_addressLocality":822,"raw_hiringOrganization_logo_url":13,"raw_description":1505},87394,"disability-clinical-specialist-sedgwick-claims-management-services-inc-5",{"id":2202,"slug":2203,"title":2204,"location":13,"raw_job_location_address_addressLocality":822,"raw_hiringOrganization_logo_url":13,"raw_description":2205},87395,"it-systems-analyst-specialist-sedgwick-claims-management-services-inc","IT Systems Analyst Specialist","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 IT Systems Analyst Specialist Primary Responsibilities Partners with BA\u002FPO to analyze approved business requirements, workflows, rules, and acceptance expectations. Translates approved requirements into detailed system requirements, technical specifications, and actionable technical tasks. Documents system behavior, integrations, interfaces, data impacts, mappings, edge cases, and relevant non-functional considerations. Identifies technical impacts, dependencies, constraints, and impediments and provides recommendations to Engineering and Architecture. Maintains traceability from approved business requirements through technical specifications, design, testing, and delivered system behavior. Supports backlog readiness by ensuring technical requirements, dependencies, impacts, and system considerations are sufficiently understood before development. Provides input into user story LOE and planning by assessing technical complexity, system impacts, dependencies, and implementation risks. Validates delivered system behavior against documented technical requirements and supports Development \u002F QA issue analysis and defect triage. Responsible for technical documentation creation, including technical design documentation (TDD). Develops and maintains technical release documentation for releases. Manages Single Sign-On (SSO) implementations, certificate renewals, and ongoing maintenance for client-facing applications. Serves as the primary technical liaison for clients during SSO onboarding, configuration, testing and deployment. Leads system configuration conversations for client implementation projects, gathering requirements to ensure successful system configuration and deployment. Facilitates execution of configurations, including production readiness reviews and cutover activities. Provides post-implementation support to ensure a smooth transition to ongoing operations and successful client adoption. QUALIFICATIONS Education & Licensing Bachelor’s degree in Information Systems, Computer Science, Engineering, or a related field from an accredited college or university preferred Experience Five (5) years of related experience or an equivalent combination of education and experience required Experience translating business requirements into technical or system specifications required Experience supporting system integrations, data flows, and application behavior Experience working in agile or hybrid delivery environments preferred Experience in enterprise or regulated environments preferred Skills & Knowledge Advanced systems analysis and technical requirements documentation skills Strong ability to translate complex business needs into scalable technical solutions Experience defining system interfaces, APIs, data models, and integrations Understanding of system architecture, dependencies, and data flows Ability to assess complexity, dependencies, risks, and technical trade-offs Strong analytical, problem-solving, and critical-thinking capabilities Ability to work independently and manage multiple priorities Strong collaboration skills across Product, Business, Architecture, Development, QA, and Operations Excellent written and verbal communication skills 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\u002FVisual: Hearing, vision and talking 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",{"id":2207,"slug":2208,"title":2209,"location":13,"raw_job_location_address_addressLocality":2210,"raw_hiringOrganization_logo_url":13,"raw_description":2211},87396,"liability-claims-adjuster-dedicated-client-nationwide-jurisdiction-gl-property-product-liability-experience-ny-or-hi-license-sedgwick-claims-management-services-inc","Liability Claims Adjuster | Dedicated Client | Nationwide Jurisdiction | GL, Property & Product Liability Experience | NY or HI License","Charlotte, NC - Cliff Cameron","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 Liability Claims Adjuster | Dedicated Client | Nationwide Jurisdiction | GL, Property & Product Liability Experience | NY or HI 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 adjuster 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 PRIMARY PURPOSE OF THE ROLE To analyze GL, Property & Product Liability 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 4 years of claims management experience or equivalent combination of education and experience required. Jurisdiction Knowledge: Nationwide Licensing: NY or HI 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\u002FVisual: 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 ($50-60K). 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 #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. 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",{"id":2213,"slug":2214,"title":2215,"location":13,"raw_job_location_address_addressLocality":1603,"raw_hiringOrganization_logo_url":13,"raw_description":2216},87397,"workers-compensation-claims-adjuster-ny-jurisdiction-experience-required-dedicated-client-sedgwick-claims-management-services-inc-2","Workers Compensation Claims Adjuster | NY Jurisdiction Experience Required | Dedicated Client","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 Adjuster | NY Jurisdiction Experience Required | Dedicated Client 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. OFFICE LOCATIONS Hybrid Schedule if within commutable distance to Syracuse, NY office Remote if outside of commutable distance to Syracuse, NY office PRIMARY PURPOSE OF THE ROLE: To analyze Lost-Time Workers Compensation 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. ESSENTIAL RESPONSIBLITIES 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: NY Licensing: NY preferred, 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. 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\u002FVisual: Hearing, vision and talking #claimsexaminer #claims #remote 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 (85 - 90K). 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",{"id":2218,"slug":2219,"title":2220,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":2221},87398,"claims-examiner-auto-general-liability-bodily-injury-new-jersey-claims-required-sedgwick-claims-management-services-inc","Claims Examiner, Auto | General Liability | Bodily Injury | New Jersey Claims 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 Examiner, Auto | General Liability | Bodily Injury | New Jersey Claims Required PRIMARY PURPOSE OF THE ROLE To investigate, evaluate, negotiate, and resolve complex general liability claims while ensuring excellent service delivery to clients and claimants. This role manages high-exposure claims, including litigated matters, with a focus on timely resolution, cost containment, and compliance with client and regulatory requirements. ESSENTIAL RESPONSIBILITIES MAY INCLUDE Analyze and manage complex or technically challenging general liability claims from inception through resolution. Conduct thorough investigations to determine liability, damages, and claim exposure. Develop and execute strategic claim action plans to drive timely and appropriate claim outcomes. Assess liability and negotiate settlements within assigned authority limits. Calculate, establish, and maintain appropriate claim reserves throughout the life of the claim. Authorize and process claim payments and adjustments within delegated authority. Ensure compliance with applicable laws, regulations, and client-specific requirements. Prepare and submit required state filings within statutory deadlines. Report claims to excess carriers and respond promptly to requests for information or direction. Manage litigated claims through effective collaboration with defense counsel and external partners. Coordinate vendor referrals for investigations, medical reviews, surveillance, and litigation management services. Utilize cost-containment strategies and strategic vendor partnerships to help reduce overall claim costs. Pursue and manage claim recoveries, including subrogation and applicable offsets. Maintain proactive communication with claimants, clients, attorneys, and other stakeholders. Build and maintain strong client relationships through professional and responsive service. Ensure claim files are accurately documented and coded in accordance with company standards. Escalate complex issues and high-exposure matters to leadership as appropriate. Perform other duties as assigned. QUALIFICATIONS Education & Experience: Five (5) years of claims handling experience, or an equivalent combination of education and relevant experience. Experience handling complex general liability claims preferred. Litigation management experience strongly preferred. Bachelor's degree from an accredited college or university preferred. Industry certifications relevant to the line of business are preferred. SKILLS & KNOWLEDGE Strong knowledge of general liability claims practices, insurance principles, and applicable regulations. Understanding of recovery opportunities, subrogation, offsets, and cost containment strategies. Excellent verbal, written, and presentation communication skills. Strong analytical, investigative, and problem-solving abilities. Effective negotiation and settlement management skills. Ability to prioritize workload and manage multiple competing priorities. Demonstrated ability to work independently and collaboratively within a team environment. Proficiency with Microsoft Office applications and claims management systems. Commitment to delivering exceptional customer and client service. Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 $70,000 to $80,000. 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. The statements contained in this description are intended to describe the general nature and level of work being performed. They are not intended to be an exhaustive list of all responsibilities, duties, or requirements. Management reserves the right to modify, add, or remove duties as business needs require. 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",{"id":2223,"slug":2224,"title":1353,"location":13,"raw_job_location_address_addressLocality":2225,"raw_hiringOrganization_logo_url":13,"raw_description":2226},87399,"general-adjuster-sedgwick-claims-management-services-inc-5","Telecommuter OK","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 General Adjuster PRIMARY PURPOSE: To investigate claims against insurance or other companies for personal, casualty, or property loss or damages; attempts to effect out-of-court settlement with claimant. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Handles complex losses locally unassisted up to designated authority; assists on larger losses, including handling accounting-based losses (business interruption and stock) Examines claim form and other records to determine insurance coverage. Interviews, telephones, or corresponds with claimant and witnesses regarding claim. Consults police and hospital records; and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance. Estimates cost of repair, replacement, or compensation. Prepares report of findings and negotiates settlement with claimant. Recommends litigation by legal department when settlement cannot be negotiated. Attends litigation hearings. Revises case reserves in assigned claims files to cover probable costs. Assists in preparing loss experience report to help determine profitability and calculates adequate future rates. 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. Must have earned the IIA-AIC designation and be actively pursuing another professional insurance designation. Appropriate state adjuster license is required. Experience Five (5) years of related experience or equivalent combination of education and experience required. Skills & Knowledge Strong oral and written communication, including presentation skills PC literate, including Microsoft Office products Demonstrated commitment to timely reporting Strong customer service skills Strong interpersonal skills Attention to detail and accuracy Good time management and organizational skills Ability to work independently or 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: Must be able to stand and\u002For walk for long periods of time. Must be able to kneel, squat or bend. Must be able to work outdoors in hot and\u002For cold weather conditions. Have the ability to climb, crawl, stoop, kneel, reaching\u002Fworking overhead Be able to lift\u002Fcarry up to 50 pounds Be able to push\u002Fpull up to 100 pounds Be able to drive up to 4 hours per day. Must have continual use of manual dexterity. Auditory\u002FVisual: 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",{"id":2228,"slug":2229,"title":2230,"location":13,"raw_job_location_address_addressLocality":1597,"raw_hiringOrganization_logo_url":13,"raw_description":2231},87400,"liability-claims-representative-auto-property-damage-nationwide-jurisdictions-remote-sedgwick-claims-management-services-inc","Liability Claims Representative | Auto Property Damage | Nationwide Jurisdictions | Remote","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 Liability Claims Representative | Auto Property Damage | Nationwide Jurisdictions | 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? To analyze Auto Property Damage claims on behalf of our valued Dedicated Client 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: To process low level Auto Property Damage claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements with general supervision. ESSENTIAL RESPONSIBLITIES 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: 3 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: Nationwide Licensing: 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 (55,000-65,000). 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. 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",{"id":2233,"slug":2234,"title":2235,"location":13,"raw_job_location_address_addressLocality":1682,"raw_hiringOrganization_logo_url":13,"raw_description":2236},87401,"principal-architect-gen-ai-sedgwick-claims-management-services-inc","Principal Architect - Gen AI","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 Principal Architect - Gen AI PRIMARY PURPOSE: The Gen AI Principal Architecture within the Transformation Office serves as the enterprise executive accountable for AI architecture strategy, governance, and platform direction—driving large-scale business transformation through applied Generative AI, Agentic AI, and advanced intelligence capabilities. This role establishes and evolves the enterprise “intelligence layer” as a strategic capability, ensuring AI is delivered securely, ethically, and at scale across the organization’s Lines of Business, shared services, and core technology ecosystem. Operating at the intersection of enterprise architecture, product\u002Fplatform strategy, risk governance, and execution oversight, this leader defines the end-to-end architectural vision and operating model for LLM-powered platforms, agentic systems, and conversational\u002Fautomation capabilities. The role influences enterprise prioritization and investment decisions, sets cross-functional standards, and ensures AI capabilities integrate effectively with legacy and modern environments across AWS and Azure, translating complex AI innovation into measurable business value and operational outcomes. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Enterprise AI Strategy, Governance & Executive Leadership Owns and sets the enterprise Generative AI and Agentic AI architecture vision and multi-year roadmap, aligning to enterprise strategy, transformation priorities, operating model, and risk posture. Chairs or co-leads executive architecture and AI governance forums (e.g., AI Architecture Review Board), establishing decision rights, design authorities, exception processes, and enterprise adoption guardrails. Directs the enterprise “intelligence layer” strategy, defining reference architectures, standards, reusable patterns, and platform capabilities that enable consistent, scalable AI adoption across the enterprise. Agentic AI & Platform Architecture at Scale Defines and governs the enterprise agentic AI strategy and platform blueprint, including design, deployment, and lifecycle management of autonomous and semi-autonomous agents using platforms such as AWS AgentCore and Azure AI Agent Service. Establishes enterprise patterns for multi-agent orchestration, reasoning, tool-use, memory, human-in-the-loop controls, observability, fail-safes, and model\u002Fagent lifecycle management, ensuring scalable and auditable decision workflows. Sets enterprise standards for GenAI and agentic solutions across AWS and Azure, ensuring reliability, resilience, performance, security, cost optimization, and regulatory compliance. Enterprise RAG, Knowledge Architecture & Reuse Owns the enterprise Retrieval-Augmented Generation (RAG) strategy and common frameworks, defining best practices for retrieval strategies, embeddings, vector stores, context management, evaluation, and performance tuning. Establishes enterprise standards for knowledge governance, including content provenance, permissions and access models, lineage, data quality, and safe\u002Fapproved knowledge sources. Integration, Modernization & Cross-Platform Enablement Defines enterprise integration patterns that enable AI solutions to interface with legacy platforms (e.g., mainframes, SQL Server, on-prem systems) and modern cloud services, balancing modernization with resiliency and minimizing operational disruption. Partners with Enterprise Architecture, Infrastructure, and Platform teams to ensure the AI ecosystem is embedded within enterprise identity, networking, monitoring, disaster recovery, and service management capabilities. Data, Ontologies, and AI-Ready Enterprise Foundations Partners with data, analytics, and platform teams leveraging technologies such as Palantir, Databricks, and Snowflake to define shared enterprise data architectures, ontologies, governance models, and operating practices that enable AI, agentic workflows, and advanced analytics at scale. Establishes standards for AI-ready data products, metadata, semantic layers, and measurable data quality thresholds tied to AI performance and outcomes. Risk, Compliance, and Responsible AI Executive Accountability Serves as the executive technical authority to security, risk, legal, compliance, and audit stakeholders—ensuring AI solutions align with model risk, privacy, security, regulatory requirements, and Responsible AI principles. Establishes enterprise practices for model governance, evaluation, red teaming, bias mitigation, explainability, and controls, ensuring outputs are reliable, auditable, and aligned to business policy and ethical standards. Portfolio, Value Realization & Operational Outcomes Leads the AI architecture portfolio across the enterprise, prioritizing capabilities and investments based on business value, risk, feasibility, and reuse. Defines success metrics and mechanisms to track value realization (e.g., productivity, cycle-time reduction, loss cost improvement, customer experience, quality, compliance outcomes). Partners with Technology and Business leadership to ensure AI initiatives transition effectively into production operations with clear support, ownership, and continuous improvement mechanisms. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Builds and develops enterprise AI architecture talent, including coaching senior architects, establishing capability standards, and creating communities of practice across AI engineering and enterprise architecture. Influences platform\u002Ftooling decisions, vendor strategy, and ecosystem partnerships to accelerate innovation while managing cost, risk, and long-term maintainability. Represents the organization as a senior AI architecture leader in executive engagements, internal stakeholder communications, and cross-enterprise transformation initiatives. Performs other duties as assigned. Travel as required. QUALIFICATIONS Education & Licensing Master’s degree in AI, Machine Learning, Computer Science, Engineering, or a quantitative discipline from an accredited college or university preferred. Experience Ten (10+) years of related, progressive experience in in enterprise architecture, platform architecture, or large-scale solution architecture, with seven (7+) years leading delivery and\u002For architecture of enterprise-scale GenAI, RAG, and Agentic AI capabilities in complex corporate environments, or an equivalent combination of education and experience required. Demonstrated executive-level expertise with AWS AgentCore and Azure AI Agent Service; deep mastery of agentic frameworks (e.g., LangGraph, CrewAI) required. Proven experience establishing enterprise AI governance, driving cross-LOB adoption, and operationalizing AI solutions within security, risk, and compliance constraints. Skills & Knowledge Enterprise leadership and influence: Ability to drive alignment and decision-making with executive stakeholders across Technology, Security, Risk, Legal\u002FCompliance, and Lines of Business Architectural authority: Expert ability to bridge Data Science, AI Engineering, and Enterprise Architecture—ensuring solutions are statistically sound, governed, scalable, and aligned to business outcomes Technical depth: Advanced mastery of Python, SQL, and PySpark; deep expertise in vector stores (e.g., Pinecone, OpenSearch, Azure AI Search), LLM platforms, and AI\u002FML lifecycle management Cloud & platform expertise: Proven leadership in AWS and Azure enterprise environments; strong functional exposure to advanced analytics platforms such as Palantir Foundry\u002FAIP Transformation leadership: Demonstrated success operating within a Transformation Office or enterprise innovation function—establishing operating models, reusable patterns, and governance to scale adoption responsibly Business value orientation: Ability to translate architecture decisions into measurable outcomes, cost efficiency, operational resilience, and risk reduction 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\u002FVisual: 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",{"id":2238,"slug":2239,"title":2240,"location":13,"raw_job_location_address_addressLocality":1682,"raw_hiringOrganization_logo_url":13,"raw_description":2241},87402,"product-owner-ai-sedgwick-claims-management-services-inc","Product Owner - AI","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 Owner - AI ESSENTIAL FUNCTIONS AND RESPONSIBILITIES •Partners with Product Managers on backlog refinement and prioritization, including sequencing work based on value, dependencies, and capacity. •Defines development-ready stories and requirements by breaking down epics and features into user stories, defines acceptance criteria, and documents high-level non-functional requirements. •Executes delegated Product Manager responsibilities when PM capacity or capability is limited, ensuring continuity of product execution. •Collaborates with development teams to ensure stories are well understood and aligned with business outcomes. •Validates solutions aligned to the business units by participating in and supporting User Acceptance Testing to confirm delivered functionality meets defined requirements and acceptance criteria. •Measures visibility into delivery and outcomes by tracking and reporting to stakeholders to surface risks, dependencies, and performance insights. •Partners with Data Scientists, ML Engineers, and MLOps teams to translate AI\u002FML capabilities into backlog items, and defines acceptance criteria that account for model behavior, data dependencies, and performance thresholds. ADDITIONAL FUNCTIONS and RESPONSIBILITIES •Raises risks, capacity concerns, and reallocation recommendations to Product Managers. •Supports sprint ceremonies by clarifying requirements and answering questions during delivery. •Supports product demos, walkthroughs, and stakeholder communications. •Serves as a subject matter resource for solution workflows and capabilities. •Monitors deployed AI features for performance, drift, and user feedback, and works with technical teams to surface retraining or tuning needs as backlog items. •Performs other duties as assigned. Remote, United States QUALIFICATIONS Education & Licensing Bachelor's degree in Business Administration, Information Systems, or a related field from an accredited college or university preferred. Equivalent combination of education, professional certifications, and relevant work experience will be considered. Experience •Five (5) years of related experience or an equivalent combination of education and experience required. •Experience performing business analysis, requirements definition, or supporting product delivery required. •Experience in claims, insurance, healthcare, or other regulated operational environments preferred. •Experience working within agile or hybrid delivery teams preferred. •Experience supporting AI, machine learning, or data-driven product initiatives preferred. Skills & Knowledge Strong product and requirements documentation skills. Ability to translate business needs into detailed user stories and acceptance criteria. Familiarity with agile delivery practices and backlog management. Ability to assess scope, dependencies, and delivery complexity. Strong analytical, problem-solving, and organizational skills. Experience tracking delivery metrics and supporting OKR reporting. Ability to understand and communicate budget impacts and delivery trade-offs. Excellent verbal and written communication skills. Strong cross-functional collaboration and stakeholder management skills. 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\u002FVisual: Hearing, vision and talking 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",{"id":2243,"slug":2244,"title":2245,"location":13,"raw_job_location_address_addressLocality":636,"raw_hiringOrganization_logo_url":13,"raw_description":2246},87403,"it-software-developer-advisor-sr-sedgwick-claims-management-services-inc","IT Software Developer Advisor SR.","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 IT Software Developer Advisor SR. PRIMARY PURPOSE: To lead a team in the design, development, maintenance, testing and debugging of software; to formulate\u002Fdefine system scope and objectives for assigned projects; to devise or modify procedures to solve complex problems; to prepare detailed specifications from which programs will be written; to be responsible for quality assurance reviews; may be responsible for project completion and user satisfaction; and to provide guidance and training to assigned team. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Determines the impact of new programs on and ensures their compatibility with existing system operations. Oversees development of system specifications through interaction with business users and sponsors; determines the feasibility of the resulting projects; and displays strong depth of knowledge in specific business subject areas. Assists in projecting software and hardware requirements. Oversees design, development, maintenance, testing and debugging of software ensuring Sedgwick software development lifecycle (SDLC) guidelines are followed. Formulates\u002Fdefines project scope and objectives. Leads the development, modification, and maintenance of software to meet company needs and user suggestions. Prepares program documentation including administrator and end user help documents. Directs other analyst\u002Fprogrammers; assigns, prioritizes and monitors workload. Provides guidance and training to team. Prepares status reports to department manager. Ensures successful completion of projects in conformance to project goals and requirements. Ensures proactive and cooperative relationships exist within the project team; remains accessible to project team members. Keeps up-to-date with technology changes and direction. 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 required. Information Systems or Computer Science major preferred. Experience Nine (9) years of related experience or equivalent combination of education and experience required to include five (5) years of program development experience with three (3) years specialized programming relative to program needs. Working knowledge of claims management applications preferred. Skills & Knowledge Knowledge of applications systems analysis and programming Knowledge of claims management systems High level of self-motivation Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership skills Analytical and interpretive skills Strong organizational skills Excellent 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, 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\u002FVisual: 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 ( range 87,179.00 - 122,052.00 - 156,923.00 USD Annual). 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. - If evergreen nationwide, CO or onsite in CO.) 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",{"id":2248,"slug":2249,"title":1580,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":2250},87404,"construction-defect-adjuster-sedgwick-claims-management-services-inc-3","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 Construction Defect Adjuster Job Description Primary Purpose The Commercial General Liability (CGL) Claims Adjuster is responsible for the end-to-end handling of complex third-party bodily injury and property damage claims arising under commercial general liability policies. This role requires advanced expertise in coverage analysis, liability determination, litigation management, and risk transfer, particularly across multi-jurisdictional and construction-related exposures. The adjuster is expected to proactively manage claim outcomes, control loss costs, and ensure compliance with client service standards, regulatory requirements, and internal quality expectations. Essential Functions and Responsibilities Claim Investigation & File Ownership Independently investigate and manage a full caseload of CGL claims, including but not limited to premises liability, slip and fall, product liability, construction defect and construction-related losses, and contractual liability exposures. Drive timely claim resolution through proactive file management, strategic planning, and adherence to best practices in diary management and documentation. Coverage Analysis & Policy Interpretation Analyze complex policy language, including insuring agreements, endorsements, exclusions (e.g., ongoing\u002Fcompleted operations, additional insured provisions), and limits to determine coverage applicability. Draft clear, defensible coverage position letters, including reservation of rights and denial letters, consistent with jurisdictional requirements and client expectations. Liability & Damages Evaluation Conduct comprehensive liability investigations, including: Review and analysis of incident reports, contracts, lease agreements, and indemnification provisions Identification and application of contractual risk transfer provisions Obtaining and evaluating recorded statements, expert opinions, photographs, and surveillance Evaluate injury severity, medical treatment, and long-term exposure, including review of medical records, bills, and independent medical evaluations (IMEs) where applicable. Establish, maintain, and adjust reserves in accordance with claim developments and severity exposure. Litigation Management Manage litigated files, including the retention and direction of defense counsel. Provide strategic oversight on litigation plans, budgets, pleadings, discovery, and dispositive motions. Participate in mediations, settlement conferences, and trial preparation, ensuring alignment with client and organizational strategies. Settlement & Negotiation Negotiate settlements within delegated authority while balancing cost containment and risk exposure. Evaluate settlement value based on liability, damages, venue, and litigation risks, and escalate appropriately when exceeding authority. Risk Transfer & Subrogation Identify, evaluate, and pursue risk transfer opportunities, including: Additional insured tenders Contractual indemnity provisions Subrogation potential Coordinate with coverage counsel, carriers, and third parties to maximize recovery and proper allocation of liability. Client & Stakeholder Communication Maintain proactive, professional communication with insureds, claimants, brokers, clients, and internal stakeholders. Provide detailed status updates, large loss reports, and claim summaries tailored to client-specific reporting requirements. Documentation, Compliance & Quality Maintain thorough, accurate, and timely file documentation to support claim decisions and audit readiness. Ensure compliance with applicable state regulations, client service instructions, and internal audit and quality standards. Participate in internal and external audits, file reviews, and continuous improvement initiatives. Additional Functions and Responsibilities Support organizational quality initiatives, audit programs, and operational excellence efforts. Contribute to process improvement, knowledge sharing, and team development activities as needed. Perform other duties as assigned. Qualifications Education & Licensing Bachelor’s degree or equivalent work experience. Adjuster licensing as required by jurisdiction(s) handled. Experience Minimum of 5+ years of commercial general liability claims handling experience required; experience with litigated and construction-related claims strongly preferred. Skills & Knowledge Strong understanding of CGL coverage, policy interpretation, and jurisdictional differences Experience managing litigated claims and working with defense counsel Knowledge of construction defect, additional insured coverage, and risk transfer strategies Ability to assess liability, damages, and exposure in complex loss scenarios Strong negotiation and settlement skills Excellent written and verbal communication, including drafting coverage correspondence and client reports Proficiency in claims systems and Microsoft Office applications Demonstrated organization, attention to detail, and time management Ability to work both independently and collaboratively in a fast-paced, team-driven environment Proven ability to meet or exceed performance, quality, and compliance metrics 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\u002FVisual: 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 ($88,000 - $120,000 USD annually). 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",{"id":2252,"slug":2253,"title":2254,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":2255},87405,"claims-team-lead-auto-pip-sedgwick-claims-management-services-inc","Claims Team Lead, Auto | PIP","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 Team Lead, Auto | PIP PRIMARY PURPOSE OF THE ROLE To supervise the operation of personal injury protection examiner teams and technical staff for clients, monitors colleagues' workloads, provide training, and monitor individual claim activities, and to provide technical\u002Fjurisdictional direction to examiner reports on claims adjudication. ESSENTIAL RESPONSIBILITIES OF THE ROLE MAY INCLUDE Supervises multiple teams of examiners, multiple product line examiners and\u002For several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit. Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. Provides technical\u002Fjurisdictional direction to examiner reports on claims adjudication. Compiles reviews and analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal. Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client. Assures that direct reports are properly licensed in the jurisdictions serviced. Ensures claims files are coded correctly and adequate documentation is made by claims examiners. SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing: Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience. Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred. Skills & Knowledge Thorough knowledge of claims management processes and procedures for multiple product lines Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office product Leadership\u002Fmanagement\u002Fmotivational skills 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 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",{"id":2257,"slug":2258,"title":2259,"location":13,"raw_job_location_address_addressLocality":1682,"raw_hiringOrganization_logo_url":13,"raw_description":2260},87406,"senior-data-scientist-sedgwick-claims-management-services-inc","Senior Data Scientist","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 Senior Data Scientist PRIMARY PURPOSE: To partner with stakeholders to identify, scope, and execute advanced analytics and data science projects; to design data modeling processes, create algorithms, and predictive models; and to share insights that inform and enable business decisions. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Builds, prototypes, and deploys machine learning models in production environments. Collaborates with product, technology, and other stakeholders to identify and scope data science projects. Communicates modeling challenges, findings, and outcomes to technical and non-technical stakeholders. Designs and implements end-to-end ETL (extract, transform, load) data pipelines integrating data from multiple data sources. Explores new internal and external data sources and assesses their commercial benefit. Mentors team members and serves as a subject matter expert in cross-functional discussions. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Travels as required. QUALIFICATIONS Education & Licensing Master’s degree or Ph.D. with major in statistics, mathematics, computer science, data science, economics, or related quantitative field from an accredited college or university preferred. Experience Ten (10) years of related experience or equivalent combination of education and experience to include three (3) years of predictive modeling, data science, and analysis experience with solid background in the using data visualization tools and libraries and data exploration, data wrangling, and feature engineering. Experience with natural language processing and healthcare data preferred. Skills & Knowledge Proficiency writing code in Python or R and documenting for reproducibility Strong knowledge of reviewing other’s models and code Ability to use data visualization tools and libraries Strong data exploration, data wrangling and feature engineering skills Knowledge of application of supervised\u002Funsupervised ML techniques Thorough knowledge of SQL to query relational databases Excellent oral and written communication skills, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational 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 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\u002FVisual: 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",{"id":2262,"slug":2263,"title":2264,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":2265},87409,"sr-claims-specialist-professional-liability-medical-malpractice-sedgwick-claims-management-services-inc","Sr. Claims Specialist, Professional Liability | Medical Malpractice","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. Claims Specialist, Professional Liability | Medical Malpractice PRIMARY PURPOSE OF THE ROLE: To analyze complex or technically difficult medical malpractice claims; to provide resolution of highly complex nature and\u002For severe injury claims; to coordinate case management within Company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service. ARE YOU AN IDEAL CANDIDATE? We are seeking experienced professionals to manage complex medical malpractice claims involving severe injury and high exposure. Ideal candidates demonstrate strong analytical and negotiation skills, exercise sound judgment, and are committed to delivering timely, cost‑effective claim resolutions while maintaining a high level of customer service. ESSENTIAL RESPONSIBLITIES MAY INCLUDE: Analyzes and processes complex or technically difficult medical malpractice 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. 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. Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing: 6 years of claims management experience or equivalent combination of education and experience required. Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certification as applicable to line of business preferred. Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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",{"id":2267,"slug":2268,"title":2269,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":2270},87410,"sr-administrative-assistant-sedgwick-claims-management-services-inc","Sr Administrative Assistant","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 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 in final form; 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\u002For manuals. Records meeting minutes. Makes travel arrangements. Maintains adequate supply inventory; orders supplies as needed. Researches a variety of topics 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 Two (2) years 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\u002FVisual: 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. 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",{"id":2272,"slug":2273,"title":2274,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":2275},87411,"accommodation-clinical-specialist-sedgwick-claims-management-services-inc","Accommodation Clinical Specialist","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 Accommodation Clinical Specialist PRIMARY PURPOSE: Performs standard clinical evaluations on claims that require additional review based on medical condition, client requirement, and\u002For complexity. Consults with providers and employees by providing case direction and ensures medical information substantiates the need for employee absence from work. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Performs standard clinical reviews of referred medical claims based on client requirements to ensure accurate and sufficient information is received by employees and providers to support the claim request and documents decision rationale. Completes medical review of all claims by reviewing medical documentation received and applying practical clinical knowledge to ensure information substantiates disability and to interpret the impact the condition has on the ability to perform job functions. Communicates clearly and professionally, on the phone and\u002For in writing with employee and\u002For providers to discuss employee’s clinical status, progress, and work status. Provides clear and appropriate follow-up recommendations for ongoing medical management of claims; ensures appropriate recommendations are made on claims. Consistently achieves appropriate quality audit scores. Acts as clinical resource to claims examiners to provide guidance on the medical management of claims including comprehension of medical terminology and substantiating claim decisions. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Acts as a backup for key disability claims on an ad hoc basis. Performs other duties as assigned. Travels as required. QUALIFICATIONS Education & Licensing Bachelor's degree or equivalent preferred. Current CRC License required. Current license, registration and\u002For professional designations as required within the jurisdiction. Clinical expertise must be kept current by acquisition of the necessary CEUs to maintain licenses and designations. Experience Four (4) years of related experience or equivalent combination of experience and education required to include experience in a direct medical\u002Fpsychological setting or physical industrial medicine and previous insurance or related experience. Skills & Knowledge Knowledge of current medical practices in health care management in a variety of areas (including, but not limited to, orthopedics, general medicine for acute and chronic conditions, general surgery, mental health, obstetrics, oncology, and physical and occupational rehabilitation) Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical and interpretive skills Strong organizational and multitasking skills Excellent interpersonal skills Ability to exercise judgement and critical thinking 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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",{"id":2277,"slug":2278,"title":2279,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":2280},87412,"vp-omnianalyst-product-manager-sedgwick-claims-management-services-inc","VP OmniAnalyst Product Manager","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 VP OmniAnalyst Product Manager ARE YOU AN IDEAL CANDIDATE? We are looking for a strategic, customer-focused leader who embodies Sedgwick’s values of empathy, accountability, collaboration, innovation, growth, and inclusion. The ideal candidate is passionate about transforming enterprise data into measurable value through modern data products, AI-powered experiences, and secure, governed platforms that enable better decisions at scale. PRIMARY PURPOSE: The VP OmniAnalyst Product Manager– AI Enabled Enterprise Data Products is responsible for defining and executing the product strategy, roadmap, and business outcomes for Sedgwick’s enterprise AI-enabled data product portfolio. This role owns a portfolio of strategic data products including: Enterprise AI Analyst and conversational analytics platforms that allow users to ask natural language questions and receive trusted insights, visualizations, recommendations, and analysis. Enterprise data sharing, data exchange, marketplace, semantic layer, data catalog, and self-service analytics capabilities. AI-enabled operational decision support products and analytical applications. The VP serves as the bridge between business strategy, data strategy, AI innovation, technology execution, governance, and client value realization. This role leads Product Managers and Product Owners while partnering with Data Engineering, Architecture, Security, Governance, AI Engineering, Analytics, and Business leaders to deliver secure, scalable, governed, and measurable enterprise capabilities. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Define Product Vision and Strategy Define and own the multi-year vision, strategy, roadmap, business model, and investment priorities for enterprise AI and data products. Establish a product portfolio that enables business users, clients, and operational teams to discover, access, share, and analyze trusted enterprise data. Drive AI-powered analytical experiences that allow users to interact with enterprise data through natural language and conversational interfaces. Partner with executive leadership to identify opportunities that improve decision-making, efficiency, client experience, revenue growth, and cost optimization. Develop business cases, success measures, portfolio-level OKRs, and executive communications on progress, risks, and architectural implications. Oversee, coordinate & support development work Oversee delivery across multiple teams, ensuring alignment between product strategy, technical execution, architectural direction, and client outcomes. Set expectations for backlog quality, acceptance criteria, prioritization, capacity planning, dependency management, and delivery risk mitigation. Own product portfolio KPIs and contributions to Product Group and enterprise OKRs, including quality, efficiency, sustainability, and value delivery. Ensure solutions comply with enterprise security, privacy, regulatory, governance, and responsible AI requirements. Serve as the senior escalation point for product-related dependencies, risks, and prioritization conflicts. Own Enterprise Data Product Portfolio Establish product management practices for enterprise data products, including data-as-a-product principles. Define and manage reusable, governed data products supporting claims, finance, compliance, operations, client, and executive reporting needs. Drive adoption of semantic models, business glossaries, metadata, cataloging, and self-service analytics capabilities. Lead product strategy for enterprise data-sharing solutions for internal consumers, clients, partners, and third-party integrations. Ensure data products are reliable, scalable, discoverable, secure, usable, and supported by lineage and governance. Drive AI Analyst and Conversational Analytics Capabilities Own the product vision for AI-powered analytics that provide trusted answers, insights, metrics, visualizations, and recommendations through natural language interactions. Partner with business teams to identify high-value analytical use cases and decision-support opportunities. Define requirements for semantic layers, knowledge models, retrieval experiences, governance controls, trust mechanisms, and user experiences. Measure AI product effectiveness through adoption, accuracy, user satisfaction, business impact, and operational efficiency. Ensure AI-generated insights are explainable, governed, auditable, and aligned with enterprise policies. Enable Secure Enterprise Data Sharing Define strategy and roadmap for enterprise-scale data exchange and sharing capabilities. Partner with Security, Governance, Privacy, and Legal teams to establish secure and compliant data-sharing frameworks. Drive capabilities for role-based access, entitlements, auditing, lineage, masking, client access controls, and data-sharing agreements. Enable governed data product distribution across business units, clients, partners, and external ecosystems while supporting growth, performance, compliance, and resilience. Stakeholder Engagement and Value Realization Build strong relationships with business leaders, claims operations, finance, client services, technology leaders, and external stakeholders. Translate business objectives and operational challenges into actionable AI and data product strategies. Communicate roadmap progress, risks, dependencies, investment needs, and outcomes to executive leadership. Establish and monitor portfolio-level KPIs, OKRs, and value realization metrics that trace strategy through implementation to business impact. People Leadership Lead and develop Product Owners, Scrum Masters, and product delivery teams. Establish product management best practices across AI, data, analytics, and platform teams. Coach teams on customer-centric product development, Agile practices, outcome-based planning, and value measurement. Foster a culture of innovation, experimentation, accountability, continuous learning, and collaboration. QUALIFICATIONS Education & Licensing Bachelor's degree in Business, Computer Science, Information Systems, Engineering, Data Science, or related field required. Master's degree preferred. Experience 10+ years of progressive experience in Product Management, Data Products, Analytics Platforms, AI Products, or Enterprise Technology. 5+ years leading Product Managers or Product Owners and managing product portfolios. Experience owning enterprise-scale data, analytics, AI, platform, reporting, self-service analytics, semantic modeling, AI\u002FML, or conversational AI products. Experience defining product strategy, roadmaps, business cases, and measurable outcomes for data-driven products. Experience working in Agile or scaled Agile environments and leading cross-functional teams across Architecture, Data Engineering, Analytics, Security, Governance, and Business stakeholders. Skills & Knowledge Expert knowledge of Agile methodologies, product operating models, portfolio management, prioritization, roadmap development, and outcome measurement. Ability to translate business and portfolio strategy into product vision, execution standards, and measurable value. Deep understanding of Data as a Product principles, modern data platforms, data mesh, data fabric, governance, semantic modeling, metadata, lineage, and enterprise analytics architectures. Strong understanding of AI, generative AI, conversational analytics, augmented decision-support platforms, and responsible AI practices. Experience with enterprise data sharing, security, privacy, governance, compliance frameworks, and risk management. Strong executive communication, stakeholder management, product adoption, organizational change, and people leadership capabilities. Ability to balance business value, technical complexity, investment, risk, and operational impact. Success Measures The VP will be evaluated on: Delivery of a clear enterprise AI and data product strategy, roadmap, and investment plan. Adoption and measurable business value from AI-enabled analytics, data products, and data-sharing capabilities. Improved data product quality, usability, discoverability, governance, security, and scalability. Effective stakeholder alignment, executive communication, prioritization, and value realization. Development of high-performing product teams and consistent product management practices. 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-TS1 #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. 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",{"id":2282,"slug":2283,"title":2284,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":2285},87413,"performance-assurance-analyst-sedgwick-claims-management-services-inc","Performance Assurance Analyst","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 Performance Assurance Analyst PRIMARY PURPOSE: To monitor claims colleague technical activities at a claim file level with a focus on identifying and interpreting trends in compliance by conducting audits, identifying areas of concern and to recommend appropriate areas for training to management. ESSENTIAL FUNCTIONS and RESPONSIBILITIES • Administers the quality program; conducts local office file audits using the Compass tool. • Presents audit results to local, regional and national management as requested. • Assists Total Performance Manager in coordinating and implementing Sedgwick business unit (SBU) and national quality initiatives at the local and\u002For SBU level. • Recommends training and improvement activities needed to meet established operational and technical audit requirements. • Participates in colleague coaching, mentoring and group training as needed. • Participates in quarterly national total performance management (TPM) review meetings with national TPM and Quality leaders. • Maintains technical claims and jurisdictional expertise. ADDITIONAL FUNCTIONS and RESPONSIBILITIES • Performs other duties as assigned. • Supports the organization's quality program(s). • Travels as needed. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Professional certification in a specialty field preferred. High school diploma or GED required. Experience Six (6) years of claims experience or equivalent combination of education and experience required, including one (1) year of claims auditing experience required or equivalent combination of education and experience. Skills & Knowledge • Strong knowledge of claims management practices and procedures • Strong understanding of quality and auditing processes • Excellent oral and written communication, including presentation skills • Strong analytical skills with the ability to interpret data • Problem-solving and negotiation skills • Excellent organizational skills • Excellent interpersonal skills • Ability to work in a team environment • Ability to use a personal computer WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear cognitive functioning; ability to make decisions; ability to perform detailed work; ability to maintain concentration, alertness and attention. Physical: Computer keyboarding; visual acuity. Auditory\u002FVisual: Hearing, near and far vision. 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 $50,000.00 - $70,000.00 USD Annual. 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",{"id":2287,"slug":2288,"title":2289,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":2290},87414,"junior-ux-prototype-specialist-sedgwick-claims-management-services-inc","Junior UX Prototype Specialist","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 Junior UX Prototype Specialist PRIMARY PURPOSE: The Junior UX Prototype Specialist transforms Sedgwick’s existing digital platforms into intuitive, clickthrough experiences that support sales and training opportunities. Using tools which include Axure RP, Supademo and Ceros, this role builds functional, code free prototypes that demonstrate product capabilities, guide conversations, and help the sales team deliver compelling, realistic demonstrations to prospects. The UX Prototype Specialist ensures demos look, feel, and behave like the real application—enabling seamless walkthroughs and user-centric storytelling. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Prototype Development Designs and builds high‑fidelity Axure RP prototypes that simulate real product interactions, including: Dynamic panels, variables and conditional logic, repeaters and data‑driven widgets and adaptive views Creates user-guided software tours using Supademo to provide interactive, step-by-step demonstrations of product capabilities. Designs and builds interactive websites or presentations using no-code applications such as Ceros to support demo and storytelling needs. Creates reusable widgets, components, templates, and patterns that maintain consistency across all demo assets. Edits and prepares video content to enhance software demonstrations, presentations, and other digital demo assets. Data Preparation & Scenario Modeling Collects, cleans, formats, and loads demo data into Axure prototypes to support realistic, story-driven scenarios. Designs and simulates complex, data‑driven use cases including: Multi‑step forms Role‑based or permission‑based views State changes and error handling Conditional branching user journeys Responsive & Adaptive Experience Design Builds adaptive layouts that scale smoothly across desktop, tablet, and mobile so that demos present consistently across environments. Ensures interaction models and layout behaviors remain intuitive regardless of device. User Validation & Iteration Conducts informal reviews and walkthroughs with internal stakeholders to validate flows and confirm accuracy of business rules. Gathers feedback and iterates quickly refining interactions, content, and visual behaviors to improve clarity and demo effectiveness. Cross‑Functional Collaboration Partners with product management, presales\u002Fsales, and creative\u002FUX to understand feature intent, demo objectives, storyline needs, and success criteria. Aligns with teams to ensure prototypes reflect the latest functionality, terminology, and brand standards. Demo Environment Maintenance Maintains an organized system of design libraries, shared assets, and reusable patterns to ensure efficiency and consistency. Regularly updates prototype content as product features, UI design, or workflows evolve. Documents interaction rules, component usage, and demo setup instructions to ensure scalability and knowledge transfer. 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. Experience Four (4) years of relevant industry experience to include at least one (1) year of Axure RP (dynamic panels, conditional logic, variables, repeaters, data driven widgets, and adaptive\u002Fresponsive views) or equivalent combination of education and experience required. Experience simulating complex, data driven scenarios (e.g., forms, states, error handling, role-based views) preferred. Skills & Knowledge Excellent Interaction design skills, including clear flows, information hierarchy, and thoughtful micro interactions Experience creating and testing interactive prototypes and documenting interaction guidelines Experience designing and building interactive websites or presentations using Ceros or similar no-code software Experience creating user-guided software tours using Supademo Ability to collaborate with product managers and non-design stakeholders Strong communication with crisp storytelling in walkthroughs and async updates Familiarity with HTML and front-end development practices Knowledge of accessibility standards (e.g., WCAG 2.2) Fluent in common design software (e.g., Axure, Figma, Adobe Creative Suite) Experience with video editing using Adobe Premiere Pro or Final Cut Pro Windows and Mac literate, including Microsoft Office products Analytical and interpretive skills Strong time management and organizational skills Ability to work in a team environment 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\u002FVisual: 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",{"id":2292,"slug":2293,"title":2294,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":2295},87415,"sr-data-engineer-sedgwick-claims-management-services-inc","Sr. Data Engineer","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. Data Engineer ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Designs, builds, and maintains scalable data pipelines supporting batch, real-time streaming, and event-driven data movement from on-premises and cloud sources. Serves as a core developer for the Snowflake data platform and supports platform performance, data modeling, and storage structures. Architects and builds transformation pipelines that deliver high-quality data inputs to Snowflake and dbt AI features. Designs and maintains semantic layers and metadata models required to support Self-Service 2.0 natural-language user interfaces. Establishes reference architectures, reusable templates, and CI\u002FCD best practices that enable decentralized line-of-business teams to build data products safely and consistently. Provides direct management and career mentorship to one data engineer, with potential for team growth, and guides decentralized data analysts in maturing their engineering practices. Drives adoption of dbt for data transformation and evaluates the integration of AWS and Azure cloud data tools, including Azure Data Factory, Azure Functions, and Stream Analytics, to optimize data flow. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization’s quality program(s). Travels as required. SUPERVISORY RESPONSIBILITIES Provides direct management and career mentorship to one data engineer, with potential for the team to grow. QUALIFICATIONS Education & Licensing Bachelor’s degree in computer science, information systems, data engineering, or a related field from an accredited college or university preferred. Equivalent combination of education, professional certifications, and relevant work experience will be considered. Experience Five (5)+ years of dedicated data engineering experience, with a proven record of building production-grade data pipelines, required. Advanced hands-on experience with Snowflake architecture, performance tuning, and data sharing required. Experience moving data across hybrid environments, including on-premises to cloud, using batch, streaming, and event-driven patterns required. Experience building or maintaining semantic layers and structuring data for downstream AI, large language model, or natural-language search capabilities preferred. Skills & Knowledge Advanced knowledge of Snowflake architecture, performance tuning, data modeling, storage structures, and secure data sharing. Strong knowledge of scalable batch, real-time streaming, and event-driven data pipeline architecture. Experience with semantic layers, including dbt Semantic Layer and Snowflake Cortex or semantic definitions. Strong Python skills, particularly in cloud environments and Azure Functions used for data workloads. Strong SQL capabilities. Experience with dbt highly preferred. Experience with Azure data tools, including Azure Data Factory, Azure Functions, and Stream Analytics, preferred. Familiarity with AWS data ecosystems preferred. Knowledge of reference architecture, reusable pipeline patterns, templates, and CI\u002FCD practices. Collaborative coaching and leadership skills, with the ability to teach, establish governance, and strengthen engineering practices across cross-functional teams. Strong analytical, problem-solving, organizational, and communication skills. 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\u002FVisual: Hearing, vision and talking 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",{"id":2297,"slug":2298,"title":2299,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":2300},87416,"vp-carrier-and-captive-analytics-sedgwick-claims-management-services-inc","VP Carrier and Captive Analytics","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 VP Carrier and Captive Analytics PRIMARY PURPOSE: To direct and manage a team that provides visibility into the life cycle of client vision from an enterprise intelligence perspective. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Lead the Carrier and Captive analytics strategy and roadmap, setting priorities, sequencing investments, and building a dedicated capability aligned to business and client needs. Establish the data and governance foundation required to scale Carrier and Captive analytics, including entity hierarchy, mappings, metric definitions, source logic, and integration with broader enterprise data, Finance, and technology initiatives. Build actionable operational and leadership insights, translating complex multi-account, multi-policy, and parent\u002Fchild structures into trusted rollups, metrics, and decision tools that show where attention or intervention is needed. Use analytics to drive client value and growth, partnering across Operations, Client Services, Finance, and Marketing to translate performance into stronger stewardship, renewal, cross-sell, and ROI narratives. Responsible for directing a team that manages business analytics and pipeline. Responsible for developing and overseeing client relationship management enterprise solutions. Responsible for providing strategic direction for business intelligence, contact management system, and client base intelligence analytics. Oversees business and communications engagement analytics and presents information to business key holders. May oversee budget management for the business area. SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Bachelor's degree in a related field from an accredited college or university preferred. Ten (10) years of related experience or equivalent combination of education and experience required. Skills & Knowledge 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 Proven management\u002Fleadership 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 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\u002FVisual: 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.#LI-TS# 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",{"id":101,"slug":102,"title":103,"location":13,"raw_job_location_address_addressLocality":1757,"raw_hiringOrganization_logo_url":13,"raw_description":2302},"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 Associate Benefit Coordinator - Medical Only | Jurisdiction & Licensing: Virginia (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? 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 analyze Workers Compensation - Medical Only 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 2 years of claims management experience or equivalent combination of education and experience required. Licensing \u002F Jurisdiction Knowledge: Virginia preferred TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Opportunity to work in an agile environment. 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, travel as required Auditory\u002FVisual: 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 ($46k-$54k). 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. 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",{"id":2304,"slug":2305,"title":2306,"location":13,"raw_job_location_address_addressLocality":1773,"raw_hiringOrganization_logo_url":13,"raw_description":2307},87420,"claims-representative-auto-property-damage-sedgwick-claims-management-services-inc-2","Claims Representative, Auto | Property Damage","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 Representative, Auto | Property Damage PRIMARY PURPOSE OF THE ROLE: To analyze and process auto and general liability property damage claims. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Processes auto and general liability property damage claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Develops and maintains action plans to ensure state required contract deadlines are met and to move the file towards prompt and appropriate resolution. Identifies and pursues subrogation opportunities; secures and disposes of salvage. Communicates claim action\u002Fprocessing with insured, client, and agent or broker when appropriate. Maintains professional client relations. Performs coverage, liability, and damage analysis on all claims assignments. Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. QUALIFICATIONS Education: Bachelor's degree from an accredited college or university preferred. Secure and maintain the State adjusting licenses as required for the position. Familiarity with personal and commercial lines policies and endorsements Ability to review and assess Property Damage estimates, total loss evaluations, and related expenses to effectively negotiate first and third party claims. Knowledge of total loss processing, State salvage forms and title requirements, preferred 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 Service Expectations Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. When applicable and appropriate, consideration will be given to reasonable accommodations 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 $50,000 to $55,000. 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. 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",{"id":2309,"slug":2310,"title":2311,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":2312},87426,"claims-examiner-i-workers-compensation-remote-i-fl-ga-nc-or-sc-experience-sedgwick-claims-management-services-inc","Claims Examiner I Workers Compensation (REMOTE) I FL, GA, NC or SC 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 Claims Examiner I Workers Compensation (REMOTE) I FL, GA, NC or SC experience 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 workers compensation examiner 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. 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. ARE YOU AN IDEAL CANDIDATE? To analyze workers compensation 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. ESSENTIAL RESPONSIBLITIES 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: 5 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. Licensing \u002F Jurisdiction Knowledge: FL, GA, NC, SC TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Opportunity to work in an agile environment. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 $60,234 - $85,000\u002Fyr. 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",{"id":10,"slug":11,"title":12,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":2314},"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 Talent Acquisition Specialist | Contractor | Remote OR Hybrid Are you an experienced Talent Acquisition Specialist who combines relationship-building, recruiting expertise, and technology to deliver exceptional hiring outcomes and are you looking for an opportunity to join a global industry leader? This is a contractor W2 role with intent to hire. 37.5-hour workweek, Monday through Friday The range of pay for this role is $30.00 to $38.00 USD per hour ARE YOU AN IDEAL CANDIDATE? You are a proactive recruiter with four or more years of experience who excels at attracting top talent, building trusted partnerships, and delivering hiring results. You leverage AI, Workday ATS, and data-driven recruiting strategies to drive efficiency, strengthen talent pipelines, and create exceptional candidate experiences. If you are collaborative, innovative, and passionate about making an impact while living Sedgwick's values of empathy, accountability, collaboration, growth, and inclusion, we want to hear from you. WORK LOCATION(S) Hybrid 1 day per week in office preferred May be open to remote setting for select locations Preferred candidate location in central or mountain time zones PRIMARY PURPOSE OF THE ROLE: Oversees staffing activities within a designated region and partners with Operational management to implement timely, cost-effective initiatives aligned with regional and corporate objectives. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Identifies and cultivates sources for hiring experienced and entry level personnel through: Networking and Colleague Referrals, Development and utilization of Internet Mining technology and capabilities, Development and maintenance of a competitor candidate information database, Development and initiation of a candidate relationship “pipeline management” strategy, Utilization of current and future staffing technology. Manages Recruiting budget for region through cost-effective advertisement and third-party recruiters. Develops preferred supplier list of third-party recruiters; works with the National Director of staffing to negotiate discounted contract rates for staffing needs. Screens, interviews, and tests job applicants as required; maintains applicant database utilizing electronic recruiting software. Provides key staffing metrics for regional hiring; tracks regional colleague retention; and consults with regional management regarding issues affecting turnover. Trains and mentors hiring managers as well as Colleague Resource Generalists in the use of the electronic recruiting software; builds skill level of regional users by providing training on system updates and new user training. Promotes and assists Colleague Resources Managers in training hiring managers in the use of Behavioral Interviewing Techniques, as well as other candidate assessment tools and processes. Supports and provides training for the Colleague Resources Generalists in staffing techniques. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Travels as required. QUALIFICATIONS Education & Licensing: Bachelor's degree from an accredited college or university preferred. PHR or SPHR Certification preferred. Experience: Four (4) years of staffing experience or equivalent combination of education and experience required to include three (3) years as a direct recruiter in a high volume, difficult-to-source industry. Insurance industry recruiting experience is preferred. Experience with recruiting software is preferred. Skills & Knowledge Knowledge of employment laws and practices Working knowledge of e-recruiting concepts and systems Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Strong organizational skills Excellent negotiation skills Excellent interpersonal skills Ability to work independently 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\u002FVisual: 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 $30.00-$38.00\u002Fhr. 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-HYBRID #LI-REMOTE #recruiter #recruiting #talentacquisition *may vary depending on company needs. 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",{"id":2316,"slug":2317,"title":2318,"location":13,"raw_job_location_address_addressLocality":2319,"raw_hiringOrganization_logo_url":13,"raw_description":2320},87441,"claims-associate-workers-compensation-100-onsite-sedgwick-claims-management-services-inc","Claims Associate - Workers Compensation (100% Onsite)","CS- Wausau, WI - 3rd","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 - Workers Compensation (100% Onsite) 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? 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.  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; 100% onsite at Wausau, WI, Des Moines, IA and Omaha NE Sedgwick offices. PRIMARY PURPOSE OF THE ROLE To analyze reported lower-level workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision. Supports other claims representatives, examiners and leads with larger or more complex claims as necessary. Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency. Communicates claim action\u002Fprocessing 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\u002For defined period medical claims. Maintains professional client relationships. QUALIFICATIONS Education & Licensing: High school diploma or GED required. Licenses as required. Experience: One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience 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, travel as required Auditory\u002FVisual: Hearing, vision and talking 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",{"id":270,"slug":271,"title":272,"location":13,"raw_job_location_address_addressLocality":1979,"raw_hiringOrganization_logo_url":13,"raw_description":2322},"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 Disability Representative Sr PRIMARY PURPOSE: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed. Determines benefits due pursuant to a disability plan, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases to team lead and clinical case management for additional review when appropriate. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Ability to manage ambiguity Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement autonomously within established procedures 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 $25.00 - $27.00 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. 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",{"id":2324,"slug":2325,"title":272,"location":13,"raw_job_location_address_addressLocality":1979,"raw_hiringOrganization_logo_url":13,"raw_description":2326},87443,"disability-representative-sr-sedgwick-claims-management-services-inc-47","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 Disability Representative Sr PRIMARY PURPOSE: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed. Determines benefits due pursuant to a disability plan, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases to team lead and clinical case management for additional review when appropriate. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Ability to manage ambiguity Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement autonomously within established procedures 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 $24.00 - $25.00 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. 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. 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",{"id":118,"slug":119,"title":120,"location":13,"raw_job_location_address_addressLocality":1979,"raw_hiringOrganization_logo_url":13,"raw_description":2328},"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 Workforce Absence Operations Manager 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 responsibility for less than 25 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\u002Fregulations, 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. SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications appropriate to line of business preferred. Experience Eight (8) years claims management experience or equivalent combination of education and experience required to include two (2) years supervisory experience. Skills & Knowledge Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership\u002Fmanagement\u002Fmotivational skills 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\u002FVisual: 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 $85,000.00 - $98,000.00 USD Annual (bonus eligibility, SIPP $2,000.00 Annual). 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",{"id":2330,"slug":2331,"title":852,"location":13,"raw_job_location_address_addressLocality":1979,"raw_hiringOrganization_logo_url":13,"raw_description":2332},87445,"workforce-absence-team-lead-sr-sedgwick-claims-management-services-inc-2","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 Workforce Absence Team Lead Sr PRIMARY PURPOSE: The Senior Workforce Absence Team Lead is responsible for overseeing the daily operations of examiners and technical staff managing claims across multiple client programs. This role requires strong client-facing capabilities, strategic oversight, and operational excellence to ensure quality, compliance, and efficiency in claims handling. The Senior Workforce Absence Team Lead serves as a liaison between internal teams and clients, providing technical guidance, mentoring staff, and driving continuous improvement across diverse programs. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Client Relationship Management Acts as a primary operational contact for clients across multiple programs. Leads and participates in client meetings (weekly, monthly, quarterly) to support project initiatives and strategic alignment. Maintains proactive communication, manage claim inquiries, and track action items to ensure timely resolution. Prepares formal correspondence, summaries, and recommendations to support client needs. Team Leadership & Oversight Supervises a team of examiners and\u002For technical staff, ensuring balanced workloads and high performance. Provides technical and jurisdictional guidance, especially on complex or high-exposure claims. Monitors claim coding and documentation accuracy; ensure consistent quality across programs. Delivers training, mentorship, and performance feedback to support team development. Operational Excellence Reviews and analyzes management reports to identify trends and performance gaps. Conducts quality audits to ensure compliance with service standards and contractual obligations. Oversees claim processes and ensure updates are reflected in client communications and documentation. Develops and implements action plans to address operational challenges and improve outcomes. Performance Monitoring & Reporting Tracks team performance against KPIs and service guarantees. Prepares and presents reports on claims trends, operational metrics, and improvement initiatives. Supports stewardship efforts by contributing to client-facing performance reviews and ensuring program alignment. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Travels as required. SUPERVISORY RESPONSIBILITIES Provides support, guidance, leadership and motivation to promote maximum performance for two or more colleagues. 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. Experience Six (6) years of related claim experience or equivalent combination of education and experience required, including at least two (2) years of multi-client claims supervisory experience. Skills & Knowledge Proven experience in claims management and team leadership Strong client-facing communication and relationship-building skills Expertise in jurisdictional and technical claims adjudication Analytical mindset with the ability to interpret data and drive performance improvements Ability to manage multiple programs with agility and strategic focus Excellent oral and written communication skills, including presentation skills PC literate, including Microsoft Office products 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 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\u002FVisual: 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 $73,000.00 - $86,000.00 USD Annual (bonus eligibility, SIPP $1,000.00 USD Annual). 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",{"id":2334,"slug":2335,"title":1723,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":2336},87407,"data-analyst-sedgwick-claims-management-services-inc-3","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 Data Analyst PRIMARY PURPOSE To collect, analyze and report data; to be responsible for the data integrity; and to generate reports verifying and ensuring data integrity and accuracy. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Compiles data; prepares and distributes reports; and analyzes results. Ensures data integrity; develops and produces reports utilized in measuring data accuracy. May assist in the completion of appropriate client set-up and maintenance (parameter) forms. Supports internal and external users including reports, installation, screen, etc. Creates exception reports to identify fields of incorrect data. Generates custom reports for internal and external client. 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 preferred. Experience Five (5) years of related experience or equivalent combination of education and experience required. Two (2) years of query and report writing experience strongly preferred. Skills & Knowledge Strong knowledge of query and report writing 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 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\u002FVisual: 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",{"id":2338,"slug":2339,"title":2340,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":2341},87408,"director-business-transformation-sedgwick-claims-management-services-inc","Director Business Transformation","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 Director Business Transformation PRIMARY PURPOSE OF THE ROLE: The Business Transformation Director leads enterprise or business unit–wide transformation programs, shaping strategy and ensuring cross-functional alignment and execution. The Director owns transformation outcomes that materially impact growth, efficiency, and customer experience through AI-enabled operating models. ESSENTIAL RESPONSIBILITIES MAY INCLUDE Leads enterprise or business unit–wide transformation programs aligned with strategic objectives. Shapes transformation strategy and translates enterprise priorities into executable roadmaps. Sponsors large-scale AI-enabled process redesign and technology enablement initiatives. Partners with VPs and executive leaders to align priorities, resources, and outcomes. Establishes enterprise-level governance, success metrics, and benefit realization frameworks. Drives cultural adoption of data-driven decision-making and continuous improvement. Ensures transformation outcomes are embedded into operating models. Serves as a trusted advisor with executive presence and strategic insight. 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 Master's degree from an accredited college or university preferred. Certifications related to business transformation and\u002For AI preferred. Ten (10+) years of experience leading large-scale business transformation initiatives or equivalent combination of education and experience required. Skills & Knowledge Executive presence, enterprise thinking, and strong change leadership skills Demonstrated practice of leveraging AI tools to accelerate personal delivery PC literate, including Microsoft Office products Analytical and interpretive skills Strong time management and organizational skills Proven management\u002Fleadership 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 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\u002FVisual: 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 $130,000 - $160,000. 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-TS1 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",{"id":2343,"slug":2344,"title":2345,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":2346},87417,"vp-business-transformation-sedgwick-claims-management-services-inc","VP Business Transformation","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 VP Business Transformation PRIMARY PURPOSE OF THE ROLE: The Vice President Business Transformation leads major business processes and supports functions that execute the company’s strategies. This role is responsible for delivering results for a core function or multiple areas of a business unit through subordinate managers and senior professionals. The VP partners with senior leaders to identify and prioritize high-impact opportunities, orchestrates cross-functional execution, and drives adoption of innovative, data-driven solutions. The VP sets or changes operational plans and goals for their area, ensuring alignment with enterprise objectives and fostering a culture of accountability and continuous improvement. ESSENTIAL RESPONSIBILITIES MAY INCLUDE 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. Leads process redesign efforts with an emphasis on data-driven thinking and technology enablement to enhance efficiency and unlock innovation. 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. SUPERVISORY RESPONSIBILITIES Responsible for results delivered for a core function or multiple areas of a business unit through subordinate managers and\u002For 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 Bachelor's degree Business Administration, Finance, Economics, Management, or a related discipline from an accredited college or university preferred. Licenses as needed. 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\u002For 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\u002Fleadership 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 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\u002FVisual: 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 $175,000 - $240,000 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-TS1 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",{"id":2348,"slug":2349,"title":2350,"location":13,"raw_job_location_address_addressLocality":2351,"raw_hiringOrganization_logo_url":13,"raw_description":2352},77801,"casualty-field-adjuster-sedgwick-claims-management-services-inc","Casualty Field Adjuster","Atlanta, GA - Glenridge","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 Casualty Field Adjuster PRIMARY PURPOSE: To investigate and adjust property and casualty claims, both residential and commercial, with little to no supervision. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Inspects claims and contacts involved parties in a timely manner. Investigates circumstances of claim(s) as required for coverage determination, cause, and compensable damages\u002Freserves. Examines insurance policies and other records to determine insurance coverage. Prepares estimates for cost of repair and\u002For replacement. Conducts interviews with claimant and witnesses regarding submitted claim(s). Negotiates and settles both 1st and 3rd party claims. Addresses salvage and subrogation as required by the client. Maintains client relationships to assure repeated business referrals. 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. IIA-AIC designation required. Appropriate state adjuster license is required. Experience Two (2) years of related experience or equivalent combination of education and experience required. Skills & Knowledge Strong oral and written communication, including presentation skills PC literate, including Microsoft Office products Demonstrated commitment to timely reporting Strong customer service skills Strong interpersonal skills Attention to detail and accuracy Good time management and organizational skills Ability to work independently or 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: Must be able to stand and\u002For walk for long periods of time. Must be able to kneel, squat or bend. Must be able to work outdoors in hot and\u002For cold weather conditions. Have the ability to climb, crawl, stoop, kneel, reaching\u002Fworking overhead Be able to lift\u002Fcarry up to 50 pounds Be able to push\u002Fpull up to 100 pounds Be able to drive up to 4 hours per day. Must have continual use of manual dexterity. Auditory\u002FVisual: 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",{"id":2354,"slug":2355,"title":2356,"location":13,"raw_job_location_address_addressLocality":2357,"raw_hiringOrganization_logo_url":13,"raw_description":2358},77805,"claims-examiner-workers-compensation-jurisdiction-licensing-ak-required-sedgwick-claims-management-services-inc","Claims Examiner - Workers Compensation | Jurisdiction & Licensing: AK - Required","Anchorage, AK - B","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 Compensation | Jurisdiction & Licensing: AK - Required Job Description Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career? A stable and consistent work environment in an office setting PRIMARY PURPOSE OF THE ROLE: To process low level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements with general supervision. 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. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Processes low level workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency. Develops and coordinates low level workers compensation claims' action plans to resolution, return-to-work efforts, and approves claim payments. Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract. Administers subrogation of claims and negotiates settlements. Communicates claim action with claimant and client. Ensures claim files are properly documented and claims coding is correct. May process low-level lifetime medical and\u002For defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review. Maintains professional client relationships. QUALIFICATIONS Education & Licensing: 5 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: AK Licensing: AK TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Opportunity to work in an agile environment. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. 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\u002FVisual: 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 (75,000-90,000 USD Annual). 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",{"id":2360,"slug":2361,"title":2362,"location":13,"raw_job_location_address_addressLocality":2363,"raw_hiringOrganization_logo_url":13,"raw_description":2364},77808,"field-case-mangager-sedgwick-claims-management-services-inc","Field Case Mangager","Baltimore, MD - Campbell","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 Field Case Mangager This Field Case Manager will cover Baltimore, MD, and surrounding areas and must live in this area in order to be considered. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; through advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face-to-face interaction with injured workers and medical professionals. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure preferred; or bachelor’s degree in health or human services field required with one of the following certifications: CCM, CDMS, or CRC. Valid driver’s license required. High speed internet required. Employment may be contingent upon successful completion of a motor vehicle record (MVR) check, where job related. 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\u002FVisual: Hearing, vision and talking TAKING CARE OF YOU BY Offering a blended work environment. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer a diverse and comprehensive benefits package including: Three Medical, and two dental plans to choose from. Tuition reimbursement eligible. 401K plan that matches 50% on every $ you put in up to the first 6% you save. 4 weeks PTO your first full year. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. 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 $85,000-$87,000 bonus eligibile. 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 #nurse #fieldcasemanager 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",{"id":2366,"slug":2367,"title":641,"location":13,"raw_job_location_address_addressLocality":2368,"raw_hiringOrganization_logo_url":13,"raw_description":2369},77815,"rn-field-case-manager-sedgwick-claims-management-services-inc-12","Wilmington, MA - West","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 RN Field Case Manager This Field Case Manager will cover our Boston, Willington, MA region and must live in this area in order to be considered. Must have an RN prefers 1.5 years of prior Field Case Manager workers compensation experience. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face to face interaction with injured workers and medical professionals. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure preferred; or bachelor’s degree in health or human services field required with one of the following certifications: CCM, CDMS, or CRC. Valid driver’s license required. High speed internet required. Employment may be contingent upon successful completion of a motor vehicle record (MVR) check. 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\u002FVisual: Hearing, vision and talking TAKING CARE OF YOU BY Offering a blended work environment. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer a diverse and comprehensive benefits package including: Three Medical, and two dental plans to choose from. Tuition reimbursement eligible. 401K plan that matches 50% on every $ you put in up to the first 6% you save. 4 weeks PTO your first full year. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #fieldcasemanager 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 $85,000-$90,000 +(quarterly bonus 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. 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",{"id":2371,"slug":2372,"title":272,"location":13,"raw_job_location_address_addressLocality":739,"raw_hiringOrganization_logo_url":13,"raw_description":930},77821,"disability-representative-sr-sedgwick-claims-management-services-inc-19",{"id":2374,"slug":2375,"title":871,"location":13,"raw_job_location_address_addressLocality":739,"raw_hiringOrganization_logo_url":13,"raw_description":2376},77822,"care-team-representative-sedgwick-claims-management-services-inc-3","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 Care Team Representative Entry-level, Care Team Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near one of our dynamic Centers of Excellence📍 Cedar Rapids, IA: 333 1st Street SE, Suite 200, Cedar Rapids, IA 52401 ✨ What we offer: A stable, consistent work environment—both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? See what a day in the life of a Care Team Representative is like: SED23026 - Mariah_01-09-24 (vidyard.com) &https:\u002F\u002Fshare.vidyard.com\u002Fwatch\u002FVCLjdFEUwPccjWaBtjLmwX Learn more about our Care Team: Care Team (ceros.com) PRIMARY PURPOSE: To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not limited to, expediting the claims process and providing detailed claim notes on all calls, resolving issues with one call\u002Fone person response, and directing calls to appropriate escalation path as needed. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Acts as primary liaison with callers from multiple client accounts within a shared services environment. Follows specifications in assisting with questions and solving problems related to the claims application and servicing processes. Performs claim intake and full-service customer support within regulatory requirements, company, and client expectations at all times. Educates and informs the customer about documentation required to file\u002Fprocess a claim, required time frames, payment information, and claim status. Educates claimants\u002Fcallers on client requirements and benefit plans documenting all required details of the call in a concise professional manner. Enters verbal and written claim information that meets both the internal and external customer’s requirements accurately into the appropriate system. Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist\u002Fmanagement as needed. Attendance during scheduled work hours is required. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. Experience One (1) year customer service experience or equivalent combination of education and experience required. Inbound call center experience preferred. Skills & Knowledge Excellent verbal and written communication skills PC literate, including Microsoft Office products, Windows environment Must meet minimum typing requirements Strong organizational skills Good interpersonal skills Ability to multi task in fast paced environment Ability to support multiple clients across communication channels and utilize multiple systems simultaneously Ability to work in a team environment and\u002For independently Ability to meet or exceed Performance Competencies Ability to meet all attendance expectations 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\u002FVisual: 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 (17.85). 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.  #entrylevel #contactcenterrep 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",{"id":2378,"slug":2379,"title":272,"location":13,"raw_job_location_address_addressLocality":739,"raw_hiringOrganization_logo_url":13,"raw_description":740},77824,"disability-representative-sr-sedgwick-claims-management-services-inc-21",{"id":2381,"slug":2382,"title":272,"location":13,"raw_job_location_address_addressLocality":739,"raw_hiringOrganization_logo_url":13,"raw_description":2383},77826,"disability-representative-sr-sedgwick-claims-management-services-inc-23","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 Disability Representative Sr PRIMARY PURPOSE: To provide disability case management and claim determinations based on complex medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims; coordinating investigative efforts, thoroughly reviewing contested claims, negotiating return to work with or without job accommodations, and evaluating and arranging appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Analyzes, approves and authorizes assigned claims and determines benefits due pursuant to a disability plan. Reviews and analyzes complex medical information (i.e. diagnostic tests, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians). Communicates with the claimants providers to set expectations regarding return to work. Determines benefits due, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Medically manages disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly with claimant and client on all aspects of claims process either by phone and\u002For written correspondence. Informs claimants of documentation required to process claims, required time frames, payment information and claims status either by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimants physician and employer. Refers cases as appropriate to team lead and clinical case management. Maintains professional client relationships. 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 university or college preferred. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience required. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Ability to work in a team environment Excellent negotiation skills 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\u002FVisual: 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. 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 $22.00 - $24.00 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",{"id":2385,"slug":2386,"title":272,"location":13,"raw_job_location_address_addressLocality":739,"raw_hiringOrganization_logo_url":13,"raw_description":2387},77828,"disability-representative-sr-sedgwick-claims-management-services-inc-24","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 Disability Representative Sr Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Dubuque, IA : 4141 Westmark Drive, Dubuque, IA 52002 Cedar Rapids, IA : 333 1st Street SE Ste. 200 Cedar Rapids IA 52401 Coralville, IA: 3273 Ridgeway Drive Coralville IA 52241 Eden Prairie, MN : 11000 Prairie Lakes Drive Eden Prairie, MN 55344 Chicago, IL : 175 W. Jackson Blvd. 12th Fl. Chicago IL 60604 Orlando, FL : 12650 Ingenuity Dr Orlando FL 32826 PRIMARY PURPOSE: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed. Determines benefits due pursuant to a disability plan, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases to team lead and clinical case management for additional review when appropriate. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Ability to manage ambiguity Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement autonomously within established procedures 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 $23.00 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",{"id":2389,"slug":2390,"title":120,"location":13,"raw_job_location_address_addressLocality":763,"raw_hiringOrganization_logo_url":13,"raw_description":2391},77833,"workforce-absence-operations-manager-sedgwick-claims-management-services-inc-2","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 Workforce Absence Operations Manager Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Dubuque, IA : 4141 Westmark Drive, Dubuque, IA 52002 Cedar Rapids, IA : 333 1st Street SE Ste. 200 Cedar Rapids IA 52401 Coralville, IA: 3273 Ridgeway Drive Coralville IA 52241 Dublin, OH : 5500 Glendon Court Dublin OH 43016 New Albany, OH : 7795 Walton Parkway New Albany, OH 43054 Chicago, IL : 175 W. Jackson Blvd. 12th Fl. Chicago IL 60604 Indianapolis, IN: 8909 Purdue Road Suite 501 Indianapolis, IN 46268 Irving, TX: 2201 W. Royal Lane Suite 125 Irving, TX 75063 Memphis, TN : 8125 Sedgwick Way, Memphis TN 38125 Southfield, MI : 300 Galleria Officentre Southfield MI 48034 Orlando, FL : 12650 Ingenuity Dr Orlando FL 32826 Eden Prairie, MN : 11000 Prairie Lakes Drive Eden Prairie, MN 55344 West Hills, CA : 8521 Fallbrook Ave West Hills, CA 91304 South Portland, ME: 600 Sable Ste. 220 Oaks Drive, South Portland, ME 04106 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 responsibility for less than 25 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\u002Fregulations, 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. SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications appropriate to line of business preferred. Experience Eight (8) years claims management experience or equivalent combination of education and experience required to include two (2) years supervisory experience. Skills & Knowledge Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership\u002Fmanagement\u002Fmotivational skills 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\u002FVisual: 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 $71,329.00 - $85,000.00 USD Annual. 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",{"id":2393,"slug":2394,"title":272,"location":13,"raw_job_location_address_addressLocality":763,"raw_hiringOrganization_logo_url":13,"raw_description":1321},77834,"disability-representative-sr-sedgwick-claims-management-services-inc-26",{"id":2396,"slug":2397,"title":1097,"location":13,"raw_job_location_address_addressLocality":1098,"raw_hiringOrganization_logo_url":13,"raw_description":1099},77835,"liability-claims-representative-bi-premises-experience-required-tx-license-sedgwick-claims-management-services-inc",{"id":2399,"slug":2400,"title":2401,"location":13,"raw_job_location_address_addressLocality":811,"raw_hiringOrganization_logo_url":13,"raw_description":2402},77837,"regional-vice-president-property-sedgwick-claims-management-services-inc","Regional Vice President, Property","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 Regional Vice President, Property PRIMARY PURPOSE To create profitable growth for Sedgwick’s Property of America (POA) business by acquiring and retaining new and existing client relationships, expanding market presence, and delivering superior, innovative, and personalized property claims services. Location: Dallas, TX Relocation: Available ESSENTIAL FUNCTIONS and RESPONSIBILITIES Develops and implements annual business plans to deliver profitable growth in operating revenue and earnings for the Property of America business, utilizing Sedgwick’s established business processes. Establishes talent, management, and financial control plans to ensure successful execution of regional performance objectives within the POA organization. Oversees activities of assigned property-focused claims staff to ensure efficient, high-quality branch operations. Facilitates effective communication between internal partners and external clients to support strong client relationships and service delivery. Monitors work product for accuracy, technical quality, and clarity to ensure deliverables meet Property of America standards and client expectations. Creates and sustains an environment that promotes client satisfaction, colleague engagement, and operational excellence across the POA region. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization’s quality and compliance programs. Travels as required to support regional Property of America operations and client needs. SUPERVISORY RESPONSIBILITIES Administers company personnel policies in alignment with Sedgwick staffing standards and training recommendations. Interviews, hires, and develops colleagues; establishes performance development plans and conducts ongoing performance discussions. Provides leadership, guidance, and motivation to drive high performance, accountability, and engagement within Property of America teams. QUALIFICATIONS Education & Licensing Bachelor’s degree from an accredited college or university preferred. Experience Eight (8) years of related experience or an equivalent combination of education and experience, including technical multi-line property claims adjusting and people leadership experience. SKILLS & KNOWLEDGE Excellent oral and written communication, including presentation skills Proficiency with PC applications, including Microsoft Office Strong leadership, management, and motivational capabilities Analytical and interpretive skills Strong organizational and time-management skills Excellent interpersonal and negotiation skills Ability to work effectively in a team environment Ability to meet or exceed established 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. 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",{"id":2404,"slug":2405,"title":2406,"location":13,"raw_job_location_address_addressLocality":739,"raw_hiringOrganization_logo_url":13,"raw_description":2407},77838,"kirkwood-center-career-event-meet-interview-and-grow-with-sedgwick-sedgwick-claims-management-services-inc","🌟 Kirkwood Center Career Event | Meet, Interview, and Grow with Sedgwick","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 🌟 Kirkwood Center Career Event | Meet, Interview, and Grow with Sedgwick 🌟 Kirkwood Center Hiring Event | Discover Your Future with Sedgwick Walk In Interview. Get Connected. Start Your Career Journey. Join us at the Kirkwood Center for an exciting opportunity to meet the Sedgwick team, explore career paths, and interview for rewarding full-time positions. Whether you're looking for a new career, a chance to grow professionally, or an organization that invests in your success, this is your opportunity to make a meaningful connection. Why Attend the Kirkwood Center Hiring Event? ✅ Meet directly with Sedgwick hiring managers and team members ✅ Learn about our collaborative hybrid work environment ✅ Explore multiple career opportunities in one location ✅ Interview on-site ✅ Discover training, development, and career growth opportunities ✅ Get a firsthand look at a company where caring counts 🎯 Now Hiring Full-Time Opportunities Claims Assistant (Starting at $16.25\u002Fhour) Care Team Representative Leave of Absence Representative Disability Representative Senior Disability Representative And many more exciting opportunities! 📍 Event Location Kirkwood Center 7725 Kirkwood Boulevard SW Cedar Rapids, IA 52404 📅 Wednesday, October 7, 2026 🕘 9:00 AM - 4:30 PM 🎉 No Appointment Needed Stop by during event hours to chat with our team, learn about Sedgwick, explore current openings, and interview for opportunities that match your skills and interests. Your next career move could start with one conversation. We look forward to meeting you at the Kirkwood Center! 🚀 Your Next Big Opportunity Starts Here Ready to start a rewarding career with a team that supports your growth every step of the way? See what a day in the life of a Care Team Representative is like: SED23026 - Mariah_01-09-24 (vidyard.com) &https:\u002F\u002Fshare.vidyard.com\u002Fwatch\u002FVCLjdFEUwPccjWaBtjLmwX Learn more about our Care Team: Care Team (ceros.com) PRIMARY PURPOSE: To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not limited to, expediting the claims process and providing detailed claim notes on all calls, resolving issues with one call\u002Fone person response, and directing calls to appropriate escalation path as needed. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Acts as primary liaison with callers from multiple client accounts within a shared services environment. Follows specifications in assisting with questions and solving problems related to the claims application and servicing processes. Performs claim intake and full-service customer support within regulatory requirements, company, and client expectations at all times. Educates and informs the customer about documentation required to file\u002Fprocess a claim, required time frames, payment information, and claim status. Educates claimants\u002Fcallers on client requirements and benefit plans documenting all required details of the call in a concise professional manner. Enters verbal and written claim information that meets both the internal and external customer’s requirements accurately into the appropriate system. Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist\u002Fmanagement as needed. Attendance during scheduled work hours is required. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. Experience One (1) year customer service experience or equivalent combination of education and experience required. Inbound call center experience preferred. Skills & Knowledge Excellent verbal and written communication skills PC literate, including Microsoft Office products, Windows environment Must meet minimum typing requirements Strong organizational skills Good interpersonal skills Ability to multi task in fast paced environment Ability to support multiple clients across communication channels and utilize multiple systems simultaneously Ability to work in a team environment and\u002For independently Ability to meet or exceed Performance Competencies Ability to meet all attendance expectations 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\u002FVisual: 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. #entrylevel #contactcenterrep 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",{"id":2409,"slug":2410,"title":871,"location":13,"raw_job_location_address_addressLocality":797,"raw_hiringOrganization_logo_url":13,"raw_description":2411},77840,"care-team-representative-sedgwick-claims-management-services-inc-4","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 Care Team Representative Entry-level, Care Team Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near one of our dynamic Centers of Excellence📍 Coralville IA: 273 Ridgeway Drive, Coralville IA 52241 ✨ What we offer: A stable, consistent work environment—both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? See what a day in the life of a Care Team Representative is like: SED23026 - Mariah_01-09-24 (vidyard.com) &https:\u002F\u002Fshare.vidyard.com\u002Fwatch\u002FVCLjdFEUwPccjWaBtjLmwX Learn more about our Care Team: Care Team (ceros.com) PRIMARY PURPOSE: To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not limited to, expediting the claims process and providing detailed claim notes on all calls, resolving issues with one call\u002Fone person response, and directing calls to appropriate escalation path as needed. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Acts as primary liaison with callers from multiple client accounts within a shared services environment. Follows specifications in assisting with questions and solving problems related to the claims application and servicing processes. Performs claim intake and full-service customer support within regulatory requirements, company, and client expectations at all times. Educates and informs the customer about documentation required to file\u002Fprocess a claim, required time frames, payment information, and claim status. Educates claimants\u002Fcallers on client requirements and benefit plans documenting all required details of the call in a concise professional manner. Enters verbal and written claim information that meets both the internal and external customer’s requirements accurately into the appropriate system. Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist\u002Fmanagement as needed. Attendance during scheduled work hours is required. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. Experience One (1) year customer service experience or equivalent combination of education and experience required. Inbound call center experience preferred. Skills & Knowledge Excellent verbal and written communication skills PC literate, including Microsoft Office products, Windows environment Must meet minimum typing requirements Strong organizational skills Good interpersonal skills Ability to multi task in fast paced environment Ability to support multiple clients across communication channels and utilize multiple systems simultaneously Ability to work in a team environment and\u002For independently Ability to meet or exceed Performance Competencies Ability to meet all attendance expectations 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\u002FVisual: 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 (17.85). 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.  #entrylevel #contactcenterrep 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",{"id":2413,"slug":2414,"title":871,"location":13,"raw_job_location_address_addressLocality":828,"raw_hiringOrganization_logo_url":13,"raw_description":2415},77841,"care-team-representative-sedgwick-claims-management-services-inc-5","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 Care Team Representative Entry-level, Care Team Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near one of our dynamic Centers of Excellence📍 Dublin, OH: 5500 Glendon Court #100, Dublin, OH 43016 ✨ What we offer: A stable, consistent work environment—both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? See what a day in the life of a Care Team Representative is like: SED23026 - Mariah_01-09-24 (vidyard.com) &https:\u002F\u002Fshare.vidyard.com\u002Fwatch\u002FVCLjdFEUwPccjWaBtjLmwX Learn more about our Care Team: Care Team (ceros.com) PRIMARY PURPOSE: To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not limited to, expediting the claims process and providing detailed claim notes on all calls, resolving issues with one call\u002Fone person response, and directing calls to appropriate escalation path as needed. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Acts as primary liaison with callers from multiple client accounts within a shared services environment. Follows specifications in assisting with questions and solving problems related to the claims application and servicing processes. Performs claim intake and full-service customer support within regulatory requirements, company, and client expectations at all times. Educates and informs the customer about documentation required to file\u002Fprocess a claim, required time frames, payment information, and claim status. Educates claimants\u002Fcallers on client requirements and benefit plans documenting all required details of the call in a concise professional manner. Enters verbal and written claim information that meets both the internal and external customer’s requirements accurately into the appropriate system. Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist\u002Fmanagement as needed. Attendance during scheduled work hours is required. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. Experience One (1) year customer service experience or equivalent combination of education and experience required. Inbound call center experience preferred. Skills & Knowledge Excellent verbal and written communication skills PC literate, including Microsoft Office products, Windows environment Must meet minimum typing requirements Strong organizational skills Good interpersonal skills Ability to multi task in fast paced environment Ability to support multiple clients across communication channels and utilize multiple systems simultaneously Ability to work in a team environment and\u002For independently Ability to meet or exceed Performance Competencies Ability to meet all attendance expectations 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\u002FVisual: 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 (17.85). 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.  #entrylevel #contactcenterrep 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",{"id":2417,"slug":2418,"title":1207,"location":13,"raw_job_location_address_addressLocality":828,"raw_hiringOrganization_logo_url":13,"raw_description":2419},77842,"care-team-lead-sedgwick-claims-management-services-inc","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 Care Team Lead Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Dubuque, IA : 4141 Westmark Drive, Dubuque, IA 52002 Dublin, OH : 5500 Glendon Court Dublin OH 43016 New Albany, OH : 7795 Walton Parkway New Albany, OH 43054 Memphis, TN : 8125 Sedgwick Way, Memphis TN 38125 Southfield, MI : 300 Galleria Officentre Southfield MI 48034 Orlando, FL : 12650 Ingenuity Dr Orlando FL 32826 Irving, TX: 2201 W. Royal Lane Suite 125 Irving, TX 75063 Potential shift would be Monday - Friday 7AM -8AM Start Time PRIMARY PURPOSE: To develop, implement, and maintain the delivery of world-class service including quality assurance, client services, and workforce management ensuring departmental objectives are met. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Assesses and evaluates current team competencies to develop a baseline of service opportunities. Leads efforts to refine Service Center measures and tracking systems for program improvements. Maintains records of training activities, colleague progress, and program effectiveness. Analyzes and resolves customer service issues. Supervises a Service Center unit (team) providing leadership, direction, and support and monitors team's daily performance. Monitors workloads and status; supports colleagues by providing advice on handling complex issues; and identifies and resolves problems and issues. Works with team leadership to develop, implement, and monitor staff development plans with a focus on overall customer service skills. Communicates with upper management regarding unit issues and resolutions. ADDITONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Travels as needed. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Experience Four (4) years of call center or customer service experience or equivalent combination of education and experience required. Supervisory experience preferred. Skills & Knowledge Strong customer service skills including call center client processes and procedures Excellent team coaching, training, facilitation, and development skills Excellent oral and written communication, including presentation skills Excellent customer service 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\u002FVisual: 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",{"id":2421,"slug":2422,"title":753,"location":13,"raw_job_location_address_addressLocality":828,"raw_hiringOrganization_logo_url":13,"raw_description":2423},77844,"leave-of-absence-coordinator-sedgwick-claims-management-services-inc-14","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 Leave of Absence Coordinator Leave of Absence Coordinator Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near our Dynamic Center of Excellence📍 Dublin, OH 5500 Glendon Ct #100, Dublin, OH 43016 ✨ What we offer: A stable, consistent work environment—both in-office and virtual $19.31 per hour A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? PRIMARY PURPOSE: Analyzes reported leave requests including Family Medical Leave (FMLA), unpaid state, military and company-specific, to make determinations based on client plans, state and federal regulations. Ensures that on-going claim management is within company service standards and industry best practices. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Establishes FMLA and other unpaid state, military, and\u002For company-specific leave claims; tracks and codes documentation in accordance with internal workflow processes. Analyzes FMLA and other unpaid claims to determine eligibility and certification in compliance with client plans, state and federal regulations. Reviews claim information received to identify action plan, determine benefits due, and make timely case decisions based on plan descriptions and service expectations as established by the client. Communicates decisions and on-going expectations clearly and professionally with claimants and clients by phone, written correspondence and\u002For claims system. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. State certification or licensing in statutory leaves is beneficial. Experience One (1) year of administrative\u002Fgeneral office experience or equivalent combination of education and experience required. FMLA administration experience preferred. Skills & Knowledge Knowledge of state and federal FMLA regulations Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical and interpretive skills Strong organizational and multitasking skills Excellent interpersonal skills Ability to exercise judgement in accordance with well-defined policies and procedures Ability to work in a team environment Ability to meet or exceed performance competencies as required by program 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 19.31. 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",{"id":2425,"slug":2426,"title":2427,"location":13,"raw_job_location_address_addressLocality":866,"raw_hiringOrganization_logo_url":13,"raw_description":2428},77845,"administrative-services-coordinator-sedgwick-claims-management-services-inc","Administrative Services Coordinator","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 Services Coordinator Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near our center of excellence in Dubuque, Iowa. Dubuque, IA : 4141 Westmark Drive, Dubuque, IA 52002 PRIMARY PURPOSE: To coordinate administrative support functions. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Assigns and directs work and trains new colleagues. Coordinates administrative support functions and\u002For activities. Identifies and resolves problems and issues. Provides coordination, training and support for unit. Provides systems administration and\u002For technical support for unit specific duties. 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 Two (2) years of experience in general office administrative duties or equivalent combination of education and experience required. 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, 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\u002FVisual: 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",{"id":2430,"slug":2431,"title":753,"location":13,"raw_job_location_address_addressLocality":866,"raw_hiringOrganization_logo_url":13,"raw_description":2432},77851,"leave-of-absence-coordinator-sedgwick-claims-management-services-inc-15","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 Leave of Absence Coordinator Leave of Absence Coordinator Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near our dynamic Center of Excellence📍 Dubuque, IA : 4141 Westmark Drive, Dubuque, IA 52002 ✨ What we offer: A stable, consistent work environment—HYBRID (3 days reporting to office) $19.31 per hour A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? PRIMARY PURPOSE OF THE ROLE: Analyzes reported leave requests including Family Medical Leave (FMLA), unpaid state, military and company-specific, to make determinations based on client plans, state and federal regulations. Ensures that on-going claim management is within company service standards and industry best practices. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic and empathetic candidates that want to grow a career. Ideal candidates will thrive in a collaborative team environment, show motivation, and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Establishes FMLA and other unpaid state, military, and\u002For company-specific leave claims; tracks and codes documentation in accordance with internal workflow processes. Analyzes FMLA and other unpaid claims to determine eligibility and certification in compliance with client plans, state and federal regulations. Reviews claim information received to identify action plan, determine benefits due, and make timely case decisions based on plan descriptions and service expectations as established by the client. Communicates decisions and on-going expectations clearly and professionally with claimants and clients by phone, written correspondence and\u002For claims system. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. State certification or licensing in statutory leaves is beneficial. Experience One (1) year of administrative\u002Fgeneral office experience or equivalent combination of education and experience required. FMLA administration experience preferred. Skills & Knowledge Knowledge of state and federal FMLA regulations Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical and interpretive skills Strong organizational and multitasking skills Excellent interpersonal skills Ability to exercise judgement in accordance with well-defined policies and procedures Ability to work in a team environment Ability to meet or exceed performance competencies as required by program 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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",{"id":2434,"slug":2435,"title":871,"location":13,"raw_job_location_address_addressLocality":902,"raw_hiringOrganization_logo_url":13,"raw_description":2436},77857,"care-team-representative-sedgwick-claims-management-services-inc-6","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 Care Team Representative Entry-level, Care Team Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near one of our dynamic Centers of Excellence📍 Eden Prairie, MN: 11000 Prairie Lakes Drive, Eden Prairie, MN 55344 ✨ What we offer: A stable, consistent work environment—both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? See what a day in the life of a Care Team Representative is like: SED23026 - Mariah_01-09-24 (vidyard.com) &https:\u002F\u002Fshare.vidyard.com\u002Fwatch\u002FVCLjdFEUwPccjWaBtjLmwX Learn more about our Care Team: Care Team (ceros.com) PRIMARY PURPOSE: To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not limited to, expediting the claims process and providing detailed claim notes on all calls, resolving issues with one call\u002Fone person response, and directing calls to appropriate escalation path as needed. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Acts as primary liaison with callers from multiple client accounts within a shared services environment. Follows specifications in assisting with questions and solving problems related to the claims application and servicing processes. Performs claim intake and full-service customer support within regulatory requirements, company, and client expectations at all times. Educates and informs the customer about documentation required to file\u002Fprocess a claim, required time frames, payment information, and claim status. Educates claimants\u002Fcallers on client requirements and benefit plans documenting all required details of the call in a concise professional manner. Enters verbal and written claim information that meets both the internal and external customer’s requirements accurately into the appropriate system. Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist\u002Fmanagement as needed. Attendance during scheduled work hours is required. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. Experience One (1) year customer service experience or equivalent combination of education and experience required. Inbound call center experience preferred. Skills & Knowledge Excellent verbal and written communication skills PC literate, including Microsoft Office products, Windows environment Must meet minimum typing requirements Strong organizational skills Good interpersonal skills Ability to multi task in fast paced environment Ability to support multiple clients across communication channels and utilize multiple systems simultaneously Ability to work in a team environment and\u002For independently Ability to meet or exceed Performance Competencies Ability to meet all attendance expectations 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\u002FVisual: 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 (17.85). 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.  #entrylevel #contactcenterrep 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",{"id":2438,"slug":2439,"title":871,"location":13,"raw_job_location_address_addressLocality":1014,"raw_hiringOrganization_logo_url":13,"raw_description":2440},77876,"care-team-representative-sedgwick-claims-management-services-inc-7","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 Care Team Representative Entry-level, Care Team Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near one of our dynamic Centers of Excellence📍 Indianapolis, IN: 8909 Purdue Road, Suite 501, Indianapolis, IN ✨ What we offer: A stable, consistent work environment—both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? See what a day in the life of a Care Team Representative is like: SED23026 - Mariah_01-09-24 (vidyard.com) &https:\u002F\u002Fshare.vidyard.com\u002Fwatch\u002FVCLjdFEUwPccjWaBtjLmwX Learn more about our Care Team: Care Team (ceros.com) PRIMARY PURPOSE: To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not limited to, expediting the claims process and providing detailed claim notes on all calls, resolving issues with one call\u002Fone person response, and directing calls to appropriate escalation path as needed. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Acts as primary liaison with callers from multiple client accounts within a shared services environment. Follows specifications in assisting with questions and solving problems related to the claims application and servicing processes. Performs claim intake and full-service customer support within regulatory requirements, company, and client expectations at all times. Educates and informs the customer about documentation required to file\u002Fprocess a claim, required time frames, payment information, and claim status. Educates claimants\u002Fcallers on client requirements and benefit plans documenting all required details of the call in a concise professional manner. Enters verbal and written claim information that meets both the internal and external customer’s requirements accurately into the appropriate system. Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist\u002Fmanagement as needed. Attendance during scheduled work hours is required. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. Experience One (1) year customer service experience or equivalent combination of education and experience required. Inbound call center experience preferred. Skills & Knowledge Excellent verbal and written communication skills PC literate, including Microsoft Office products, Windows environment Must meet minimum typing requirements Strong organizational skills Good interpersonal skills Ability to multi task in fast paced environment Ability to support multiple clients across communication channels and utilize multiple systems simultaneously Ability to work in a team environment and\u002For independently Ability to meet or exceed Performance Competencies Ability to meet all attendance expectations 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\u002FVisual: 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 (17.85). 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.  #entrylevel #contactcenterrep 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",{"id":2442,"slug":2443,"title":753,"location":13,"raw_job_location_address_addressLocality":1014,"raw_hiringOrganization_logo_url":13,"raw_description":2444},77878,"leave-of-absence-coordinator-sedgwick-claims-management-services-inc-16","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 Leave of Absence Coordinator Leave of Absence Coordinator Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near our dynamic Center of Excellence📍 Indianapolis , IN : 8909 Purdue Road Suite 501, Indianapolis , IN ✨ What we offer: A stable, consistent work environment—both in-office and virtual $19.31 per hour A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us PRIMARY PURPOSE: Analyzes reported leave requests including Family Medical Leave (FMLA), unpaid state, military and company-specific, to make determinations based on client plans, state and federal regulations. Ensures that on-going claim management is within company service standards and industry best practices. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Establishes FMLA and other unpaid state, military, and\u002For company-specific leave claims; tracks and codes documentation in accordance with internal workflow processes. Analyzes FMLA and other unpaid claims to determine eligibility and certification in compliance with client plans, state and federal regulations. Reviews claim information received to identify action plan, determine benefits due, and make timely case decisions based on plan descriptions and service expectations as established by the client. Communicates decisions and on-going expectations clearly and professionally with claimants and clients by phone, written correspondence and\u002For claims system. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. State certification or licensing in statutory leaves is beneficial. Experience One (1) year of administrative\u002Fgeneral office experience or equivalent combination of education and experience required. FMLA administration experience preferred. Skills & Knowledge Knowledge of state and federal FMLA regulations Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical and interpretive skills Strong organizational and multitasking skills Excellent interpersonal skills Ability to exercise judgement in accordance with well-defined policies and procedures Ability to work in a team environment Ability to meet or exceed performance competencies as required by program 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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. 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 $19.31. 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",{"id":2446,"slug":2447,"title":871,"location":13,"raw_job_location_address_addressLocality":1047,"raw_hiringOrganization_logo_url":13,"raw_description":2448},77882,"care-team-representative-sedgwick-claims-management-services-inc-8","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 Care Team Representative Entry-level, Care Team Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near one of our dynamic Centers of Excellence📍 Irving, TX: 2201 W. Royal Lane, Suite 125, Irving TX 75063 ✨ What we offer: A stable, consistent work environment—both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? See what a day in the life of a Care Team Representative is like: SED23026 - Mariah_01-09-24 (vidyard.com) &https:\u002F\u002Fshare.vidyard.com\u002Fwatch\u002FVCLjdFEUwPccjWaBtjLmwX Learn more about our Care Team: Care Team (ceros.com) PRIMARY PURPOSE: To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not limited to, expediting the claims process and providing detailed claim notes on all calls, resolving issues with one call\u002Fone person response, and directing calls to appropriate escalation path as needed. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Acts as primary liaison with callers from multiple client accounts within a shared services environment. Follows specifications in assisting with questions and solving problems related to the claims application and servicing processes. Performs claim intake and full-service customer support within regulatory requirements, company, and client expectations at all times. Educates and informs the customer about documentation required to file\u002Fprocess a claim, required time frames, payment information, and claim status. Educates claimants\u002Fcallers on client requirements and benefit plans documenting all required details of the call in a concise professional manner. Enters verbal and written claim information that meets both the internal and external customer’s requirements accurately into the appropriate system. Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist\u002Fmanagement as needed. Attendance during scheduled work hours is required. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. Experience One (1) year customer service experience or equivalent combination of education and experience required. Inbound call center experience preferred. Skills & Knowledge Excellent verbal and written communication skills PC literate, including Microsoft Office products, Windows environment Must meet minimum typing requirements Strong organizational skills Good interpersonal skills Ability to multi task in fast paced environment Ability to support multiple clients across communication channels and utilize multiple systems simultaneously Ability to work in a team environment and\u002For independently Ability to meet or exceed Performance Competencies Ability to meet all attendance expectations 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\u002FVisual: 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 (17.85). 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.  #entrylevel #contactcenterrep 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",{"id":2450,"slug":2451,"title":2452,"location":13,"raw_job_location_address_addressLocality":1074,"raw_hiringOrganization_logo_url":13,"raw_description":2453},77885,"claims-team-lead-workers-compensation-jurisdiction-licensing-nv-required-remote-sedgwick-claims-management-services-inc","Claims Team Lead - Workers Compensation | Jurisdiction & Licensing: NV Required (Remote)","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 Team Lead - Workers Compensation | Jurisdiction & Licensing: NV Required (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? 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 supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical\u002Fjurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Supervises multiple teams of examiners, multiple product line examiners and\u002For several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit. Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. Provides technical\u002Fjurisdictional direction to examiner reports on claims adjudication. Compiles reviews and analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal. Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner. Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client. Assures that direct reports are properly licensed in the jurisdictions serviced. Ensures claims files are coded correctly and adequate documentation is made by claims examiners. Performs other duties as assigned. Supports the organization's quality program(s). SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing: 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. Experience: Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience. Licensing \u002F Jurisdiction Knowledge: NV 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. 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, travel as required Auditory\u002FVisual: 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 ($80k-$106k). 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 #RiskManagement 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",{"id":2455,"slug":2456,"title":871,"location":13,"raw_job_location_address_addressLocality":1192,"raw_hiringOrganization_logo_url":13,"raw_description":2457},77910,"care-team-representative-sedgwick-claims-management-services-inc-10","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 Care Team Representative Entry-level, Care Team Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near one of our dynamic Centers of Excellence📍 New Albany, OH: 7795 Walton Parkway Suite 200, New Albany OH 43054 ✨ What we offer: A stable, consistent work environment—both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? See what a day in the life of a Care Team Representative is like: SED23026 - Mariah_01-09-24 (vidyard.com) &https:\u002F\u002Fshare.vidyard.com\u002Fwatch\u002FVCLjdFEUwPccjWaBtjLmwX Learn more about our Care Team: Care Team (ceros.com) PRIMARY PURPOSE: To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not limited to, expediting the claims process and providing detailed claim notes on all calls, resolving issues with one call\u002Fone person response, and directing calls to appropriate escalation path as needed. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Acts as primary liaison with callers from multiple client accounts within a shared services environment. Follows specifications in assisting with questions and solving problems related to the claims application and servicing processes. Performs claim intake and full-service customer support within regulatory requirements, company, and client expectations at all times. Educates and informs the customer about documentation required to file\u002Fprocess a claim, required time frames, payment information, and claim status. Educates claimants\u002Fcallers on client requirements and benefit plans documenting all required details of the call in a concise professional manner. Enters verbal and written claim information that meets both the internal and external customer’s requirements accurately into the appropriate system. Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist\u002Fmanagement as needed. Attendance during scheduled work hours is required. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. Experience One (1) year customer service experience or equivalent combination of education and experience required. Inbound call center experience preferred. Skills & Knowledge Excellent verbal and written communication skills PC literate, including Microsoft Office products, Windows environment Must meet minimum typing requirements Strong organizational skills Good interpersonal skills Ability to multi task in fast paced environment Ability to support multiple clients across communication channels and utilize multiple systems simultaneously Ability to work in a team environment and\u002For independently Ability to meet or exceed Performance Competencies Ability to meet all attendance expectations 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\u002FVisual: 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 (17.85). 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.  #entrylevel #contactcenterrep 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",{"id":2459,"slug":2460,"title":2461,"location":13,"raw_job_location_address_addressLocality":1231,"raw_hiringOrganization_logo_url":13,"raw_description":2462},77911,"workers-compensation-claims-team-lead-sedgwick-claims-management-services-inc","Workers Compensation - Claims Team Lead","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 Team Lead | Orange, CA 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? 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. OFFICE LOCATIONS: Remote option available - Must Reside in California. PRIMARY PURPOSE OF THE ROLE: Oversees multiple teams of examiners and technical staff handling workers compensation claims for clients. Manages workloads, provides training, and monitors individual claim activities. Offers technical and jurisdictional guidance on claims adjudication and maintains regular diaries, especially for complex or high-exposure case. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Supervises multiple teams of examiners and technical operations colleagues, delegating duties as needed and ensuring proper licensing and documentation standards. Provides technical and jurisdictional guidance on claims adjudication, including quality reviews and reserve evaluations for high-cost or complex claims. Acts as a second-level appeal authority for client and claimant issues, implementing final decisions. Identifies trends, issues, and opportunities for process improvement; advises management and coordinates related projects. Monitors third-party and sensitive claims, including litigated and vocational rehabilitation cases. Maintains professional client relationships, offering recommendations and written summaries as needed. Ensures accurate claim coding and documentation by examiners. QUALIFICATIONS Education & Licensing: 6 years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience. 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. Licensing \u002F Jurisdiction Knowledge: SIP & California Workers Compensation claims handling 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. 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\u002FVisual: 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 $105,000-115,000K\u002Fyr. 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. #claims #claimsteamlead #supervisor #hybrid #remote 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",{"id":2464,"slug":2465,"title":2466,"location":13,"raw_job_location_address_addressLocality":1198,"raw_hiringOrganization_logo_url":13,"raw_description":2467},77912,"claims-representative-workers-compensation-on-site-ontario-california-sedgwick-claims-management-services-inc","Claims Representative- Workers Compensation (On-Site Ontario, California)","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 Representative- Workers Compensation (On-Site Ontario, California) 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 core values that include empathy, accountability, collaboration, growth, and inclusion. LOCATION: IN-OFFICE ONTARIO, CALIFORNIA PRIMARY PURPOSE: To process low level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements with general supervision. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Processes low level workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency. Develops and coordinates low level workers compensation claims' action plans to resolution, return-to-work efforts, and approves claim payments. Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract. 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 Two (2) years of claims management experience or equivalent combination of education and experience or successful completion of Claims Representative training 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. 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\u002FVisual: 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 $26.55-27\u002Fhr. 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",{"id":2469,"slug":2470,"title":871,"location":13,"raw_job_location_address_addressLocality":1245,"raw_hiringOrganization_logo_url":13,"raw_description":2471},77915,"care-team-representative-sedgwick-claims-management-services-inc-11","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 Care Team Representative Entry-level, Care Team Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near one of our dynamic Centers of Excellence📍 Orlando, FL: 12650 Ingenuity Drive, Orlando FL 32826 ✨ What we offer: A stable, consistent work environment—both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? See what a day in the life of a Care Team Representative is like: SED23026 - Mariah_01-09-24 (vidyard.com) &https:\u002F\u002Fshare.vidyard.com\u002Fwatch\u002FVCLjdFEUwPccjWaBtjLmwX Learn more about our Care Team: Care Team (ceros.com) PRIMARY PURPOSE: To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not limited to, expediting the claims process and providing detailed claim notes on all calls, resolving issues with one call\u002Fone person response, and directing calls to appropriate escalation path as needed. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Acts as primary liaison with callers from multiple client accounts within a shared services environment. Follows specifications in assisting with questions and solving problems related to the claims application and servicing processes. Performs claim intake and full-service customer support within regulatory requirements, company, and client expectations at all times. Educates and informs the customer about documentation required to file\u002Fprocess a claim, required time frames, payment information, and claim status. Educates claimants\u002Fcallers on client requirements and benefit plans documenting all required details of the call in a concise professional manner. Enters verbal and written claim information that meets both the internal and external customer’s requirements accurately into the appropriate system. Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist\u002Fmanagement as needed. Attendance during scheduled work hours is required. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. Experience One (1) year customer service experience or equivalent combination of education and experience required. Inbound call center experience preferred. Skills & Knowledge Excellent verbal and written communication skills PC literate, including Microsoft Office products, Windows environment Must meet minimum typing requirements Strong organizational skills Good interpersonal skills Ability to multi task in fast paced environment Ability to support multiple clients across communication channels and utilize multiple systems simultaneously Ability to work in a team environment and\u002For independently Ability to meet or exceed Performance Competencies Ability to meet all attendance expectations 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\u002FVisual: 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 (17.85). 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.  #entrylevel #contactcenterrep 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",{"id":2473,"slug":2474,"title":2475,"location":13,"raw_job_location_address_addressLocality":1929,"raw_hiringOrganization_logo_url":13,"raw_description":2476},77916,"claims-examiner-workers-compensation-jurisdiction-ca-or-nv-licensing-required-sedgwick-claims-management-services-inc","Claims Examiner - Workers Compensation | Jurisdiction: CA or NV | Licensing: 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 Examiner - Workers Compensation | Jurisdiction: CA or NV | Licensing: 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 examiner 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 analyze workers compensation 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 5 years of claims management experience or equivalent combination of education and experience required. Licensing \u002F Jurisdiction Knowledge: Must be licensed in California or Nevada 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\u002FVisual: 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 (80k-100k). 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 #LI-REMOTE 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",{"id":2478,"slug":2479,"title":2480,"location":13,"raw_job_location_address_addressLocality":1333,"raw_hiringOrganization_logo_url":13,"raw_description":2481},77918,"workers-compensation-claims-examiner-ca-on-site-or-remote-sedgwick-claims-management-services-inc","Workers Compensation Claims Examiner - CA | On-Site or Remote","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 Examiner - CA | On-Site or 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 workers compensation 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? Seeking a seasoned California Workers Compensation Examiner who values strong client partnerships, enjoys a reasonable caseload, and works within a well‑managed intake environment. OFFICE LOCATIONS: RIVERSIDE, CA ONTARIO, CA ROSEVILLE, CA OTHER CA locations and REMOTE OPTIONS MAY BE AVAILABLE PRIMARY PURPOSE OF THE ROLE: To analyze Workers Compensation 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. ESSENTIAL RESPONSIBLITIES 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: 3 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. Licensing \u002F Jurisdiction Knowledge: 3 or more years California workers compensation jurisdictional knowledge required, SIP required or must be obtained within one (1) year of employment TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Career development and promotional growth opportunities.  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\u002FVisual: 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 $95,000-105,000K. 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. 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 #LI-HYBRID 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",{"id":2483,"slug":2484,"title":2485,"location":13,"raw_job_location_address_addressLocality":1929,"raw_hiringOrganization_logo_url":13,"raw_description":2486},77919,"claims-examiner-workers-compensation-team-lead-jurisdiction-ca-or-nv-licensing-required-sedgwick-claims-management-services-inc","Claims Examiner - Workers Compensation Team Lead | Jurisdiction: CA or NV | Licensing: 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 Examiner - Workers Compensation Team Lead | Jurisdiction: CA or NV | Licensing: 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 Workers Compensation & supervisory 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 supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical\u002Fjurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. 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 RESPONSIBLITIES MAY INCLUDE 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. Manages the litigation process; ensures timely and cost-effective claims resolution. Coordinates vendor referrals for additional investigation and\u002For litigation management. Leads team meetings and assigns accountability for follow-up items. Gathers important compliance\u002Fclaims processing information to be presented at team meetings. Assists in interviews of adjusters, clerical staff and provides feedback to hiring manager. Provides limited assistance\u002Fsupport to team lead with monthly review of adjuster workloads; notes trends and suggests adjustments when necessary. May include up to (3) three direct reports. SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership, and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing: 5 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\u002FLicensing: CA 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\u002FVisual: 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 (100k-115k). 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 #LI-REMOTE 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",{"id":2488,"slug":2489,"title":1342,"location":13,"raw_job_location_address_addressLocality":1343,"raw_hiringOrganization_logo_url":13,"raw_description":2490},77922,"claims-examiner-workers-compensation-sedgwick-claims-management-services-inc-3","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 Compensation 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're looking for a claims professional with California workers' compensation experience who enjoys solving complex problems and delivering outstanding service. The ideal candidate has experience handling litigated and high-exposure claims, understands California jurisdictional requirements, and can confidently manage claims through investigation, benefit determination, settlement negotiation, and resolution. WORK LOCATIONS Roseville, CA (Hybrid - 2 days onsite) PRIMARY PURPOSE OF THE ROLE To analyze complex or technically difficult California 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 RESPONSIBLITIES MAY INCLUDE 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. Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner. QUALIFICATIONS Education & Licensing: Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Experience: Four (4) years of California workers compensation claims management experience or equivalent combination of education and experience required. Licensing \u002F Jurisdiction Knowledge: California jurisdictional knowledge required; SIP required or must be obtained within one year of hire date. 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\u002FVisual: 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 $80,000 - $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. #Claims #ClaimsExaminer #LI-Remote 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",{"id":2492,"slug":2493,"title":2494,"location":13,"raw_job_location_address_addressLocality":1343,"raw_hiringOrganization_logo_url":13,"raw_description":2495},77924,"general-liability-claims-examiner-public-entity-sedgwick-claims-management-services-inc","General Liability Claims Examiner - Public Entity","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 General Liability Claims Examiner - Public Entity 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 address and handle high end Public Entity General Liability cases with serious injuries, complex coverage scenarios and legal inquiries or disputes; to develop a strategy to bring a case to satisfactory resolution. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Reviews\u002Facts on reports\u002Fforms; responds to inquiries; seeks legal opinion and early resolution; and communicates resolution to appropriate parties. Handles high end cases with serious injuries and\u002For complex coverage scenarios. Responds to decisions, agreement, and\u002For court order; creates action plan; determines need for examination; gains client authorization. Identifies cases for settlements\u002Fredemptions. Gathers\u002Fdocuments additional information and coordinates with client designees. Requests legal\u002Fprivate 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\u002Fadjusts 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. Experience Four (4) years of General liability claims management experience or equivalent combination of education and experience required. 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\u002FVisual: Hearing, vision and talking 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 $80,000 - $105,000. 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. #Claims #ClaimsExaminer #LI-Hybrid #LI-Remote 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",{"id":2497,"slug":2498,"title":2499,"location":13,"raw_job_location_address_addressLocality":1407,"raw_hiringOrganization_logo_url":13,"raw_description":2500},77929,"marine-surveyor-sedgwick-claims-management-services-inc","Marine Surveyor","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 Marine Surveyor PRIMARY PURPOSE: To inspect cargo damaged in transit and determine the nature, cause, and extent of damages; to review documents to determine when the cargo was damaged; and to provide written reports to underwriters and other parties with his\u002Fher qualified opinion as to the cause of loss. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Oversees loading and unloading of cargo from ships and other forms of transit to document damages as they are loaded and\u002For unloaded. Inspects damaged ships to determine cause of the damage and amount of damage resulting from collisions or motor failures. 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 Five (5) years of related experience or equivalent combination of education and experience required. Skills & Knowledge Good oral and written communication skills PC literate, including Microsoft Office products Good customer service skills Good organizational skills Ability to work independently and 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: Must be able to stand and\u002For walk for long periods of time. Must be able to kneel, squat or bend. Must be able to work outdoors in hot and\u002For cold weather conditions. Have the ability to: climb, crawl, stoop, kneel, and reaching\u002Fworking overhead. Be able to push\u002Fpull up to 100 pounds. Be able to drive up to 4 hours per day. Must have continual use of manual dexterity Auditory\u002FVisual: 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 $70-$90k. 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. We are always accepting applications. 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",{"id":2502,"slug":2503,"title":1499,"location":13,"raw_job_location_address_addressLocality":1973,"raw_hiringOrganization_logo_url":13,"raw_description":2504},77933,"claims-examiner-auto-bodily-injury-sedgwick-claims-management-services-inc-7","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, Auto | Bodily Injury PRIMARY PURPOSE OF THE ROLE: To analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. ARE YOU AN IDEAL CANDIDATE? To analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements. ESSENTIAL RESPONSIBLITIES MAY INCLUDE 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\u002Fprocessing with insured, client, and agent or broker when appropriate. Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing: 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. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Skills: strong oral and written communication, including presentation skills, PC literate including Microsoft Office products, and ability to work in a team environment. Secure and maintain the State adjusting licenses as required for the position. Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 $70,000 per year. 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. 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. 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",{"id":2506,"slug":2507,"title":2508,"location":13,"raw_job_location_address_addressLocality":1973,"raw_hiringOrganization_logo_url":13,"raw_description":2509},77934,"claims-examiner-auto-commercial-bodily-injury-litigation-required-sedgwick-claims-management-services-inc","Claims Examiner, Auto | Commercial Bodily Injury | Litigation 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 Examiner, Auto | Commercial Bodily Injury | Litigation Required PRIMARY PURPOSE OF THE ROLE: To analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. ARE YOU AN IDEAL CANDIDATE? To analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements. ESSENTIAL RESPONSIBLITIES MAY INCLUDE 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\u002Fprocessing with insured, client, and agent or broker when appropriate. Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing: 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. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Skills: strong oral and written communication, including presentation skills, PC literate including Microsoft Office products, and ability to work in a team environment. Secure and maintain the State adjusting licenses as required for the position. Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 $70,000 per year. 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. 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. 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",{"id":2511,"slug":2512,"title":2513,"location":13,"raw_job_location_address_addressLocality":1973,"raw_hiringOrganization_logo_url":13,"raw_description":2514},77935,"claims-examiner-auto-commercial-bodily-injury-sedgwick-claims-management-services-inc","Claims Examiner, Auto | Commercial Bodily Injury","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, Auto | Commercial Bodily Injury PRIMARY PURPOSE OF THE ROLE: To analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. ARE YOU AN IDEAL CANDIDATE? To analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements. ESSENTIAL RESPONSIBLITIES MAY INCLUDE 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\u002Fprocessing with insured, client, and agent or broker when appropriate. Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing: 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. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Skills: strong oral and written communication, including presentation skills, PC literate including Microsoft Office products, and ability to work in a team environment. Secure and maintain the State adjusting licenses as required for the position. Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 $70,000 to $75,000 . 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. 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",{"id":2516,"slug":2517,"title":2306,"location":13,"raw_job_location_address_addressLocality":1973,"raw_hiringOrganization_logo_url":13,"raw_description":2307},77936,"claims-representative-auto-property-damage-sedgwick-claims-management-services-inc",{"id":2519,"slug":2520,"title":871,"location":13,"raw_job_location_address_addressLocality":1428,"raw_hiringOrganization_logo_url":13,"raw_description":2521},77940,"care-team-representative-sedgwick-claims-management-services-inc-12","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 Care Team Representative Entry-level, Care Team Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near one of our dynamic Centers of Excellence📍 Southfield, MI: 300 Galleria Officentre, Southfield MI 48034 ✨ What we offer: A stable, consistent work environment—both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? See what a day in the life of a Care Team Representative is like: SED23026 - Mariah_01-09-24 (vidyard.com) &https:\u002F\u002Fshare.vidyard.com\u002Fwatch\u002FVCLjdFEUwPccjWaBtjLmwX Learn more about our Care Team: Care Team (ceros.com) PRIMARY PURPOSE: To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not limited to, expediting the claims process and providing detailed claim notes on all calls, resolving issues with one call\u002Fone person response, and directing calls to appropriate escalation path as needed. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Acts as primary liaison with callers from multiple client accounts within a shared services environment. Follows specifications in assisting with questions and solving problems related to the claims application and servicing processes. Performs claim intake and full-service customer support within regulatory requirements, company, and client expectations at all times. Educates and informs the customer about documentation required to file\u002Fprocess a claim, required time frames, payment information, and claim status. Educates claimants\u002Fcallers on client requirements and benefit plans documenting all required details of the call in a concise professional manner. Enters verbal and written claim information that meets both the internal and external customer’s requirements accurately into the appropriate system. Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist\u002Fmanagement as needed. Attendance during scheduled work hours is required. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. Experience One (1) year customer service experience or equivalent combination of education and experience required. Inbound call center experience preferred. Skills & Knowledge Excellent verbal and written communication skills PC literate, including Microsoft Office products, Windows environment Must meet minimum typing requirements Strong organizational skills Good interpersonal skills Ability to multi task in fast paced environment Ability to support multiple clients across communication channels and utilize multiple systems simultaneously Ability to work in a team environment and\u002For independently Ability to meet or exceed Performance Competencies Ability to meet all attendance expectations 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\u002FVisual: 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 (17.85). 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.  #entrylevel #contactcenterrep 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",{"id":2523,"slug":2524,"title":2215,"location":13,"raw_job_location_address_addressLocality":1450,"raw_hiringOrganization_logo_url":13,"raw_description":2525},77944,"workers-compensation-claims-adjuster-ny-jurisdiction-experience-required-dedicated-client-sedgwick-claims-management-services-inc","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 Adjuster | NY Jurisdiction Experience Required | Dedicated Client 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. OFFICE LOCATIONS Hybrid Schedule if within commutable distance to Syracuse, NY office Remote if outside of commutable distance to Syracuse, NY office PRIMARY PURPOSE OF THE ROLE: To analyze Lost-Time Workers Compensation 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. ESSENTIAL RESPONSIBLITIES 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: NY Licensing: NY preferred, 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. 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\u002FVisual: Hearing, vision and talking #claimsexaminer #claims #remote 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 (70 - 80K). 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",{"id":2527,"slug":2528,"title":2529,"location":13,"raw_job_location_address_addressLocality":2530,"raw_hiringOrganization_logo_url":13,"raw_description":2531},77945,"administrative-assistant-sr-little-rock-arkansas-sedgwick-claims-management-services-inc","Administrative Assistant Sr- Little Rock, Arkansas","Telecommuter AR","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 Sr- Little Rock, Arkansas 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 in final form; 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\u002For manuals. Records meeting minutes. Makes travel arrangements. Maintains adequate supply inventory; orders supplies as needed. Researches a variety of topics 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 Two (2) years 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\u002FVisual: 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. 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",{"id":2533,"slug":2534,"title":2535,"location":13,"raw_job_location_address_addressLocality":1465,"raw_hiringOrganization_logo_url":13,"raw_description":2536},77946,"claims-adjuster-workers-compensation-jurisdiction-tx-mn-mi-licensing-tx-or-home-state-required-remote-sedgwick-claims-management-services-inc","Claims Adjuster - Workers Compensation | Jurisdiction: TX, MN, MI | Licensing: TX or Home State required - Remote","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 Adjuster - Workers Compensation | Jurisdiction: TX, MN, MI | Licensing: TX or Home State required - 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. 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 analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency. Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments. Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract. Manages subrogation of claims and negotiates settlements. Communicates claim action with claimant and client. Ensures claim files are properly documented and claims coding is correct. May process complex lifetime medical and\u002For defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review. Maintains professional client relationships. QUALIFICATIONS Education and Licensing: Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Experience Four (4) years of claims management experience or equivalent combination of education and experience required. Jurisdiction Knowledge: TX, MN, MI Licensing: TX TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Opportunity to work in an agile environment. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. 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\u002FVisual: 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 ($60,000.00-$85,000.00. 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",{"id":2538,"slug":2539,"title":821,"location":13,"raw_job_location_address_addressLocality":1459,"raw_hiringOrganization_logo_url":13,"raw_description":2540},77947,"field-case-manager-sedgwick-claims-management-services-inc-8","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 Field Case Manager This Field Case Manager will cover South Tampa and Bradenton\u002F Sarasota area and must live in this are to be considered. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; through advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face-to-face interaction with injured workers and medical professionals. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure preferred; or bachelor’s degree in health or human services field required with one of the following certifications: CCM, CDMS, or CRC. Valid driver’s license required. High speed internet required. Employment may be contingent upon successful completion of a motor vehicle record (MVR) check, where job related. 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\u002FVisual: Hearing, vision and talking TAKING CARE OF YOU BY Offering a blended work environment. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer a diverse and comprehensive benefits package including: Three Medical, and two dental plans to choose from. Tuition reimbursement eligible. 401K plan that matches 50% on every $ you put in up to the first 6% you save. 4 weeks PTO your first full year. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #fieldcasemanager 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",{"id":2542,"slug":2543,"title":2544,"location":13,"raw_job_location_address_addressLocality":2545,"raw_hiringOrganization_logo_url":13,"raw_description":2546},77951,"workers-compensation-claims-examiner-strong-vt-jurisdictional-experience-vt-licensing-required-additional-jurisdictions-ct-ma-nh-ri-sedgwick-claims-management-services-inc","Workers Compensation Claims Examiner | Strong VT Jurisdictional Experience & VT Licensing Required | Additional Jurisdictions: CT, MA, NH, RI","Telecommuter CT","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 Examiner | Strong VT Jurisdictional Experience & VT Licensing Required | Additional Jurisdictions: CT, MA, NH, RI 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 examiner 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 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 4+ years of claims management experience or equivalent combination of education and experience required. Jurisdiction Knowledge: CT, MA, NH, RI, VT Licensing: VT 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\u002FVisual: 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 (80- 90K). 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 #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. 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",{"id":2548,"slug":2549,"title":2550,"location":13,"raw_job_location_address_addressLocality":2545,"raw_hiringOrganization_logo_url":13,"raw_description":2551},77952,"workers-compensation-claims-examiner-dedicated-client-capped-caseloads-ct-ma-nj-vt-jurisdiction-experience-vt-ct-licensing-sedgwick-claims-management-services-inc","Workers Compensation Claims Examiner | Dedicated Client & Capped Caseloads | CT, MA, NJ, VT Jurisdiction Experience | VT & CT Licensing","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 Examiner | Dedicated Client & Capped Caseloads | CT, MA, NJ, VT Jurisdiction Experience | VT & CT Licensing 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 examiner 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 analyze Lost-time Workers Compensation 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 3 years of claims management experience or equivalent combination of education and experience required. Jurisdiction Knowledge: CT, MA, NJ, VT Licensing: VT & CT 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\u002FVisual: 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 ($80K - $90K). 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 #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. 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",{"id":2553,"slug":2554,"title":2555,"location":13,"raw_job_location_address_addressLocality":1476,"raw_hiringOrganization_logo_url":13,"raw_description":2556},77953,"workers-compensation-claims-adjuster-sedgwick-claims-management-services-inc","Workers Compensation - Claims Adjuster","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 Adjuster | Orange, CA 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. OFFICE LOCATION: California - Candidates must reside in CA PRIMARY PURPOSE: To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency. Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments. Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract. Manages subrogation of claims and negotiates settlements. Communicates claim action with claimant and client. Ensures claim files are properly documented and claims coding is correct. May process complex lifetime medical and\u002For defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review. Maintains professional client relationships. 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 Four (4) years of California Workers Compensation claims management experience or equivalent combination of education and experience required. Licensing \u002F Jurisdiction Knowledge: California jurisdictional knowledge required; SIP required or must be obtained within one (1) year of employment. 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\u002FVisual: 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 $73,000 - 85,000. 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. #Claims #ClaimsAdjuster #Hybrid #Remote 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",{"id":2558,"slug":2559,"title":2560,"location":13,"raw_job_location_address_addressLocality":630,"raw_hiringOrganization_logo_url":13,"raw_description":2561},77955,"claims-examiner-liability-general-and-product-liability-jurisdiction-all-states-licensing-home-state-and-ny-required-remote-sedgwick-claims-management-services-inc","Claims Examiner - Liability | General and Product Liability | Jurisdiction: All states | Licensing: Home state and NY Required (Remote)","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 | General and Product Liability | Jurisdiction: All states | Licensing: Home state and NY Required (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? 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.  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 analyze complex or technically difficult general and product liability and ligated 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 RESPONSIBLITIES 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: 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. Experience: 5 years of claims management experience or equivalent combination of education and experience required. Licensing \u002F Jurisdiction Knowledge: All 50 states, NY, IA, FL licensing required or willing to obtain within six months of employment. TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Opportunity to work in an agile environment. 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, travel as required Auditory\u002FVisual: 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 ($60k-$80k). 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. 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",{"id":2563,"slug":2564,"title":2565,"location":13,"raw_job_location_address_addressLocality":630,"raw_hiringOrganization_logo_url":13,"raw_description":2566},77956,"claims-examiner-workers-compensation-jurisdiction-southeast-states-licensing-fl-or-home-state-required-remote-sedgwick-claims-management-services-inc","Claims Examiner - Workers Compensation | Jurisdiction: Southeast States | Licensing: FL or home state required - Remote","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 Compensation | Jurisdiction: Southeast States | Licensing: FL or home state required - 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? 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.  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 analyze 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 5 years of claims management experience or equivalent combination of education and experience required. Licensing : FL or home state required Jurisdiction Knowledge: FL, GA, NC, SC, AL, AR, KY TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Opportunity to work in an agile environment. 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, travel as required Auditory\u002FVisual: 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 (65k-81k). 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. 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",{"id":2568,"slug":2569,"title":2570,"location":13,"raw_job_location_address_addressLocality":630,"raw_hiringOrganization_logo_url":13,"raw_description":2571},77957,"claims-examiner-workers-compensation-jurisdiction-southeast-states-licensing-fl-required-sedgwick-claims-management-services-inc","Claims Examiner - Workers Compensation | Jurisdiction: Southeast states | Licensing: FL 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 Examiner - Workers Compensation | Jurisdiction: Southeast states | Licensing: FL 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 Workers Compensation & supervisory 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 complex or technically difficult general liability claims to determine benefits due; to work with high exposure liability claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; to identify subrogation of claims and negotiate settlements; and to provide backup for team lead when out of the office. 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 RESPONSIBLITIES MAY INCLUDE 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. Manages the litigation process; ensures timely and cost-effective claims resolution. Coordinates vendor referrals for additional investigation and\u002For litigation management. Leads team meetings and assigns accountability for follow-up items. Gathers important compliance\u002Fclaims processing information to be presented at team meetings. Assists in interviews of adjusters, clerical staff and provides feedback to hiring manager. Provides limited assistance\u002Fsupport to team lead with monthly review of adjuster workloads; notes trends and suggests adjustments when necessary. May include up to (3) three direct reports. SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership, and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing: 5 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: Experience in SE jurisdiction, FL experience necessary. Licensing: Required TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Opportunity to work in an agile environment. 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\u002FVisual: 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 ($63-88K). 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  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",{"id":2573,"slug":2574,"title":2575,"location":13,"raw_job_location_address_addressLocality":630,"raw_hiringOrganization_logo_url":13,"raw_description":2576},77960,"data-privacy-analyst-sedgwick-claims-management-services-inc","Data Privacy Analyst","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 Data Privacy Analyst PRIMARY PURPOSE: Ensures compliance with privacy laws and regulations with internal stakeholders, manages the full life cycle of Data Subject Access Requests (DSAR) requests, and responds to escalated privacy and breach incidents. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Partners with Sedgwick business units to ensure compliance with applicable privacy laws and regulations. Analyzes escalated suspected privacy incidents reported to the privacy team to ensure appropriate and prompt response. Assists with escalated breach notification efforts including coordination with outside resources. Manages database(s) of privacy incidents and reporting. Keeps informed regarding pending privacy and industry laws, regulations, changes, trends, and best practices and assesses the potential impact of these changes on organizational processes and apprises Privacy team of relevant developments. Completes the full life cycle of Data Subject Access Requests (DSAR) requests. Ensures all DSARs are completed within agreed timeframes. Manages and maintains a DSAR log and produce reports and information summaries on DSARs. Liaises with internal stakeholders in matters relating to data breaches (including preparedness, prevention, impact mitigation and integral management of breaches) and DSARs (including information verification and request fulfillment). Completes other privacy-related tasks as assigned. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Possession of relevant qualifications such as Certified Information Privacy Professional (CIPP), Certified Information Privacy Manager (CIPM), or Certified Information Privacy Technologist (CIPT), or equivalent required. Experience Five (5) years of experience in privacy, compliance or a related field, or equivalent combination of education and experience required. Working knowledge of OneTrust platform preferred. Skills & Knowledge Solid understanding of privacy laws and regulations, including GDPR, CCPA, HIPAA, and other relevant laws and regulations Experience in managing potential security incidents, including investigation and analysis Experience in fulfilling DSAR requests Ability to think strategically, assess risks and evaluate the potential consequences Sufficient commercial awareness to understand, manage and navigate client expectations Excellent communication skills, including the ability to communicate complex privacy concepts and communicate effectively with different stakeholders Strong project management and leadership skills, with the ability to manage multiple projects and priorities simultaneously Excellent working knowledge of Microsoft Outlook, Word, Excel, and online research tools and databases Experience in implementing privacy policies, procedures, and controls. Strong analytical and problem-solving skills Ability to work independently and collaboratively as part of a team. Willingness to learn and develop new skills Strong attention to detail 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 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\u002FVisual: 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",{"id":2578,"slug":2579,"title":821,"location":13,"raw_job_location_address_addressLocality":1515,"raw_hiringOrganization_logo_url":13,"raw_description":2580},77965,"field-case-manager-sedgwick-claims-management-services-inc-9","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 Field Case Manager This Field Case Manager will cover our Augusta, GA region and must live in this region in order to be considered. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; through advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face-to-face interaction with injured workers and medical professionals. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure preferred; or bachelor’s degree in health or human services field required with one of the following certifications: CCM, CDMS, or CRC. Valid driver’s license required. High speed internet required. Employment may be contingent upon successful completion of a motor vehicle record (MVR) check, where job related. 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\u002FVisual: Hearing, vision and talking TAKING CARE OF YOU BY Offering a blended work environment. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer a diverse and comprehensive benefits package including: Three Medical, and two dental plans to choose from. Tuition reimbursement eligible. 401K plan that matches 50% on every $ you put in up to the first 6% you save. 4 weeks PTO your first full year. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #fieldcasemanager 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",{"id":2582,"slug":2583,"title":2584,"location":13,"raw_job_location_address_addressLocality":1515,"raw_hiringOrganization_logo_url":13,"raw_description":2585},77966,"housing-support-specialist-sedgwick-claims-management-services-inc","Housing Support Specialist","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 Housing Support Specialist SCHEDULE: Mon - Fri 11:00 PM-8:00 PM EST (Subject to change based off of business needs) PRIMARY PURPOSE: To coordinate and manage lease extensions and ongoing housing support needs for displaced policyholders in a fast-paced, service-driven environment. This role is responsible for ensuring continuity of housing by proactively managing extensions, resolving in-stay service issues, and maintaining strong communication between insureds, adjusters, and landlords. The Housing Support Specialist serves as both a client advocate and operational coordinator blending empathetic customer support, strategic vendor coordination, and detailed lease management to ensure uninterrupted, comfortable housing while delivering an elevated service experience with urgency, accountability, and professionalism. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Support and promote Sedgwick’s mission, strategic vision, and value proposition to adjusters and policyholders Serve as a key point of contact for adjusters and landlords during the insured's relocation, ensuring consistent communication, clear expectations, and empathetic support during extensions and ongoing service needs Manage the full lease extension process including requesting and securing approvals from adjusters, coordinating updated lease terms with landlords and vendors and communicating timelines and expectations to policyholders Proactively monitor upcoming lease expirations to prevent service interruptions and ensure seamless housing continuity Coordinate and resolve in-stay service requests including furniture exchanges, add-ons, and maintenance-related concerns Collaborate with landlords, property managers, and vendors to execute timely service solutions and extension agreements Investigate and resolve issues related to property conditions, damages, and vendor performance Maintain accurate financial and operational records, including updating client ledgers for billing accuracy, tracking extension costs within ALE guidelines, manage move-out coordination when applicable, including vendor pickups, lease terminations, and security deposit reconciliation Document all communication, updates, and actions in internal systems with a high level of accuracy and timeliness Identify risks, delays, or service failures early and escalate appropriately with ownership and urgency Maintain a high-touch service model for all clients, including VIP or complex claims requiring elevated coordination Handle multiple claims simultaneously while meeting service level expectations and deadlines 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 Two (2) years of experience in leasing, property management, customer service or account management. Previous experience in insurance, temporary housing, property management or real estate strongly preferred. Skills & Knowledge Exceptional verbal and written communication skills with the ability to manage sensitive client situations with professionalism and empathy. Strong organizational skills with the ability to manage high volume of extensions, deadlines, and service requests simultaneously. Detail-oriented with a focus on billing accuracy, lease documentation, and system updates. Strong problem-solving and critical-thinking abilities, especially when resolving housing or vendor-related issues. Proficiency in Microsoft Office (Word, Excel) and ability to quickly learn internal systems and CRM platforms. Ability to work independently in a fast-paced environment with shifting priorities. Strong coordination and relationship management skills when working with vendors, landlords, and adjusters. Solutions-oriented mindset with a proactive approach to preventing service disruptions. High level of accountability, urgency, and ownership in managing assigned claims. Bi-lingual English\u002FSpanish a plus. 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\u002FVisual: 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. 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 $17.00-$19.00\u002Fhr. Always accepting applications. 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",{"id":2587,"slug":2588,"title":2589,"location":13,"raw_job_location_address_addressLocality":822,"raw_hiringOrganization_logo_url":13,"raw_description":2590},77967,"contents-desk-adjuster-sedgwick-claims-management-services-inc","Contents Desk Adjuster","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 Contents Desk Adjuster PRIMARY PURPOSE: Handles losses and claims valued up to $15,000 for property and casualty insurers through the thorough examination of documents, records, loss reports, and other relevant documentation. Efficiently manages a case load using technology for efficient claim processing. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Evaluates insurance policies, claims forms, policies, endorsements, carrier instructions, and other records to determine insurance coverage. Conducts thorough investigations, gathers official reports as needed, consults police and hospital records and inspects physical damage or written estimates for damages based on a conducted inspection to determine extent of company's liability and varying methods of investigation, according to type of insurance. Interviews, telephones, and\u002For corresponds with claimant and witnesses regarding claim. Estimates cost of repair, replacement, or compensation. Prepares report of findings and negotiates claim settlements by adhering to carrier instructions and obtaining necessary information. Issues settlement checks, files regulatory documents, and handles salvage and subrogation as applicable. Recommends litigation by legal department when settlement cannot be negotiated. Attends litigation hearings and participates in depositions as necessary. Revises case reserves in assigned claims files to cover probable costs. Maintains an expected caseload efficiently. Utilizes technology and automation tools for efficient claim handling. Sends claims exceeding $15,000 gross loss amount to leadership for authority approval. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Must obtain IIA-AIC designation within 12 to 18 months in the role. Appropriate state adjuster license is required. Experience Three (3) year of related experience or equivalent combination of education and experience required. Prior experience handling property and casualty claims a plus but not required. Skills & Knowledge Empathetic claims handling demeanor Strong communication, analytical, organizational, and interpersonal skills PC literate, including Microsoft Office products Analytical and interpretive skills 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 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\u002FVisual: 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 $45,000 - $55,000 USD annually. 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",{"id":2592,"slug":2593,"title":676,"location":13,"raw_job_location_address_addressLocality":822,"raw_hiringOrganization_logo_url":13,"raw_description":2594},77968,"outside-contents-evaluator-assistant-sedgwick-claims-management-services-inc-2","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 Outside Contents Evaluator Assistant PRIMARY PURPOSE: To complete the physical onsite inventory process including: driving to and from the loss location, physical inventory of contents, and uploading data from field work to server. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Assists in completing the physical onsite inventory of total loss contents items under the direction of Outside Contents Evaluator Associate. Tracks time and logs file notes for all of that day’s field activity. Oversees all necessary maintenance of crew vehicles, including: gas, oil changes, tire rotations, and any other necessary repairs. Maintains daily care and maintenance of all equipment. Conforms with and abides by all regulations, policies, work procedures, and instructions. 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. Experience One (1) year customer service experience or equivalent combination of education and experience preferred. Skills & Knowledge Oral and written communication skills PC literate, including Microsoft Office products Good comprehensive decision making skills Ability to read and comprehend policy language 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: Ability to stand and\u002For walk for long periods of time. Ability to kneel, squat and\u002For bend. Ability to work outdoors in hot and\u002For cold weather conditions. Ability to climb, crawl, stoop, kneel, and\u002For reach overhead Ability to lift\u002Fcarry up to 50 pounds and push\u002Fpull up to 100 pounds Ability to drive up to 8 hours per day and\u002For ride for an extended period. Must have continual use of manual dexterity. Auditory\u002FVisual: 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 ($17 - $22 USD hourly). 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",{"id":2596,"slug":2597,"title":676,"location":13,"raw_job_location_address_addressLocality":2598,"raw_hiringOrganization_logo_url":13,"raw_description":2599},77971,"outside-contents-evaluator-assistant-sedgwick-claims-management-services-inc-3","Telecommuter NC","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 Outside Contents Evaluator Assistant PRIMARY PURPOSE: To complete the physical onsite inventory process including: driving to and from the loss location, physical inventory of contents, and uploading data from field work to server. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Assists in completing the physical onsite inventory of total loss contents items under the direction of Outside Contents Evaluator Associate. Tracks time and logs file notes for all of that day’s field activity. Oversees all necessary maintenance of crew vehicles, including: gas, oil changes, tire rotations, and any other necessary repairs. Maintains daily care and maintenance of all equipment. Conforms with and abides by all regulations, policies, work procedures, and instructions. 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. Experience One (1) year customer service experience or equivalent combination of education and experience preferred. Skills & Knowledge Oral and written communication skills PC literate, including Microsoft Office products Good comprehensive decision making skills Ability to read and comprehend policy language 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: Ability to stand and\u002For walk for long periods of time. Ability to kneel, squat and\u002For bend. Ability to work outdoors in hot and\u002For cold weather conditions. Ability to climb, crawl, stoop, kneel, and\u002For reach overhead Ability to lift\u002Fcarry up to 50 pounds and push\u002Fpull up to 100 pounds Ability to drive up to 8 hours per day and\u002For ride for an extended period. Must have continual use of manual dexterity. Auditory\u002FVisual: 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",{"id":2601,"slug":2602,"title":2603,"location":13,"raw_job_location_address_addressLocality":2598,"raw_hiringOrganization_logo_url":13,"raw_description":2604},77972,"claims-adjuster-workers-compensation-jurisdiction-fl-az-tn-licensing-fl-required-remote-sedgwick-claims-management-services-inc","Claims Adjuster - Workers Compensation | Jurisdiction: FL, AZ, TN | Licensing: FL Required - Remote","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 Adjuster - Workers Compensation | Jurisdiction: FL, AZ, TN | Licensing: FL Required - 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? 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 analyze workers compensation 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 4 years of claims management experience or equivalent combination of education and experience required. Licensing: FL required Jurisdiction Knowledge: FL, AZ, TN TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Opportunity to work in an agile environment. 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, travel as required Auditory\u002FVisual: 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 ($55k-$71k). 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. 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",{"id":2606,"slug":2607,"title":1602,"location":13,"raw_job_location_address_addressLocality":1603,"raw_hiringOrganization_logo_url":13,"raw_description":1604},77976,"attorney-auditor-sedgwick-claims-management-services-inc-2",{"id":2609,"slug":2610,"title":361,"location":13,"raw_job_location_address_addressLocality":1597,"raw_hiringOrganization_logo_url":13,"raw_description":2611},77977,"workers-compensation-claims-examiner-sedgwick-claims-management-services-inc-2","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 Examiner Job Description 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 examiner 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 Open to REMOTE if outside of commutable distance to office PRIMARY PURPOSE OF THE ROLE To analyze Lost-Time Workers Compensation 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 2+ years of claims management experience or equivalent combination of education and experience required. Jurisdiction Knowledge: NJ Licensing: Not required TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Opportunity to work in an agile environment. 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\u002FVisual: 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 (75k - 85k). 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. 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",{"id":2613,"slug":2614,"title":2615,"location":13,"raw_job_location_address_addressLocality":636,"raw_hiringOrganization_logo_url":13,"raw_description":2616},77980,"autoproperty-claims-representative-consumer-sedgwick-claims-management-services-inc","Auto\u002FProperty Claims Representative - Consumer","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 Auto\u002FProperty Claims Representative - Consumer PRIMARY PURPOSE: To analyze reports claims, determine benefits due and make timely payments and adjustments; to make timely payments and adjustments for specified program claims including high value and complex claims; to coordinate investigative efforts; to thoroughly review contested claims; to negotiate settlement of claims up to the designated authority level; and to provide superior customer services. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Manages first party property, casualty and\u002For medical reimbursement claims based on multiple\u002Fadditional coverage and\u002For programs as defined by client-specific program. Makes coverage determinations based on investigation\u002Fevaluation and communicates claim actions with claimant and client. Adjudicates proper settlement up to designated authority level. Works directly with underwriter\u002Fclient on high value and complex cases. Handles high volume of claims, phone calls and correspondence ensuring claim files are properly documented; meets quality and production goals; and meets customer guidelines and deadlines.. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Licensing Requirements Candidates should possess an active Property & Casualty Adjuster License for states where licensing is required. Multiple state adjuster licenses are strongly preferred and will be considered a significant advantage. Preferred Experience We are seeking candidates with demonstrated experience handling ongoing property claims in a structured claims environment. Candidates with a proven track record of long-term engagement in desk-adjusting or staff-adjusting roles are preferred. Experience managing claims through the full claim lifecycle, maintaining productivity standards, and working within established processes is highly desirable. Education & Licensing Bachelor's degree from and accredited college or university preferred. Professional certification as applicable to line of business preferred. Experience Three (3) years of claims management experience or equivalent combination of experience and education required. Skills & Knowledge In-depth knowledge of first party property and casualty claim adjudication as applicable to line of business Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Excellent analytical and interpretive skills Excellent organizational skills Excellent 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, 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\u002FVisual: 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 $48,000 salary. 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",{"id":2618,"slug":2619,"title":2620,"location":13,"raw_job_location_address_addressLocality":636,"raw_hiringOrganization_logo_url":13,"raw_description":2621},77982,"account-exec-ii-sedgwick-claims-management-services-inc","Account Exec II","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 Account Exec II 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? 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 enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. PRIMARY PURPOSE OF THE ROLE: To manage accounts of locally assigned programs including monitoring procedures and processes that impact customer satisfaction; and to ensure consistency in service delivery. ESSENTIAL RESPONSIBLITIES MAY INCLUDE: Performs contract renewal and Client Service Instruction preparation for assigned accounts. Coordinates renewal pricing and completes location coding parameters; prepares and distributes stewardship and other reports. Educates the client on loss data - drivers of cost impacting assigned programs. Coordinates project activity. Acts as primary client contact with focus on maintaining and improving overall customer satisfaction. Identifies issues that impact consistency and customer satisfaction; works with program management leadership to effect problem resolution; and assists with identifying office level service trends and establishes plans for service improvement. Identifies and solicits cross selling opportunities. QUALIFICATIONS: Education & Licensing - Bachelor's degree from an accredited college or university preferred. Colleague to pursue CPCU, AIC and\u002For ARM or other related designation required. Experience - Six (6) years of related experience or equivalent combination of education and experience required to include one (1) year as an Account Coordinator or three (3) years adjuster experience. TAKING CARE OF YOU: Flexible work schedule. Referral incentive program. Opportunity to work in an agile environment. [If Applicable] 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, travel as required Auditory\u002FVisual: Hearing, vision and talking NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. 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 $63,000 - $80,000\u002Fyear. 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. 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",{"id":2623,"slug":2624,"title":2625,"location":13,"raw_job_location_address_addressLocality":2626,"raw_hiringOrganization_logo_url":13,"raw_description":2627},77984,"claims-examiner-workers-compensation-jurisdiction-or-licensing-or-cert-preferred-remote-sedgwick-claims-management-services-inc","Claims Examiner - Workers Compensation | Jurisdiction: OR | Licensing: OR Cert preferred - Remote","Telecommuter OR","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 Compensation | Jurisdiction: WA & OR | Licensing: OR Cert preferred - 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 Claims Examiner, WC knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.  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 analyze workers compensation 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 5 years of claims management experience or equivalent combination of education and experience required. Licensing \u002F Jurisdiction Knowledge: OR TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Opportunity to work in an agile environment. 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, travel as required Auditory\u002FVisual: 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 ($64k-85k). 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 #Hotjobs 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",{"id":2629,"slug":2630,"title":2631,"location":13,"raw_job_location_address_addressLocality":1682,"raw_hiringOrganization_logo_url":13,"raw_description":2632},77987,"it-software-development-advisor-sr-sedgwick-claims-management-services-inc","IT Software Development Advisor Sr","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 IT Software Development Advisor Sr PRIMARY PURPOSE OF THE ROLE: To lead a team in the design, development, maintenance, testing and debugging of software; to formulate\u002Fdefine system scope and objectives for assigned projects; to devise or modify procedures to solve complex problems; to prepare detailed specifications from which programs will be written; to be responsible for quality assurance reviews; may be responsible for project completion and user satisfaction; and to provide guidance and training to assigned team. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work, are customer-oriented and are naturally empathetic. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Determines the impact of new programs on and ensures their compatibility with existing system operations. Oversees development of system specifications through interaction with business users and sponsors; determines the feasibility of the resulting projects; and displays strong depth of knowledge in specific business subject areas. Assists in projecting software and hardware requirements. Oversees design, development, maintenance, testing and debugging of software ensuring Sedgwick software development lifecycle (SDLC) guidelines are followed. Formulates\u002Fdefines project scope and objectives. Leads the development, modification, and maintenance of software to meet company needs and user suggestions. Prepares program documentation including administrator and end user help documents. Directs other analyst\u002Fprogrammers; assigns, prioritizes and monitors workload. Provides guidance and training to team. Prepares status reports to department manager. Ensures successful completion of projects in conformance to project goals and requirements. Ensures proactive and cooperative relationships exist within the project team; remains accessible to project team members. Keeps up-to-date with technology changes and direction. QUALIFICATIONS Bachelor's degree from an accredited college or university required. Information Systems or Computer Science major preferred. Nine (9) years of related experience or equivalent combination of education and experience required to include five (5) years of program development experience with three (3) years specialized programming relative to program needs. Working knowledge of claims management applications preferred. Skills & Knowledge 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. Provides support, guidance, leadership and motivation to promote maximum performance. Ability to meet or exceed Performance Competencies Ability to work in a team environment Excellent interpersonal skills Strong organizational skills Analytical and interpretive skills Leadership skills PC literate, including Microsoft Office products Excellent oral and written communication, including presentation skills High level of self-motivation Knowledge of claims management systems Knowledge of applications systems analysis and programming TAKING CARE OF YOU Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401k, PTO and more. #IT #informationtechnology Work environment requirements for entry-level opportunities include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines 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. Sedgwick 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. NOTE: Credit security clearance, confirmed via a background credit check, is required for this position. 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",{"id":2634,"slug":2635,"title":2636,"location":13,"raw_job_location_address_addressLocality":1682,"raw_hiringOrganization_logo_url":13,"raw_description":2637},77988,"it-software-development-specialist-sr-sedgwick-claims-management-services-inc","IT Software Development Specialist Sr","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 IT Software Development Specialist Sr PRIMARY PURPOSE OF THE ROLE: To develop, maintain, test and debug software to meet generally defined requirements in a Windows client\u002Fserver environment utilizing software development languages\u002Fenvironments such as PL\u002FSQL, Oracle, Progress 4 GL Application Development Environment (ADE), .Net, Microsoft SQL, or other platforms; to formulate and define system scope and objectives through research and fact-finding for the purpose of developing or modifying moderately complex information systems; to prepare detailed specification from which programs will be written; and to design, code, test, debug, document and maintain programs. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver results, are customer oriented and naturally empathetic. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Becomes familiar with most aspects of the application including reports, parameters, claims management, intake services, carrier\u002Fclient interfaces and vendor\u002Fbusiness partner interfaces Analyzes user needs as required; assists in the design of specifications to meet end user needs. Develops and modifies software to meet the specifications outlined in data processing requests. Develops and maintains software to meet requirements of insurance carrier and regulatory groups. Tests and debugs assigned projects; assists in testing projects for other members of the programming staff. Prepares documentation on new or existing software. Investigates call escalations from the support staff; makes the necessary corrections to data and\u002For software. Assists in the professional growth of programmers. Follows departmental pre-established standards and guidelines as they pertain to design and development. Adheres to the goal of delivering and maintaining the highest quality of customer service to our clients. Keeps abreast of software development language revisions and technology advances. QUALIFICATIONS Bachelor's degree from an accredited college or university required. Information Systems or Computer Science major preferred. Six (4-6) years of language development in a relevant and applicable language and\u002For business analytical experience or equivalent combination of education and experience required. Proven experience in interpreting user requirements, business applications design, and development of business applications strongly preferred. Performs other duties as assigned. Supports the organization's quality program(s). Strong knowledge of language development and applications design 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 TAKING CARE OF YOU Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401k, PTO and more. #IT #informationtechnology Work environment requirements for entry-level opportunities include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines 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. Sedgwick 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 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",{"id":2639,"slug":2640,"title":2641,"location":13,"raw_job_location_address_addressLocality":1682,"raw_hiringOrganization_logo_url":13,"raw_description":2642},77989,"director-applications-portfolio-management-sedgwick-claims-management-services-inc","Director Applications Portfolio Management","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 Director Applications Portfolio Management ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Application Tower Service Delivery Leadership Provides day-to-day leadership and oversight for application support and RUN services within an assigned application tower. Ensures the availability, reliability, performance, and operational sustainability of supported applications. Accountable for execution of service delivery processes and achievement of established service level agreements (SLAs), operational metrics, and key performance indicators (KPIs). Manages operational priorities and support activities to ensure consistent service outcomes and business continuity. Coordinates incident resolution, service restoration, root cause analysis, and problem management activities across tower applications. Monitors application performance and operational health, proactively identifying and addressing service risks and issues. Operational Excellence & Continuous Improvement Drives continuous improvement initiatives focused on application stability, service quality, operational efficiency, and user experience. Identifies opportunities to reduce incidents, recurring defects, and operational risks through process optimization and automation. Ensures operational readiness for application releases, enhancements, technology upgrades, and production deployments. Supports implementation of Site Reliability Engineering (SRE), quality assurance, monitoring, and operational best practices within the assigned tower. Establishes performance metrics and operational dashboards to measure service effectiveness and improvement opportunities. Vendor & Service Management Provides day-to-day oversight of AMS providers and support vendors responsible for application services within the tower. Monitors vendor performance against contractual commitments, service levels, and operational objectives. Escalates service delivery concerns, performance risks, and capacity constraints when necessary. Partners with vendor teams to improve service quality, operational stability, and delivery effectiveness. Planning, Risk Management & Escalations Provides input into portfolio planning, demand forecasting, resource requirements, and prioritization activities. Identifies operational risks, dependencies, technical debt, and support challenges impacting application services. Serves as a primary escalation point for significant incidents, service disruptions, and operational concerns affecting the assigned tower. Collaborates with the Application Portfolio Lead to manage escalations, remediation plans, and risk mitigation strategies. Supports business continuity, disaster recovery, compliance, and operational resilience requirements. Business Partnership & Collaboration Partners with business leaders, product teams, engineering organizations, infrastructure teams, security teams, and other technology stakeholders to ensure alignment of operational priorities. Communicates application service performance, operational risks, improvement initiatives, and support activities to leadership and stakeholders. Contributes to portfolio-level governance activities, operational reviews, and performance reporting. Supports strategic initiatives and business transformation efforts impacting assigned applications. ADDITIONAL FUNCTIONS and RESPONSIBILITIES · Performs other duties as assigned. · Travel as required. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university in Computer Science, Information Technology, Information Systems, Business Administration, or a related field required. Relevant ITIL, Agile, SAFe, DevOps, SRE, Cloud, or Service Management certifications preferred. Experience Seven (7+) years of progressively responsible information technology experience required, including application support, service delivery, application management, or technology operations. Experience leading application support teams, managing Application Management Services (AMS), and working with managed service providers in a complex enterprise environment preferred. Skills & Knowledge Strong knowledge of enterprise applications, Application Management Services (AMS), and production support operations. Knowledge of ITIL disciplines including Incident, Problem, Change, Release, and Service Request Management. Experience managing application support teams, vendors, and service delivery operations. Strong understanding of service level management, operational metrics, and performance reporting. Experience driving application stability, incident reduction, and continuous improvement initiatives. Familiarity with Site Reliability Engineering (SRE), monitoring, automation, and operational excellence practices. Ability to identify and manage operational risks, dependencies, and escalations. Strong analytical, troubleshooting, and problem-solving skills. Excellent organizational skills with the ability to manage multiple priorities and competing demands. Strong verbal and written communication skills, including the ability to communicate effectively with business and technology stakeholders. Ability to build collaborative relationships across business, technology, and vendor organizations. Strong decision-making, leadership, and stakeholder management 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\u002FVisual: Hearing, vision and talking 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",{"id":2644,"slug":2645,"title":2646,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":2647},77991,"claims-examiner-liability-multi-state-jurisdiction-auto-bi-pd-gl-licensing-ny-preferred-and-reciprocal-required-sedgwick-claims-management-services-inc","Claims Examiner - Liability | Multi State Jurisdiction | Auto, BI, PD, GL | Licensing: NY Preferred and Reciprocal 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 Examiner - Liability | Multi State Jurisdiction | Auto, BI, PD, GL | Licensing: NY Preferred and Reciprocal 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? 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 analyze complex or technically difficult 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 RESPONSIBLITIES 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: 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. Experience: 5 years of claims management experience or equivalent combination of education and experience required. Licensing: NY preferred; reciprocal license required Jurisdiction Knowledge: Nationwide jurisdiction, 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, travel as required Auditory\u002FVisual: 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 ($65k-$85k). 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. 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",{"id":2649,"slug":2650,"title":2651,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":2652},77993,"contents-adjuster-sedgwick-claims-management-services-inc","Contents Adjuster","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 Contents Adjuster PRIMARY PURPOSE: To handle losses and claims for property and casualty insurers. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Examines insurance policies and other records to determine insurance coverage. Interviews, telephones, and\u002For corresponds with claimant and witnesses regarding claim. Consults police and hospital records and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance. Estimates cost of repair, replacement, or compensation. Prepares report of findings and negotiates settlement with claimant. Recommends litigation by legal department when settlement cannot be negotiated. Attends litigation hearings. Revises case reserves in assigned claims files to cover probable costs. Assists in preparing loss experience report to help determine profitability and calculates adequate future rates. 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. Obtain IIA-AIC designation within 12 to 18 months. Appropriate state adjuster license is required. Experience None. Skills & Knowledge Strong oral and written communication, including presentation skills PC literate, including Microsoft Office products Demonstrated commitment to timely reporting Strong customer service skills Strong interpersonal skills Attention to detail and accuracy Good time management and organizational skills Ability to work independently or 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: Must be able to stand and\u002For walk for long periods of time. Must be able to kneel, squat or bend. Must be able to work outdoors in hot and\u002For cold weather conditions. Have the ability to climb, crawl, stoop, kneel, reaching\u002Fworking overhead Be able to lift\u002Fcarry up to 50 pounds Be able to push\u002Fpull up to 100 pounds Be able to drive up to 4 hours per day. Must have continual use of manual dexterity. Auditory\u002FVisual: 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 $55,000 - $65,000 USD annually. 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",{"id":2654,"slug":2655,"title":2656,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":2657},77994,"data-engineer-sedgwick-claims-management-services-inc","Data Engineer","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 Data Engineer PRIMARY PURPOSE: The Gen AI Engineer within the Transformation Office serves as the hands‑on architect of the enterprise data supply chain for the organization’s most advanced analytics, data science, and AI initiatives. This role performs the critical engineering work required to deliver high‑fidelity, production‑grade data that powers machine learning models, feature stores, and generative AI applications. Operating as a “day‑one” builder, the Gen AI Engineer designs and delivers data pipelines that bridge legacy on‑premise systems—including mainframes, SQL Server, and DB2—with modern cloud platforms such as Snowflake and AWS\u002FAzure AI ecosystems. The role ensures that data is not merely transferred, but deliberately engineered to meet the statistical, performance, and governance requirements of model training, inference, and RAG‑based AI systems. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Designs, builds, and maintains resilient ETL\u002FELT pipelines that ingest data from on‑premise systems, AWS services (S3, RDS), and Azure platforms (Blob Storage, Azure SQL), centralizing and curating data for consumption in Snowflake and downstream AI services. Develops and maintains feature stores and analytically optimized datasets that support machine learning workflows, ensuring data is clean, versioned, reproducible, and statistically valid for Data Science teams. Engineers data pipelines that enable generative AI use cases, including the automated extraction, transformation, chunking, and loading of structured and unstructured data into vector databases across AWS and Azure environments. Acts as a Snowflake power user and technical lead, implementing advanced data modeling patterns, Snowpipe automation, and compute and storage optimization to support high‑concurrency analytics and AI workloads. Executes non‑invasive data extraction strategies to unlock mission‑critical data from decades‑old legacy systems while preserving system stability and avoiding disruption to core business operations. Designs and manages complex, cross‑platform data workflows using orchestration tools such as Airflow, AWS Step Functions, and Azure Data Factory to ensure reliable, synchronized data movement across the organization’s multi‑cloud architecture. Partners closely with central IT, database administrators, infrastructure, and security teams to resolve connectivity and access challenges—including PrivateLink, IAM, network segmentation, and firewall controls—while securing production approval for new data integrations. Implements automated data quality, validation, and observability frameworks to detect data drift, anomalies, and integrity issues that could negatively impact production analytics, machine learning, or AI systems. Drives efficiency across the data ecosystem by optimizing storage, compute usage, and query performance in Snowflake, AWS, and Azure, ensuring responsible cost management and measurable ROI for Transformation Office initiatives. Operates as a dedicated engineering partner to MLOps, Data Science, and AI teams, rapidly iterating on evolving data requirements and translating experimental use cases into scalable, production‑ready data solutions. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Travel as required. QUALIFICATIONS Education & Licensing Master’s degree in Computer Science, Data Engineering, or a related field from an accredited college or university preferred. Experience Six (6) years of hands-on data engineering experience, with a track record of building production-grade pipelines for Data Science and AI in multi-cloud environments or equivalent combination of education and experience required. Skills & Knowledge Expert-level proficiency in Snowflake architecture, including data sharing, performance tuning, and the integration of Snowflake with external cloud AI services Advanced, hands-on knowledge of AWS (S3, Glue, Lambda) and Azure (Data Factory, Synapse) data services Mastery of Python, SQL, and PySpark. Deep experience with data orchestration and containerization (Docker) Proven ability to interface with \"old world\" tech (on-premise SQL, Mainframe extracts, flat files) and transform it for modern cloud consumption A strong understanding of the specific data needs for Machine Learning (feature engineering) and Generative AI (vectorization and embedding pipelines) A \"get-it-done\" attitude, capable of navigating enterprise bureaucracy and technical debt to ship code at the speed required by a Transformation Office 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\u002FVisual: 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",{"id":2659,"slug":2660,"title":2661,"location":13,"raw_job_location_address_addressLocality":1773,"raw_hiringOrganization_logo_url":13,"raw_description":2662},77995,"assistant-vice-president-client-services-sedgwick-claims-management-services-inc","Assistant Vice President Client Services","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 Vice President Client Services PRIMARY PURPOSE: To be responsible for the administrative, managerial and client relationships associated with Client Services within the assigned area. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Ensures contract compliance with company guidelines within an assigned area. Handles financials including accounts receivable, invoicing and pricing support within an assigned area. Responsible for client knowledge including threatened status and relationship with the company. Handles renewal process timely; negotiates new contracts within an assigned area. Responsible for business planning and budgeting within an assigned area. Plans for staffing needs including succession, bench-strength, and new business within an assigned area. Supports client relationships; builds executive relationships; supports internal relationships. Supports business development. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. SUPERVISORY RESPONSIBILITIES 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 reviews. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university with major in Risk Management, Business Administration or Finance preferred. Advanced degree and\u002For professional designations (CPCU, AIC, ARM) preferred. Experience Ten (10) years of related experience or equivalent combination of education and experience required to include three (3) years of Account Executive on national accounts experience and five (5) years of claims\u002Fsupervisory experience. Skills & Knowledge In-depth understanding of workers compensation, liability and disability Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership\u002Fmanagement\u002Fmotivational skills Analytical and interpretive skills Strong organizational skills Excellent interpersonal skills Excellent negotiation and facilitation 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\u002FVisual: 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 $130,000.00 - $155,000.00 USD Annual. 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",{"id":2664,"slug":2665,"title":2666,"location":13,"raw_job_location_address_addressLocality":1757,"raw_hiringOrganization_logo_url":13,"raw_description":2667},77996,"risk-service-consultant-remote-must-be-local-to-richmond-va-sedgwick-claims-management-services-inc","Risk Service Consultant | Remote - Must be local to Richmond, VA","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 Risk Service Consultant | Remote - Must be local to Richmond, VA *** Candidate will need to conduct \"site safety audits” and “construction and manufacturing safety audits” and MUST be local to Richmond, VA*** 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. OFFICE LOCATION Candidates must be local to Richmond, VA PRIMARY PURPOSE: To provide risk mitigation services to multiple clients; to participate in the development and delivery of Sedgwick and client risk control service plans; to participate in large engagements requiring multiple analysts; to facilitate risk mitigation methods, procedures, and programs; and to serve as liaison to Sedgwick colleagues and clients. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Inspects workplaces and work sites to identify and document violations of federal, state or local safety laws; identifies dangers for the company and clients. Participates in the development of risk mitigation programs and procedures to include (but not limited to) development of policy, standards, procedures, risk reduction strategies, training, and application of applicable vendors; serves as local liaison to vendors and other parties. Communicates information to include loss reports, presentations, analyses and interpretation, and advice and counsel. Maintains current knowledge of and adheres to company internal policies and procedures, corporate directives, and standard operating procedures. Participates in the development of new business, products, and client retention. Participates on local level in activities for the advancement of the profession. 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 with major in in Occupational Safety and Health, Industrial Safety, Business Administration, or related field from an accredited college or university preferred. One or more of the following professional certifications is preferred: Graduate Safety or Associate Safety Professional (GSP or CSP), Associate in Risk Management (ARM) , Professional Risk Consultant (PRC) or Occupational Health and Safety Technologist (OHST). Experience: Six (6) years of related risk services experience or equivalent combination of education and experience required. Experience with public entities, insurance, or risk pooling is highly preferred; Candidate will need to conduct \"site safety audits” and “construction and manufacturing safety audits” 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. 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 - 95K annually. 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",{"id":2669,"slug":2670,"title":2671,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":2672},78000,"remote-customer-service-team-lead-sedgwick-claims-management-services-inc","Remote Customer Service Team Lead","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 Customer Service Team Lead SCHEDULE: Monday, Tuesday, Friday: 12:00 PM - 9:00 PM EST, Saturday, Sunday: 11:00 AM - 8:00 PM EST, Off: Wednesday & Thursday PRIMARY PURPOSE: To provide exceptional customer support on Sedgwick's primary temporary housing line while serving as a working team lead responsible for daily operational oversight, task delegation, workflow management, service level performance, and frontline leadership. This role supports policyholders, adjusters, hotels, and partners with housing-related inquiries while assisting with inbound calls, hotel bookings and extensions, billing-related questions, and administrative functions. The Team Lead acts as the primary decision-maker during assigned shifts, supports escalation management, monitors real-time volume, staffing coverage, customer service performance, and team participation, and leads by example by actively performing all customer service duties alongside the team to ensure accuracy, timeliness, quality service, operational efficiency, and customer satisfaction across all housing operations. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Answers inbound calls from insureds\u002Fpolicyholders, adjusters, hotels, property managers, and internal partners in a professional, friendly, and compassionate manner. Serves as the primary point of contact for escalated housing-related inquiries, demonstrating advanced service, critical-thinking, and problem-solving skills. Acts as the primary operational resource for associates by providing guidance, direction, coaching, and real-time support throughout assigned shifts. Leads by example by actively handling inbound calls, emails, customer inquiries, and housing-related tasks while balancing leadership responsibilities. Learns and maintains working knowledge of all departmental functions to accurately resolve issues and answer questions. Accurately and efficiently enters new housing claims into internal systems and ensures documentation standards are maintained. Monitors inbound email queues, Outlook mailboxes, carrier portals, web portals, and customer service communication channels to ensure inquiries, approvals, escalations, and new housing requests are worked timely and documented appropriately. Contacts insureds via text and email to confirm hotel extension needs and support housing-related requests. Extends hotel stays for clients currently in-house and books hotels when necessary. Updates and maintains the hotel database to ensure accuracy and uniformity. Retrieves hotel folios (receipts) from properties for completed and partial stays. Audits hotel folios and related claims for billing accuracy, compliance, and documentation. Verifies and maintains accurate data across internal systems and ensures customer interactions and claim activity are properly documented. Manages IVR call flow and routing based on real-time call volume. Monitors dashboards to track call volume, email volume, queue activity, service-level performance, staffing availability, workload distribution, and operational metrics; identifies backlogs, bottlenecks, and coverage concerns and takes appropriate action to maintain service standards. Delegates tasks and assigns work based on daily volume, staffing needs, operational priorities, and service-level expectations to ensure timely and equitable workload distribution. Maintains a regular pulse on current workload, staffing coverage, queue performance, and customer demand and adjusts workflow accordingly. Serves as the primary point of contact for team members regarding attendance, schedule questions, coverage concerns, workflow issues, IT matters, and day-to-day operational support needs. Monitors team participation, queue adherence, schedule compliance, break and lunch adherence, workflow execution, and productivity to ensure service expectations and coverage requirements are met. Coordinates staffing coverage by monitoring schedules, planned absences, holidays, and business demands and assists with schedule adjustments and coverage planning as needed. Assists with onboarding, training, coaching, mentoring, and development of team members while reinforcing departmental procedures, service standards, and performance expectations. Motivates team members to meet productivity and quality metrics while maintaining positive morale, accountability, and teamwork. Reviews customer interactions, claim documentation, and operational trends to identify opportunities for coaching, quality improvement, consistency, and enhanced customer service performance. Identifies operational challenges, workflow inefficiencies, service level risks, or customer concerns and implements solutions while escalating issues to leadership when necessary. Provides critical thinking and decision-making support to resolve complex housing issues. Serves as the sole onsite leader during weekend shifts, demonstrating initiative, reliability, accessibility, and accountability. Supports daily customer service operations through inbound calls, electronic communication, queue management, workload oversight, and operational leadership. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Participates in process improvement initiatives designed to improve service delivery, operational efficiency, and customer satisfaction. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Experience Four (4) years of customer service, call center, housing, hospitality, insurance, or related business experience or equivalent combination of education and experience required. Prior leadership, team lead, supervisory, or coaching experience in a high-volume call center environment preferred. Skills & Knowledge Excellent oral and written communication skills with an authentic, engaging and personable communication style Creative, solutions oriented approach to customer service while maintaining professionalism PC literate, including Microsoft Office products Strong leadership, coaching, and team-development abilities Strong problem solving, critical thinking, and escalation resolution skills Strong organizational and time management abilities in a high volume environment Ability to monitor service levels, queue performance, workload distribution, and operational metrics in a real time environment Ability to balance leadership responsibilities while maintaining personal production expectations Ability to maintain confidentiality and exercise sound judgment Ability to work in a team environment Ability to drive accountability, workload distribution, and customer service excellence across a team environment Ability to handle multiple conflicting priorities Ability to meet or exceed Performance Competencies Collaborative team lead who motivates others and contributes to a positive, high-energy work environment 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\u002FVisual: 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 $21.00-$23.00\u002Fhr. Always accepting applications. 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",{"id":2674,"slug":2675,"title":1499,"location":13,"raw_job_location_address_addressLocality":1773,"raw_hiringOrganization_logo_url":13,"raw_description":2676},78002,"claims-examiner-auto-bodily-injury-sedgwick-claims-management-services-inc-8","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, Auto | Bodily Injury PRIMARY PURPOSE OF THE ROLE: To analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. ARE YOU AN IDEAL CANDIDATE? To analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements. ESSENTIAL RESPONSIBLITIES MAY INCLUDE 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\u002Fprocessing with insured, client, and agent or broker when appropriate. Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing: 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. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Skills: strong oral and written communication, including presentation skills, PC literate including Microsoft Office products, and ability to work in a team environment. Secure and maintain the State adjusting licenses as required for the position. Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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. 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",{"id":2678,"slug":2679,"title":2680,"location":13,"raw_job_location_address_addressLocality":1773,"raw_hiringOrganization_logo_url":13,"raw_description":2681},78003,"claims-examiner-bodily-injury-sedgwick-claims-management-services-inc","Claims Examiner - Bodily Injury","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 - Bodily Injury PRIMARY PURPOSE OF THE ROLE: To analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. ARE YOU AN IDEAL CANDIDATE? To analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements. ESSENTIAL RESPONSIBLITIES MAY INCLUDE 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\u002Fprocessing with insured, client, and agent or broker when appropriate. Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing: 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. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Skills: strong oral and written communication, including presentation skills, PC literate including Microsoft Office products, and ability to work in a team environment. Secure and maintain the State adjusting licenses as required for the position. 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 – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 $80,000 to $85,000. 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. 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",{"id":2683,"slug":2684,"title":2685,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":2686},78012,"claims-examiner-auto-commercial-claims-bodily-injury-sedgwick-claims-management-services-inc","Claims Examiner, Auto | Commercial Claims | Bodily Injury","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, Auto | Commercial Claims | Bodily Injury PRIMARY PURPOSE OF THE ROLE: To analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. ARE YOU AN IDEAL CANDIDATE? To analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements. ESSENTIAL RESPONSIBLITIES MAY INCLUDE 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\u002Fprocessing with insured, client, and agent or broker when appropriate. Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing: 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. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Skills: strong oral and written communication, including presentation skills, PC literate including Microsoft Office products, and ability to work in a team environment. Secure and maintain the State adjusting licenses as required for the position. Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 $75,000 to $80,000 . 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. 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",{"id":2688,"slug":2689,"title":2690,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":2691},78014,"field-auto-appraiser-catastrophic-loss-sedgwick-claims-management-services-inc","Field Auto Appraiser - Catastrophic Loss","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 Field Auto Appraiser - Catastrophic Loss Cedar Rapids\u002FDavenport, IA, Minneapolis, MN, St. Louis, MO, Kansas City, MO or Denver, CO PRIMARY PURPOSE: To inspect, identify, and evaluate auto vehicles involved in a loss. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Appraises and determines costs of repairs to damaged vehicle in the field; determines repair versus replace and parts utilization. Evaluates and determines if the vehicle is repairable or salvageable based on industry standard estimatics software. Travels to inspection locations to appraise vehicles in the field. Prepares estimates using estimatics software. Works directly with auto repair facilities to determinate supplemental repair processing and provides a supplemental estimate. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Travels as required. Catastrophe Deployment & Ongoing Field Expectations Prior catastrophe (CAT) appraisal experience is a strong plus for this position. The role may require deployment in support of CAT operations, particularly during peak summer months. Deployments can involve extensive travel, extended work hours, and temporary relocation based on business needs. During non‑CAT periods, colleagues are expected to consistently manage daily appraisal volume within their assigned home territory, demonstrating strong time management, autonomy, and adherence to productivity and quality standards. Candidates located in or near Cedar Rapids\u002FDavenport, IA, Minneapolis, MN, St. Louis, MO, Kansas City, MO or Denver, CO are especially beneficial, as these markets support sustained daily claim volume and require the ability to effectively manage workloads when not deployed for CAT events. QUALIFICATIONS Education & Licensing High school diploma or GED required. Licenses as required by state guidelines. Experience Two (2) years of related experience to include at least one (1) year of appraisal experience or equivalent combination of education and experience required. Skills & Knowledge Strong knowledge of automobiles Ability to understand and utilize appraisal software PC literate, including Microsoft Office products Strong organizational skills Excellent interpersonal skills Excellent negotiating 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: Must be able to stand and\u002For walk for long periods of time; must be able to kneel, squat, or bend; must be able to work outdoors in hot and\u002For cold weather conditions; have the ability to climb, crawl, stoop, kneel, reach\u002Fwork overhead; be able to lift\u002Fcarry up to 50 pounds; be able to push\u002Fpull up to 100 pounds; be able to drive up to 4 hours per day; and must have continual use of manual dexterity Auditory\u002FVisual: 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 $51,000-$75,000\u002FYear. 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. 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",{"id":2693,"slug":2694,"title":1903,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":1904},78015,"utilization-review-coordinator-sedgwick-claims-management-services-inc-2",{"id":2696,"slug":2697,"title":776,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":2698},78018,"telephonic-case-manager-sedgwick-claims-management-services-inc-2","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 Telephonic Case Manager PRIMARY PURPOSE OF THE ROLE: While partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy, communication and coordination of medical services. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Performs initial and ongoing clinical assessment via telephone calls to evaluate the injured worker's injury, medical treatment, psychosocial needs, cultural implications and support systems. Effectively communicates and builds relationships with the claims’ examiner, client, injured worker, attorney and supervisor. Identifies issues related to delayed recovery and\u002For return to work and problem solves with a creative thinking approach Negotiates treatment and disability duration with providers through use of medical and disability duration guidelines, adhering to quality. Identifies opportunities to expedite care for cost containment and timely medical recovery. Provides recommendations for alternate clinical resources to support claim resolution. Maintains client's privacy and confidentiality, promotes client safety and advocacy; and adheres to ethical, legal, accreditation and regulatory standards. EDUCATION AND LICENSING Current unrestricted RN license(s) in a state or territory of the United States required. Bachelor's degree in nursing (BSN) from accredited college or university or equivalent work experience preferred. Certification in case management, rehabilitation nursing or a related specialty is highly preferred. 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\u002FVisual: Hearing, vision and talking TAKING CARE OF YOU BY Offering a blended work environment. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. Thrives when everyone is working towards the same vision\u002Fgoals. We offer a diverse and comprehensive benefits package including: Three medical, and two dental & vision plans to choose from. Tuition reimbursement 401K plan that matches 50% on every $ you put in up to the first 6% you save. 4 weeks PTO your first full year. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #telephoniccasemanager 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 $73,000 - $75,000. 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. 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",{"id":2700,"slug":2701,"title":2702,"location":13,"raw_job_location_address_addressLocality":1967,"raw_hiringOrganization_logo_url":13,"raw_description":2703},78026,"claims-examiner-liability-jurisdiction-all-50-states-licensing-ia-tx-or-fl-required-hybrid-sedgwick-claims-management-services-inc","Claims Examiner - Liability | Jurisdiction: All 50 States | Licensing: IA, TX, or FL Required (Hybrid)","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 | Jurisdiction: All 50 States | Licensing: IA, TX, or FL Required (Hybrid) 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\u002For 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. QUALIFICATION 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\u002FVisual: 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 ($60,000-84k). 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  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",{"id":2705,"slug":2706,"title":272,"location":13,"raw_job_location_address_addressLocality":1979,"raw_hiringOrganization_logo_url":13,"raw_description":2707},78029,"disability-representative-sr-sedgwick-claims-management-services-inc-31","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. Disability Representative PRIMARY PURPOSE: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed. Determines benefits due pursuant to a disability plan, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases to team lead and clinical case management for additional review when appropriate. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Ability to manage ambiguity Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement autonomously within established procedures 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 $26.00 - $28.00 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. 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",{"id":2709,"slug":2710,"title":821,"location":13,"raw_job_location_address_addressLocality":2711,"raw_hiringOrganization_logo_url":13,"raw_description":2712},78030,"field-case-manager-sedgwick-claims-management-services-inc-10","Windsor, CT - Corporate","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 Field Case Manager This Field Case Manager will cover our Windsor, CT region and must live in this area in order to be considered. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; through advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face-to-face interaction with injured workers and medical professionals. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure preferred; or bachelor’s degree in health or human services field required with one of the following certifications: CCM, CDMS, or CRC. Valid driver’s license required. High speed internet required. Employment may be contingent upon successful completion of a motor vehicle record (MVR) check. 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\u002FVisual: Hearing, vision and talking TAKING CARE OF YOU BY Offering a blended work environment. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer a diverse and comprehensive benefits package including: Three Medical, and two dental plans to choose from. Tuition reimbursement eligible. 401K plan that matches 50% on every $ you put in up to the first 6% you save. 4 weeks PTO your first full year. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #fieldcasemanager 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 $85,000-$88,000. Quarterly Bonus 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. 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",{"id":2714,"slug":2715,"title":272,"location":13,"raw_job_location_address_addressLocality":763,"raw_hiringOrganization_logo_url":13,"raw_description":2716},64350,"disability-representative-sr-sedgwick-claims-management-services-inc-4","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 Disability Representative Sr PRIMARY PURPOSE: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Dubuque, IA : 4141 Westmark Drive, Dubuque, IA 52002 Cedar Rapids, IA : 333 1st Street SE Ste. 200 Cedar Rapids IA 52401 Chicago, IL : 175 W. Jackson Blvd. 12th Fl. Chicago IL 60604 Coralville, IA: 3273 Ridgeway Drive Coralville IA 52241 Orlando, FL : 12650 Ingenuity Dr Orlando FL 32826 Eden Prairie, MN : 11000 Prairie Lakes Drive Eden Prairie, MN 55344 ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed. Determines benefits due pursuant to a disability plan, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases to team lead and clinical case management for additional review when appropriate. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Ability to manage ambiguity Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement autonomously within established procedures 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 pay for this role is $22.50 - $24.00\u002Fhr. 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",{"id":2718,"slug":2719,"title":2720,"location":13,"raw_job_location_address_addressLocality":1407,"raw_hiringOrganization_logo_url":13,"raw_description":2721},64569,"claims-representative-iap-workers-compensation-training-program-san-diego-ca-sedgwick-claims-management-services-inc","Claims Representative (IAP) - Workers Compensation Training Program | San Diego, CA","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 Representative (IAP) - Workers Compensation Training Program | San Diego, CA Are you looking for an impactful job that offers an opportunity to develop a professional career? A stable and consistent work environment in an office setting. A training program to learn how to investigate and resolve complex situations for employees and customers from some of the world’s most reputable brands. 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 including medical, dental, vision & 401k. PRIMARY PURPOSE OF THE ROLE: To be oriented and trained as a new industry professional. This role begins with a comprehensive 4-week concept-based learning and professional training program, followed by a dedicated onboarding experience before entering the on-the-job phase. You will be assigned a mentor and manager that will support and guide you on your career journey and be equipped with the foundational skills needed for a successful career in claims adjusting. While in the program, you’ll have the opportunity to grow and advance within the industry. Next Class Date: 10\u002F12\u002F26 Location: San Diego, CA - Onsite ARE YOU AN IDEAL CANDIDATE? We are seeking enthusiastic and service-oriented individuals for an entry-level trainee position who are: Strong Communicators Empathetic Multi-Taskers Accountable Structured Thinkers Ambitious Agile Learners Team Collaborators ESSENTIAL RESPONSIBLITIES INCLUDE Attendance and completion of designated claims professional training program. Adjusting various levels of workers’ compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim. Communicating effectively with injured workers, insureds\u002Femployers, medical providers, attorneys and carrier representatives, primarily through telephonic, video conference and email. Thoroughly investigating new and existing claims by gathering relevant information including medical records, employer reports, and witness statements. Investigating employer\u002Femployee relationships, policy verification, coverage and any potential for subrogation issues or fraud indicators. Determining coverage, compensability and appropriate benefits in accordance with jurisdictional guidelines and carrier program requirements. Documenting claims files and properly coding claim activity. Preparing detailed reports documenting findings and recommendations. Administering claim benefits i.e., indemnity and medical benefits, through maintenance of calendared claim-related action items, ensuring state compliance. Participating in virtual and\u002For in-person meetings, claim reviews and business functions as needed for educational training, claim discussions and various meetings. QUALIFICATIONS Education Requirement – High School Diploma or GED. Bachelor's degree preferred and 2 years of customer service experience and\u002For combination of education and experience. 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\u002FVisual: 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 $27.69\u002Fhr. 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. #claims #entrylevel 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",{"id":2723,"slug":2724,"title":2725,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":2726},64707,"sr-data-analyst-sedgwick-claims-management-services-inc","Sr. Data Analyst","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. Data Analyst Join us in delivering cutting-edge technology solutions for the world’s best brands. Apply your IT knowledge and experience to solve complex and constantly evolving technology challenges in the context of an energetic, entrepreneurial culture. Work on Sedgwick’s industry-leading proprietary technologies and platforms – with like-minded technology experts aligned on the same goals. Deliver innovative customer-facing technology solutions to clients who represent virtually every industry and comprise some of the world’s most respected brands. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. 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. PRIMARY PURPOSE OF THE ROLE: The Senior Data Analyst is a key individual contributor responsible for transforming complex data into meaningful business insights and actionable recommendations. This role blends strong technical analytics capabilities with a business-focused mindset, partnering closely with stakeholders across the casualty and managed care business unit to drive informed decision-making and operational improvements. ARE YOU AN IDEAL CANDIDATE? The ideal candidate brings deep hands-on experience working with data and analytics tools but stands out for their ability to interpret trends, identify opportunities, and influence business outcomes through data storytelling and strategic recommendations. ESSENTIAL RESPONSIBLITIES MAY INCLUDE: Analyze complex datasets to identify trends, patterns, and performance opportunities, translating findings into clear business insights and recommendations Partner with business leaders and subject‑matter experts to define problems, shape analytical approaches, and influence strategic decisions Design, develop, and optimize analytical datasets and data models in Snowflake to support scalable reporting and insight generation Write complex SQL queries and leverage Python to extract, transform, and analyze data, enabling deeper business understanding Build and maintain dashboards that not only report metrics but highlight key insights, risks, and opportunities Use modern AI forward analytics tools (e.g., Hex, Snowflake) to perform exploratory analysis and develop repeatable workflows that support ongoing business evaluation Translate analytical findings into clear, concise, and actionable recommendations for leadership and cross‑functional teams Ensure data accuracy and integrity through validation, documentation, and adherence to governance standards Act as a trusted advisor by connecting data insights to business strategy and operational improvements Mentor junior analysts on both technical skills and insight generation best practices QUALIFICATIONS Technical & Analytical Expertise: Strong hands‑on experience with Snowflake (data modeling, analytics use cases) Advanced SQL skills for querying and data transformation Python experience for data analysis, automation, and modeling Expertise in creating dashboards that drive business understanding and decision‑making Experience with Hex or similar analytics platforms Experience with Snowflake Cortex Code (CoCo), Cursor or other code generating AI tools Business & Insight Skills: Proven ability to work with large, complex datasets and translate findings into business insights Strong analytical thinking with the ability to connect data to real‑world business impact Demonstrated experience providing recommendations that influence outcomes Education & Licensing Bachelor’s degree in Analytics, Statistics, Computer Science, Business, or a related quantitative field. Experience 5+ years of experience in data analytics, business intelligence, or business analysis–focused roles Experience supporting operational or business teams with data-driven insights and recommendations Insurance or managed care experience is a plus TAKING CARE OF YOU Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401k, PTO and more. Work environment requirements for entry-level opportunities include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. 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 $75,000 - $85,000\u002Fyear. 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",{"id":2728,"slug":2729,"title":2730,"location":13,"raw_job_location_address_addressLocality":1979,"raw_hiringOrganization_logo_url":13,"raw_description":2731},64755,"claims-representative-iap-workers-comp-training-program-on-site-west-hills-ca-sedgwick-claims-management-services-inc","Claims Representative IAP - Workers Comp Training Program (On-Site West Hills, CA)","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 Representative IAP - Workers Comp Training Program (On-Site West Hills, CA) Are you looking for an impactful job that offers an opportunity to develop a professional career? A stable and consistent work environment in an office setting. A training program to learn how to investigate and resolve complex situations for employees and customers from some of the world’s most reputable brands. 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 including medical, dental, vision & 401k. PRIMARY PURPOSE OF THE ROLE: To be oriented and trained as a new industry professional. This role begins with a comprehensive 4-week concept-based learning and professional training program, followed by a dedicated onboarding experience before entering the on-the-job phase. You will be assigned a mentor and manager that will support and guide you on your career journey and be equipped with the foundational skills needed for a successful career in claims adjusting. While in the program, you’ll have the opportunity to grow and advance within the industry. Next Class Date: 10\u002F12\u002F26 at 8521 Fallbrook Ave Suite 250 West Hills, CA 91304 ARE YOU AN IDEAL CANDIDATE? We are seeking enthusiastic and service-oriented individuals for an entry-level trainee position who are: Strong Communicators Empathetic Multi-Taskers Accountable Structured Thinkers Ambitious Agile Learners Team Collaborators ESSENTIAL RESPONSIBLITIES INCLUDE Attendance and completion of designated claims professional training program. Adjusting various levels of workers’ compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim. Communicating effectively with injured workers, insureds\u002Femployers, medical providers, attorneys and carrier representatives, primarily through telephonic, video conference and email. Thoroughly investigating new and existing claims by gathering relevant information including medical records, employer reports, and witness statements. Investigating employer\u002Femployee relationships, policy verification, coverage and any potential for subrogation issues or fraud indicators. Determining coverage, compensability and appropriate benefits in accordance with jurisdictional guidelines and carrier program requirements. Documenting claims files and properly coding claim activity. Preparing detailed reports documenting findings and recommendations. Administering claim benefits i.e., indemnity and medical benefits, through maintenance of calendared claim-related action items, ensuring state compliance. Participating in virtual and\u002For in-person meetings, claim reviews and business functions as needed for educational training, claim discussions and various meetings. QUALIFICATIONS Education Requirement – High School Diploma or GED. Bachelor's degree preferred and 2 years of customer service experience and\u002For combination of education and experience. 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\u002FVisual: 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 $27.69. 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. #claims #entrylevel 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",{"id":2733,"slug":2734,"title":2735,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":2736},64686,"claims-advisor-professional-liability-eampo-dampo-sedgwick-claims-management-services-inc","Claims Advisor, Professional Liability | E&O, D&O","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 Advisor, Professional Liability | E&O, D&O PRIMARY PURPOSE OF THE ROLE: Manage and handle executive, error and omissions, and complex professional liability claims; to provide resolution of highly complex nature and\u002For severe injury claims; to coordinate case management within company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service. ESSENTIAL RESPONSIBLITIES MAY INCLUDE: Analyzes and processes complex or technically difficult liability claims by investigating to determine the exposure on the claim 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 Recommends settlement strategies Performs coverage analysis and opinion as part of the claim process 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 Ensures claim files are properly documented and claims coding is correct. Refers cases as appropriate to supervisor and management. QUALIFICATIONS Education & Licensing: Ten (10) years of complex claims management experience or equivalent combination of education and experience required Masters or Juris Doctorate degree from an accredited college or university preferred. Licenses as required. Designations and\u002For licensing including but not limited to Associate in Claims (AIC), Chartered Property and Casualty Underwriter (CPCU), Associate in Risk Management (ARM), Associate in Insurance Claims (AIC), Certified Professional in Health Care Risk Management (CPHRM) preferred. Skills: 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 Extensive knowledge and comprehension of insurance coverage Claims expertise in errors and omissions, directors and officers Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Excellent negotiation skills Ability to work in a team environment Ability to meet or exceed Performance Competencies Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 $115,000 to $130,000. 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. 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",{"id":2738,"slug":2739,"title":1504,"location":13,"raw_job_location_address_addressLocality":1547,"raw_hiringOrganization_logo_url":13,"raw_description":1505},87385,"disability-clinical-specialist-sedgwick-claims-management-services-inc-2",{"id":2741,"slug":2742,"title":1412,"location":13,"raw_job_location_address_addressLocality":2743,"raw_hiringOrganization_logo_url":13,"raw_description":2744},64277,"sr-adjuster-sedgwick-claims-management-services-inc","Addison, TX - Belt Line","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 Adjuster PRIMARY PURPOSE: To investigate and adjust property and casualty claims, both residential and commercial, with little to no supervision. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Inspects claims and contacts involved parties in a timely manner. Investigates circumstances of claim(s) as required for coverage determination, cause, and compensable damages\u002Freserves. Examines insurance policies and other records to determine insurance coverage. Prepares estimates for cost of repair and\u002For replacement. Conducts interviews with claimant and witnesses regarding submitted claim(s). Negotiates and settles both 1st and 3rd party claims. Addresses salvage and subrogation as required by the client. Maintains client relationships to assure repeated business referrals. 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. IIA-AIC designation required. Appropriate state adjuster license is required. Experience Two (2) years of related experience or equivalent combination of education and experience required. Skills & Knowledge Strong oral and written communication, including presentation skills PC literate, including Microsoft Office products Demonstrated commitment to timely reporting Strong customer service skills Strong interpersonal skills Attention to detail and accuracy Good time management and organizational skills Ability to work independently or 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: Must be able to stand and\u002For walk for long periods of time. Must be able to kneel, squat or bend. Must be able to work outdoors in hot and\u002For cold weather conditions. Have the ability to climb, crawl, stoop, kneel, reaching\u002Fworking overhead Be able to lift\u002Fcarry up to 50 pounds Be able to push\u002Fpull up to 100 pounds Be able to drive up to 4 hours per day. Must have continual use of manual dexterity. Auditory\u002FVisual: 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",{"id":2746,"slug":2747,"title":821,"location":13,"raw_job_location_address_addressLocality":2748,"raw_hiringOrganization_logo_url":13,"raw_description":2749},64302,"field-case-manager-sedgwick-claims-management-services-inc","Baton Rouge, LA - Coursey","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 Field Case Manager This Field Case Manager will cover our Baton Rouge, Lafayette, LA region and has to live in this area in order to be considered. Applicant must live in or around surrounding area in order to be considered for position. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return to work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home based office. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face to face interaction with injured workers and medical professionals. . Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure preferred; or graduate degree in health or human services field required with a one of the following certifications: CCM, CDMS, or CRC. Valid driver’s license required. High speed internet required. TAKING CARE OF YOU BY Offering flexibility and autonomy. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer a diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #fieldcasemanager #CRC 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",{"id":2751,"slug":2752,"title":821,"location":13,"raw_job_location_address_addressLocality":1569,"raw_hiringOrganization_logo_url":13,"raw_description":2753},64313,"field-case-manager-sedgwick-claims-management-services-inc-2","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 Field Case Manager In order to be considered for this Field Case Manager position, you have to live in the Boston, MA area. Ideally living south of Boston. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face to face interaction with injured workers and medical professionals. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure preferred; or graduate degree in health or human services field required with one of the following certifications: CCM, CDMS, or CRC. Valid driver’s license required. High speed internet required. TAKING CARE OF YOU BY Offering flexibility and autonomy. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer a diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #fieldcasemanager 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",{"id":2755,"slug":2756,"title":641,"location":13,"raw_job_location_address_addressLocality":1569,"raw_hiringOrganization_logo_url":13,"raw_description":2757},64315,"rn-field-case-manager-sedgwick-claims-management-services-inc-2","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 RN Field Case Manager This Field Case Manager will cover our Boston, MA region and must live in this area in order to be considered. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face to face interaction with injured workers and medical professionals. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure preferred; or bachelor’s degree in health or human services field required with one of the following certifications: CCM, CDMS, or CRC. Valid driver’s license required. High speed internet required. Employment may be contingent upon successful completion of a motor vehicle record (MVR) check, where job related. 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\u002FVisual: Hearing, vision and talking TAKING CARE OF YOU BY Offering a blended work environment. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer a diverse and comprehensive benefits package including: Three Medical, and two dental plans to choose from. Tuition reimbursement eligible. 401K plan that matches 50% on every $ you put in up to the first 6% you save. 4 weeks PTO your first full year. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #fieldcasemanager 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 $87,000-$92,000 and is bonus 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. 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",{"id":2759,"slug":2760,"title":272,"location":13,"raw_job_location_address_addressLocality":739,"raw_hiringOrganization_logo_url":13,"raw_description":802},64345,"disability-representative-sr-sedgwick-claims-management-services-inc-3",{"id":2762,"slug":2763,"title":753,"location":13,"raw_job_location_address_addressLocality":763,"raw_hiringOrganization_logo_url":13,"raw_description":2764},64352,"leave-of-absence-coordinator-sedgwick-claims-management-services-inc-3","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 Leave of Absence Coordinator Leave of Absence Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near one of our dynamic Centers of Excellence📍 Chicago, IL 175 W. Jackson Blvd. 12th Fl. Chicago IL 60604. ✨ What we offer: A stable, consistent work environment—both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? PRIMARY PURPOSE OF THE ROLE: To analyze reported leave requests and determine paid leave benefits due based on client paid leave plans, policies, state and federal regulations and to make timely calculations, payments and\u002For adjustments for client paid leave plans ensuring that on-going claim management is within company service standards and industry best practices. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic and empathetic candidates that want to grow a career. Ideal candidates will thrive in a collaborative team environment, show motivation, and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Establishes FMLA claims; tracks and codes documentation in accordance with internal workflow processes. Analyzes FMLA and other paid leave claims to determine eligibility, certification, payment calculations, payments and\u002For adjustments in compliance with client paid leave plans, policies, and state and federal regulations. Identifies action plan, determines benefits due, and makes timely case decisions based on service expectations as established by the client. Communicates decisions and on-going expectations with claimants and clients. Maintains professional client relationships. Attendance during scheduled work hours is required. QUALIFICATIONS Education & Licensing: High school diploma or GED required. Skills: Strong oral and written communication, computer literate – including Microsoft Office, organizational skills required PC literate, including Microsoft Office products, Windows environment. Must meet minimum typing requirements. Experience: Clerical or customer service experience or equivalent combination of education and experience preferred TAKING CARE OF YOU Entry-level colleagues are offered a world class training program with a comprehensive curriculum An assigned mentor and manager that will support and guide you on your career journey Career development and promotional growth opportunities A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 19.31. 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",{"id":2766,"slug":2767,"title":2768,"location":13,"raw_job_location_address_addressLocality":1098,"raw_hiringOrganization_logo_url":13,"raw_description":2769},64354,"service-center-representative-shift-schedule-monday-friday-3pm-11pm-with-rotating-saturdays-from-10am-6pm-sedgwick-claims-management-services-inc","Service Center Representative | Shift Schedule: Monday-Friday 3pm -11pm with rotating Saturdays from 10am-6pm","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 Service Center Representative | Shift Schedule: Monday-Friday 3pm -11pm with rotating Saturdays from 10am-6pm Shift Schedule: Monday-Friday 3pm-11pm with rotating Saturdays, 10am-6pm Location: In-Office, Blue Ash, OH PRIMARY PURPOSE: To provide excellent service to callers regarding claims for multiple lines of business; to expedite the claims application process and provide detailed claim notes on all calls; to resolve issues with one call\u002Fone person response; and to direct calls to appropriate escalation path as needed. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Acts as primary liaison with callers; follows client specifications in assisting with questions and solving problems related to the claims application and servicing processes. Educates and informs the customer via multiple communication channels about documentation required to process a claim, required time frames, payment information, and claim status. Educates claimants\u002Fcallers on client requirements and benefit plans documenting all required details of the call in a concise professional manner. Enters verbal and written application information that meets both the internal and external customer’s requirements accurately into the claims management system. Assigns new claims to the appropriate claims handler. Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist\u002Fmanagement as needed. Attendance during scheduled work hours is required. 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. College courses preferred Experience One (1) year customer service experience or equivalent combination of education and experience required. Inbound call center experience preferred. Skills & Knowledge Knowledge of medical terminology Understanding of claims management Excellent oral and written communication skills PC literate, including Microsoft Office products Strong organizational skills Good interpersonal skills Ability to multi task in fast paced environment Ability to support multiple clients across communication channels and utilize multiple systems simultaneously Ability to work in a team environment and\u002For independently 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\u002FVisual: 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 19.00. 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",{"id":2771,"slug":2772,"title":2773,"location":13,"raw_job_location_address_addressLocality":763,"raw_hiringOrganization_logo_url":13,"raw_description":2774},64355,"regional-manager-sedgwick-claims-management-services-inc","Regional Manager","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 Regional Manager PRIMARY PURPOSE: To create profitable growth by acquiring and maintaining new and existing client relationships and increasing market presence by utilizing superior, innovative and personalized service. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Develops and implements annual business plans and delivers profitable growth of the business’ operating revenues and earnings budget utilizing Sedgwick’s business processes. Generates and establishes talent, management, and financial control plans to secure successful execution of a regions performance. Oversees activities of assigned property and casualty staff to ensure efficient operation of branch. Facilitates communication between internal and external customers. Monitors work product for validity and accuracy to ensure it is delivered technically and grammatically correct to the intended audience. Creates and maintains an environment of customer and colleague satisfaction. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Experience Eight (8) years of related experience or equivalent combination of education and experience, including but not limited to technical multi-lines insurance claims adjusting and people leadership experience. Skills & Knowledge Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership\u002Fmanagement\u002Fmotivational skills 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: Ability to stand and\u002For walk for long periods of time Ability to kneel, squat or bend Ability to work outdoors in hot and\u002For cold weather conditions. Ability to climb, crawl, stoop, kneel, reaching\u002Fworking overhead Ability to lift\u002Fcarry up to 50 pounds and to push\u002Fpull up to 100 pounds Ability to drive up to 4 hours per day Must have continual use of manual dexterity Auditory\u002FVisual: 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 $96k-$122k bonus 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. We are always accepting applications. 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",{"id":2776,"slug":2777,"title":1112,"location":13,"raw_job_location_address_addressLocality":782,"raw_hiringOrganization_logo_url":13,"raw_description":1114},64360,"sr-claims-specialist-professional-liability-medical-malpractice-california-sedgwick-claims-management-services-inc",{"id":2779,"slug":2780,"title":416,"location":13,"raw_job_location_address_addressLocality":866,"raw_hiringOrganization_logo_url":13,"raw_description":2781},64381,"workforce-absence-team-lead-sedgwick-claims-management-services-inc","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 Workforce Absence Team Lead PRIMARY PURPOSE: To supervise the operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor individual claim activities; to provide technical\u002Fjurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims within the teams including frequent diaries on complex or high exposure claims. Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Dubuque, IA : 4141 Westmark Drive, Dubuque, IA 52002 Dublin, OH : 5500 Glendon Court Dublin OH 43016 Indianapolis, IN: 8909 Purdue Road Suite 501 Indianapolis, IN 46268 Irving, TX: 2201 W. Royal Lane Suite 125 Irving, TX 75063 Orlando, FL : 12650 Ingenuity Dr Orlando FL 32826 Southfield, MI : 300 Galleria Officentre Southfield MI 48034 ESSENTIAL FUNCTIONS and RESPONSIBILITIES Supervises multiple teams of examiners and\u002For several technical operations colleagues for a wide span of control; may delegate some duties to others within the unit. Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. Provides technical\u002Fjurisdictional direction to examiner reports on claims adjudication. Compiles, reviews, and analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal. Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner. Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client. Assures that direct reports are properly licensed in the jurisdictions serviced. Ensures claims files are coded correctly and adequate documentation is made by claims examiners. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred. Experience Six (6) years of claims experience or equivalent combination of education and experience required. Two (2) years of claims supervisory experience preferred. Skills & Knowledge Thorough knowledge of claims management procedures and processes for disability Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership\u002Fmanagement\u002Fmotivational skills 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\u002FVisual: 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",{"id":2783,"slug":2784,"title":838,"location":13,"raw_job_location_address_addressLocality":866,"raw_hiringOrganization_logo_url":13,"raw_description":839},64383,"claims-assistant-sedgwick-claims-management-services-inc-2",{"id":2786,"slug":2787,"title":838,"location":13,"raw_job_location_address_addressLocality":866,"raw_hiringOrganization_logo_url":13,"raw_description":839},64389,"claims-assistant-sedgwick-claims-management-services-inc-3",{"id":2789,"slug":2790,"title":838,"location":13,"raw_job_location_address_addressLocality":866,"raw_hiringOrganization_logo_url":13,"raw_description":839},64390,"claims-assistant-sedgwick-claims-management-services-inc-4",{"id":2792,"slug":2793,"title":892,"location":13,"raw_job_location_address_addressLocality":866,"raw_hiringOrganization_logo_url":13,"raw_description":1306},64391,"workforce-absence-payroll-coordinator-sedgwick-claims-management-services-inc",{"id":2795,"slug":2796,"title":416,"location":13,"raw_job_location_address_addressLocality":866,"raw_hiringOrganization_logo_url":13,"raw_description":2797},64395,"workforce-absence-team-lead-sedgwick-claims-management-services-inc-3","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 Workforce Absence Team Lead Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Dubuque, IA : 4141 Westmark Drive, Dubuque, IA 52002 Cedar Rapids, IA : 333 1st Street SE Ste. 200 Cedar Rapids IA 52401 Coralville, IA: 3273 Ridgeway Drive Coralville IA 52241 PRIMARY PURPOSE: To supervise the operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor individual claim activities; to provide technical\u002Fjurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims within the teams including frequent diaries on complex or high exposure claims. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Supervises multiple teams of examiners and\u002For several technical operations colleagues for a wide span of control; may delegate some duties to others within the unit. Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. Provides technical\u002Fjurisdictional direction to examiner reports on claims adjudication. Compiles, reviews, and analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal. Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner. Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client. Assures that direct reports are properly licensed in the jurisdictions serviced. Ensures claims files are coded correctly and adequate documentation is made by claims examiners. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred. Experience Six (6) years of claims experience or equivalent combination of education and experience required. Two (2) years of claims supervisory experience preferred. Skills & Knowledge Thorough knowledge of claims management procedures and processes for disability Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership\u002Fmanagement\u002Fmotivational skills 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\u002FVisual: 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",{"id":2799,"slug":2800,"title":641,"location":13,"raw_job_location_address_addressLocality":1757,"raw_hiringOrganization_logo_url":13,"raw_description":2801},64417,"rn-field-case-manager-sedgwick-claims-management-services-inc-5","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 RN Field Case Manager This Field Case Manager will cover our Friendricksburg, VA and must live in this area in order considered. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face to face interaction with injured workers and medical professionals. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure preferred; or bachelor’s degree in health or human services field required with one of the following certifications: CCM, CDMS, or CRC. Valid driver’s license required. High speed internet required. Employment may be contingent upon successful completion of a motor vehicle record (MVR) check, where job related. 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\u002FVisual: Hearing, vision and talking TAKING CARE OF YOU BY Offering a blended work environment. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer a diverse and comprehensive benefits package including: Three Medical, and two dental plans to choose from. Tuition reimbursement eligible. 401K plan that matches 50% on every $ you put in up to the first 6% you save. 4 weeks PTO your first full year. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #fieldcasemanager 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 $85,000-$87,000 and is bonus 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. 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",{"id":2803,"slug":2804,"title":2805,"location":13,"raw_job_location_address_addressLocality":1025,"raw_hiringOrganization_logo_url":13,"raw_description":2806},64436,"director-of-print-operations-and-fulfillment-sedgwick-claims-management-services-inc","Director of Print Operations and Fulfillment","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 Director of Print Operations and Fulfillment PRIMARY PURPOSE: The Director of Print and Fulfillment Operations provides strategic and operational leadership for all print notification and fulfillment functions. This role ensures accuracy, compliance, and operational excellence by overseeing production performance, financial outcomes, staffing optimization, and vendor relationships. While the position primarily manages a centralized operation, it may require oversight of multiple locations and extended shifts on a project basis. The director serves as the organization’s expert on common carrier processes, cost structures, and shipping strategies, enabling effective pricing and sales support. Additionally, this role leads the integration and advancement of related technology systems, drives continuous improvement initiatives, and fosters strong partnerships with internal teams and external vendors to support organizational goals. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Directs all print notification and fulfillment operational functions to ensure operational excellence, accuracy, and compliance. Selects, trains, and develops an effective and efficient staff and coaches\u002Fcounsels as appropriate with company policies and procedures. Monitors operations and staff and recommends, when necessary, changes in methods, procedures, structures and additions or changes in personnel to secure optimum utilization of resources. Responsible for the oversight and management of financial forecasting and P&L performance with a focus on cost containment and achievement of financial targets for print notification and fulfillment operations. Manages the operational relationships for all print notification and fulfillment operational vendors and integrates new vendors as required or appropriate. Provides guidance to multiple teams regarding capabilities and limitations for print notification, fulfillment and vendor utilized systems. Actively participates in the development of and provides business sponsorship for all related IT systems. Leads the organization in knowledge concerning common carrier (FedEx, UPS, USPS, etc.) contractual obligations, capabilities, limitations, packaging requirements, ancillary costs, shipping costs, additional fee and discount structures in order to develop and provide real-time and accurate pricing strategies so that the Sales and Pricing teams are able to execute their duties effectively. Works with team to effectively deploy staff within and beyond assigned areas. Works with other leaders to flex staff and actively monitors internal staffing levels to determine temporary and full-time resource needs. Builds and maintains relationships with vendors, staff, peers, leadership and other business stakeholders Understands and can articulate customs and border patrol impacts to shipping and receiving in North America. Assists with facility, safety, security, and maintenance operations. Actively participates in Continuous Improvement initiatives 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 in business or logistics from an accredited college or university preferred. Experience Ten (10) years of management experience in a print operations and\u002For fulfillment and logistics environment or equivalent combination of education and experience required. Experience in multi-carrier shipping, common carrier shipping, 3rd party logistics, pharmaceutical or consumer products or other relevant recall (or reverse logistics) related industry. Skills & Knowledge In-depth knowledge of logistics and common carrier processes (FedEx, UPS, USPS, etc.), including packaging requirements, shipping costs, ancillary fees, discount structures, and customs\u002Fborder considerations. Ability to manage multiple projects simultaneously Ability to provide direction in addressing difficult issues; influence others to implemented needed changes Proficiency in financial management, including forecasting, budgeting, and P&L oversight with a focus on cost containment. Ability to identify problems and make sound decisions after considering all the facts, potential risks, and customer needs Ability to manage own time, activities, and resources by identifying specific activities required to accomplish objectives, ranking them in order of importance, and coordinating and taking action to achieve desired results Ability to present ideas and information in a clear, concise, organized and diplomatic manner including the ability to listen to others and respond effectively to ideas and questions Working knowledge of printing equipment, envelope inserters and sealers Extensive knowledge of vendor software including integrations with 3rd party print partner and shipping partners 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 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\u002FVisual: 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",{"id":2808,"slug":2809,"title":748,"location":13,"raw_job_location_address_addressLocality":1047,"raw_hiringOrganization_logo_url":13,"raw_description":2810},64450,"disability-representative-sedgwick-claims-management-services-inc-8","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 Disability Representative Disability Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near our dynamic Center of Excellence📍 Irving, TX. 2201 W. Royal Lane Suite 125 Irving, Tx 75063 ✨ What we offer: A stable, consistent work environment—both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? PRIMARY PURPOSE: Provides disability case management and routine claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims; coordinates investigative efforts, thoroughly reviewing contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes claim determinations, based on the information received, to approve routine disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes routine medical information (i.e. attending physical statements, office notes, off work notes, etc.) or consults with a nurse to determine if the claimant is disabled as defined by the disability plan. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians) regularly. Determines benefits due, makes timely claims payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages routine disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases as appropriate to team lead and clinical case management to assist with claim determination. Meets the organization’s quality program(s) minimum requirements. Maintains professional client relationships and provides excellent customer service. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Two (2) years of related experience or equivalent combination of education and experience required. One (1) year of office or customer service experience required. One (1) year of benefits or claims management experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement with limited supervision 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required Auditory\u002FVisual: 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 (19.50 - 21.82). 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",{"id":2812,"slug":2813,"title":2814,"location":13,"raw_job_location_address_addressLocality":2815,"raw_hiringOrganization_logo_url":13,"raw_description":2816},64484,"workday-integration-analyst-full-remote-spain-or-portugal-sedgwick-claims-management-services-inc","Workday Integration Analyst – Full remote Spain or Portugal","ES-Madrid","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. Workday Integration Analyst – Full remote Spain or Portugal Lead and Optimise Workday Integration Landscape to Power Global HRIS Performance We’re looking for a Workday Integration Specialist to lead and optimise our Workday integration landscape. This role is critical to ensuring seamless connectivity between Workday and external systems, driving efficiency, compliance, and a smooth employee experience across global operations. You’ll take ownership of Workday Studio, Core Connectors, XSLT transformations, and API integrations, while managing EIB loads and maintaining integration health. Reporting to a US-based manager, you’ll work in a dynamic, global environment with opportunities to influence HR technology strategy. Key Responsibilities Oversee and maintain the Workday integration landscape, ensuring stability and scalability. Design, build, and support integrations using Workday Studio, Core Connectors, and EIB. Perform EIB loads and troubleshoot related issues. Develop and maintain XSLT transformations for data mapping and formatting. Build and manage API integrations (REST and SOAP) between Workday and third-party systems. Monitor integration performance, resolve errors, and implement enhancements. Collaborate with HRIS, IT, and business stakeholders to gather requirements and deliver solutions. Ensure compliance with security and data governance standards. This is perfect for someone with strong Workday experience, a problem-solving mindset, and the ability to collaborate across borders. If you’re ready to take ownership and help shape the future of HR technology, we’d love to hear from you. The skills you will have when you apply Strong Workday Integrations experience – hands-on experience with Workday Studio, Core Connectors, EIB, XSLT\u002FXML transformations, and Workday API integrations including REST and SOAP. Good understanding of Workday architecture – ability to support integration design, data flows, security, reporting, and data quality across Workday domains. Problem-solving mindset – confident in investigating integration issues, identifying root causes, and implementing sustainable fixes. Strong communication skills – able to work with HRIS, IT, business stakeholders and external partners, translating technical topics into clear and practical solutions. International collaboration – comfortable working in a global environment, with stakeholders across different countries and time zones. Working context This role is fully remote based in Spain or Portugal You will work closely with international HRIS, IT and business teams, including regular interaction with a US-based manager. You will have the opportunity to contribute to the future Workday roadmap, helping improve integration stability, scalability and the overall employee experience. This isn't just a position, it's a pivotal role in shaping our industry At Sedgwick, not only will you be working behind the scenes for some of the world's most trusted insurance brands helping to resolve millions of claims every year, you'll also be an architect of tomorrow's insurance landscape. You'll join a community passionate about making a difference, where every role contributes to a larger mission; protecting people and businesses. This isn't just a job; it's an opportunity to shape the future of insurance. Next steps for you: Think we'd be a great match? Apply now – we want to hear from you. As part of our commitment to you, we are proud to have a zero tolerance policy towards discrimination of any kind regardless of age, disability, gender identity, marital\u002F family status, race, religion, sex or sexual orientation. After the closing date we will review all applications and may select some applicants for an interview (which may be virtual, or in-person). #LI-Remote 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",{"id":2818,"slug":2819,"title":2820,"location":13,"raw_job_location_address_addressLocality":1586,"raw_hiringOrganization_logo_url":13,"raw_description":2821},64486,"claims-representative-iap-workers-compensation-training-program-marlton-nj-sedgwick-claims-management-services-inc","Claims Representative (IAP) - Workers Compensation Training Program | Marlton, NJ","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 Representative (IAP) - Workers Compensation Training Program | Marlton, NJ Are you looking for an impactful job that offers an opportunity to develop a professional career? A stable and consistent work environment in an office setting. A training program to learn how to investigate and resolve complex situations for employees and customers from some of the world’s most reputable brands. 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 including medical, dental, vision & 401k. PRIMARY PURPOSE OF THE ROLE: To be oriented and trained as a new industry professional. This role begins with a comprehensive 4-week concept-based learning and professional training program, followed by a dedicated onboarding experience before entering the on-the-job phase. You will be assigned a mentor and manager that will support and guide you on your career journey and be equipped with the foundational skills needed for a successful career in claims adjusting. While in the program, you’ll have the opportunity to grow and advance within the industry. Next Class Date: 10\u002F12\u002F26 Location: Marlton, NJ - Onsite ARE YOU AN IDEAL CANDIDATE? We are seeking enthusiastic and service-oriented individuals for an entry-level trainee position who are: Strong Communicators Empathetic Multi-Taskers Accountable Structured Thinkers Ambitious Agile Learners Team Collaborators ESSENTIAL RESPONSIBLITIES INCLUDE Attendance and completion of designated claims professional training program. Adjusting various levels of workers’ compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim. Communicating effectively with injured workers, insureds\u002Femployers, medical providers, attorneys and carrier representatives, primarily through telephonic, video conference and email. Thoroughly investigating new and existing claims by gathering relevant information including medical records, employer reports, and witness statements. Investigating employer\u002Femployee relationships, policy verification, coverage and any potential for subrogation issues or fraud indicators. Determining coverage, compensability and appropriate benefits in accordance with jurisdictional guidelines and carrier program requirements. Documenting claims files and properly coding claim activity. Preparing detailed reports documenting findings and recommendations. Administering claim benefits i.e., indemnity and medical benefits, through maintenance of calendared claim-related action items, ensuring state compliance. Participating in virtual and\u002For in-person meetings, claim reviews and business functions as needed for educational training, claim discussions and various meetings. QUALIFICATIONS Education Requirement – High School Diploma or GED. Bachelor's degree preferred and 2 years of customer service experience and\u002For combination of education and experience. 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\u002FVisual: 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 $25.65\u002Fhr. 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. #claims #entrylevel 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",{"id":2823,"slug":2824,"title":2825,"location":13,"raw_job_location_address_addressLocality":1586,"raw_hiringOrganization_logo_url":13,"raw_description":2826},64489,"liability-claims-examiner-general-liability-and-auto-liability-bodily-injury-license-preferred-sedgwick-claims-management-services-inc","Liability Claims Examiner | General Liability and Auto Liability Bodily Injury | License 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 Liability Claims Examiner | General Liability and Auto Liability Bodily Injury | License Preferred 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 examiner 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 analyze General Liability and Auto Liability Bodily Injury 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 5 years of claims management experience or equivalent combination of education and experience required. Jurisdiction Knowledge: US 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\u002FVisual: 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 (range)(bonus eligibility, if applicable). 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. 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",{"id":2828,"slug":2829,"title":2830,"location":13,"raw_job_location_address_addressLocality":1149,"raw_hiringOrganization_logo_url":13,"raw_description":2831},64493,"claims-examiner-liability-pipno-fault-jurisdiction-fl-ny-mi-md-licensing-fl-and-ny-preferred-remote-sedgwick-claims-management-services-inc","Claims Examiner - Liability | PIP\u002FNO FAULT | Jurisdiction: FL, NY, MI, MD | Licensing: FL and NY preferred - Remote","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 | PIP\u002FNO FAULT | Jurisdiction: FL, NY, MI, MD | Licensing: FL and NY preferred - 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? 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.  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 analyze PIP\u002F No Fault 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 5 years of claims management experience or equivalent combination of education and experience required. Licensing : FLrequired and Hawaii and NY 17-72 preferred Jurisdiction Knowledge: FL, NY, MD, MI TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Opportunity to work in an agile environment. 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, travel as required Auditory\u002FVisual: 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 ($60-75k). 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. 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",{"id":2833,"slug":2834,"title":2835,"location":13,"raw_job_location_address_addressLocality":1149,"raw_hiringOrganization_logo_url":13,"raw_description":2836},64494,"security-engineer-iiidlp-sedgwick-claims-management-services-inc","Security Engineer III\u002FDLP","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 Security Engineer III\u002FDLP PRIMARY PURPOSE: The security engineer is responsible for implementing, maintaining, monitoring and managing secure solutions. The engineer delivers these solutions in accordance with the organization’s architectural designs, best practices, and regulatory or compliance requirements. As risks change, the security engineer is responsible for recommending modifications and enhancements to ensure the organization is evolving with the threat landscape. The security engineer contributes to the corporate security strategy with security leadership and other senior security staffers and technologists. Recipients of the engineer’s implementations and management include IT infrastructure, application development, security operations, security audit and end users. With an emphasis on securing systems, applications, third-party connections, service providers and ancillary systems, the security engineer is responsible for securing business-to-business initiatives, third-party relationships, outsourced solutions and vendors. Implements, monitors and manages secure solutions that address modern day issues. We are seeking a highly skilled engineer responsible for designing, implementing, and managing Data Loss Prevention (DLP) and Microsoft Purview solutions to protect sensitive organizational data. This role includes developing and enforcing data protection policies, monitoring data activity across endpoints, cloud services, and on-premises environments, and ensuring compliance with regulatory and corporate requirements. The engineer will also be responsible for advancing Data Security Posture Management (DSPM) capabilities by identifying data risks, improving data visibility, classifying sensitive information, and strengthening overall data governance and security controls. The ideal candidate will collaborate with cross-functional teams to continuously assess and enhance the organization’s data security posture, respond to incidents, and ensure alignment with evolving security standards and best practices. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Handles daily implementation, monitoring and operational support of hardware, software, customer applications, managed solutions and service provider relationships. Engages in information security projects that evaluate existing security infrastructure and propose changes as defined by security leadership and architects. Additionally, deliver projects on time, within budget and in accordance with service level agreements (SLAs). Assists with incident response and system stability issues as they occur. This may include involvement outside of regular work hours, and responsiveness is expected. Works in tandem with architects, the security operations center (SOC), incident responders (in cases of anomalous activity and host compromise), and technology infrastructure and development team members. Manages service and escalation tickets within SLA expectations. Develops security test plans from architectural design. Identify deficiencies and make enhancements to ensure production is not impacted. Participates regularly in change project and change management meetings. Researches, validate and deploy solutions meeting security and business needs. Follows security engineering fundamentals and processes as outlined in NIST 800-160 Influences the planning and execution of incident response and postmortem exercises, with a focus on creating measurable benchmarks to show progress (or deficiencies requiring additional attention). Focus on driving security efficiencies, enabling security team members to work on more advanced tasks. Conducts performance testing to stress the limitations of security solutions while at the same time ensuring business innovation and day-to-day processes are not negatively impacted. Develops technical solutions and new security tools to help mitigate security vulnerabilities and automate repeatable tasks Leads IT groups and business units as necessary in troubleshooting compatibility issues between security tools and business or productivity programs. Analyzes client and customer needs as required and provides clear and concise reports to leadership. Works closely with management on assigned projects from inception through implementation ensuring adequate internal communication and user involvement is maintained. Provides feedback and suggestions to management to improve IT Security processes and procedures. Works closely with project managers to meet and complete project milestones accurately and on time. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Travel as required. QUALIFICATIONS Education & Licensing Bachelor's degree in management information systems or another related field and be pursuing a master’s degree in business administration or an IT related field. Licenses as needed. Experience Three (3) years of experience in cybersecurity, with a system or network security engineering background. Preferably at least 3+ years’ experience in cybersecurity, with a system or network security engineering background Technical and analytical expertise, with a proven deep background (preferred 2+ years’ IT experience in addition to cybersecurity) in technology design, implementation and delivery Extensive knowledge of traditional security controls and technologies, such as Security Information and Event Management (SIEM) systems, intrusion detection\u002Fprevention systems (IDS\u002FIPS), public key infrastructure (PKI), identity and access management (IDAM) systems, antivirus and firewalls, in addition to newer offerings such as endpoint detection and response (EDR), threat intelligence platforms, security automation and orchestration, deception technologies and application controls. Experience managing SIEM systems, threat intelligence platforms, security automation and orchestration solutions, IDS\u002FIPS, file integrity monitoring (FIM), data loss prevention (DLP) and other network and system monitoring tools. Preferred Experience Experience with Application Control Listing Software Experience with SIEM Solutions Experience with XDR Solutions Experiences with Artificial Intelligence and Machine Learning Researching and advising leadership on emerging security technologies CIS hardening Experience with one or more of the following: ISO 27001, NIST, PCI Data Security Standard (PCI DSS), HIPAA, Health Information Technology for Economic and Clinical Health (HITECH) Act, SOX, the General Data Protection Regulation (GDPR), Center for Internet Security (CIS) standards or Service Organization Controls (SOC) 2. Skills & Knowledge Ability to work independently and solve problems as they arise Ability to handle confidential and sensitive information with integrity Ability to continuously learn new technologies Ability to guide collaboration with team members to achieve goals CIA triad expertise Information Technology Security frameworks expertise CISSP (preferred); CISM and\u002For SANS certification or Security-related certifications a plus. 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\u002FVisual: 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",{"id":2838,"slug":2839,"title":2840,"location":13,"raw_job_location_address_addressLocality":1198,"raw_hiringOrganization_logo_url":13,"raw_description":2841},64510,"claims-examiner-workers-compensation-on-site-ontario-california-sedgwick-claims-management-services-inc","Claims Examiner - Workers Compensation (On-Site Ontario, California)","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 Compensation (On-Site Ontario, California or REMOTE in California) 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 workers compensation 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? Seeking a seasoned California Workers Compensation Examiner who values strong client partnerships, enjoys a reasonable caseload, and works within a well‑managed intake environment. OFFICE LOCATION: ONTARIO, CA PRIMARY PURPOSE OF THE ROLE: To analyze Workers Compensation 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. ESSENTIAL RESPONSIBLITIES 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: 3 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. Licensing \u002F Jurisdiction Knowledge: 3 or more years California workers compensation jurisdictional knowledge required, SIP required or must be obtained within one (1) year of employment TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Career development and promotional growth opportunities.  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\u002FVisual: 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 $85-95K. 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. 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 #LI-HYBRID 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",{"id":2843,"slug":2844,"title":2845,"location":13,"raw_job_location_address_addressLocality":1198,"raw_hiringOrganization_logo_url":13,"raw_description":2846},64512,"claims-representative-iap-workers-compensation-training-program-ontario-ca-sedgwick-claims-management-services-inc","Claims Representative (IAP) - Workers Compensation Training Program | Ontario, CA","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 Representative (IAP) - Workers Compensation Training Program | Ontario, CA Are you looking for an impactful job that offers an opportunity to develop a professional career? A stable and consistent work environment in an office setting. A training program to learn how to investigate and resolve complex situations for employees and customers from some of the world’s most reputable brands. 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 including medical, dental, vision & 401k. PRIMARY PURPOSE OF THE ROLE: To be oriented and trained as a new industry professional. This role begins with a comprehensive 4-week concept-based learning and professional training program, followed by a dedicated onboarding experience before entering the on-the-job phase. You will be assigned a mentor and manager that will support and guide you on your career journey and be equipped with the foundational skills needed for a successful career in claims adjusting. While in the program, you’ll have the opportunity to grow and advance within the industry. Next Class Date: 10\u002F12\u002F26 Location: Ontario, CA - Onsite ARE YOU AN IDEAL CANDIDATE? We are seeking enthusiastic and service-oriented individuals for an entry-level trainee position who are: Strong Communicators Empathetic Multi-Taskers Accountable Structured Thinkers Ambitious Agile Learners Team Collaborators ESSENTIAL RESPONSIBLITIES INCLUDE Attendance and completion of designated claims professional training program. Adjusting various levels of workers’ compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim. Communicating effectively with injured workers, insureds\u002Femployers, medical providers, attorneys and carrier representatives, primarily through telephonic, video conference and email. Thoroughly investigating new and existing claims by gathering relevant information including medical records, employer reports, and witness statements. Investigating employer\u002Femployee relationships, policy verification, coverage and any potential for subrogation issues or fraud indicators. Determining coverage, compensability and appropriate benefits in accordance with jurisdictional guidelines and carrier program requirements. Documenting claims files and properly coding claim activity. Preparing detailed reports documenting findings and recommendations. Administering claim benefits i.e., indemnity and medical benefits, through maintenance of calendared claim-related action items, ensuring state compliance. Participating in virtual and\u002For in-person meetings, claim reviews and business functions as needed for educational training, claim discussions and various meetings. QUALIFICATIONS Education Requirement – High School Diploma or GED. Bachelor's degree preferred and 2 years of customer service experience and\u002For combination of education and experience. 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\u002FVisual: 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 $27.69. 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. #claims #entrylevel #onsite 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",{"id":2848,"slug":2849,"title":2850,"location":13,"raw_job_location_address_addressLocality":1929,"raw_hiringOrganization_logo_url":13,"raw_description":2851},64529,"claims-associate-gl-amp-bi-jurisdiction-nv-wa-or-ak-hi-ca-az-licensing-preferred-phoenix-az-or-eden-prairie-mn-hybrid-sedgwick-claims-management-services-inc","Claims Associate | GL & BI | Jurisdiction: NV, WA, OR, AK, HI CA | AZ licensing preferred (Phoenix, AZ or Eden Prairie, MN - Hybrid)","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 | GL & BI | Jurisdiction: NV, WA, OR, AK, HI CA | AZ licensing preferred (Phoenix, AZ or Eden Prairie, MN - Hybrid) 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. 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 analyze reported lower-level level general and bodily injury liability claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices. OFFICE LOCATION: This position follows a hybrid work arrangement, with 2 days in the office and 3 days working from home each week. ESSENTIAL RESPONSIBLITIES 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. Handles lower-level liability and\u002For physical damage claims under close supervision. Supports other claims representatives, examiners and leads with larger or more complex claims as necessary. 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: High School Diploma or GED required. Experience: One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred. Licensing \u002F Jurisdiction Knowledge: NV, WA, OR, AK, HI CA; AZ 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, travel as required Auditory\u002FVisual: 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 ( 17.16 - 22.00 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. #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. 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",{"id":2853,"slug":2854,"title":2855,"location":13,"raw_job_location_address_addressLocality":2856,"raw_hiringOrganization_logo_url":13,"raw_description":2857},64534,"claims-associate-workers-compensation-on-site-rancho-cucamonga-sedgwick-claims-management-services-inc","Claims Associate - Workers Compensation (On-Site - Rancho Cucamonga)","Rancho Cucamonga, CA - Haven","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 Representative - Workers Compensation (On-Site - Rancho Cucamonga) 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 core values that include empathy, accountability, collaboration, growth, and inclusion. LOCATION: IN-OFFICE ONTARIO, CALIFORNIA PRIMARY PURPOSE: To analyze low level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices ESSENTIAL FUNCTIONS and RESPONSIBILITIES Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision. Supports other claims representatives, examiners and leads with larger or more complex claims as necessary. Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency. Communicates claim action\u002Fprocessing 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\u002For defined period medical claims. Maintains professional client relationships. 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; Licenses as required Experience: One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience 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\u002FVisual: 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 $25-28\u002Fhr. 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",{"id":2859,"slug":2860,"title":2861,"location":13,"raw_job_location_address_addressLocality":1773,"raw_hiringOrganization_logo_url":13,"raw_description":2862},64535,"claims-examiner-commercial-trucking-bodily-injury-remote-sedgwick-claims-management-services-inc","Claims Examiner, Commercial Trucking | Bodily Injury | Remote","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, Commercial Trucking | Bodily Injury | Remote PRIMARY PURPOSE OF THE ROLE To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. ESSENTIAL RESPONSIBLITIES MAY INCLUDE 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\u002Fprocessing with insured, client, and agent or broker when appropriate. QUALIFICATIONS Education & Licensing: 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. 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. Skills: 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, and PC literate, including Microsoft Office products Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 $80,000 to $85,000. 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. 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. 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",{"id":2864,"slug":2865,"title":2866,"location":13,"raw_job_location_address_addressLocality":2867,"raw_hiringOrganization_logo_url":13,"raw_description":2868},64537,"workers-compensation-claims-associate-richmond-va-hybrid-schedule-va-workers-compensation-knowledge-preferred-sedgwick-claims-management-services-inc","Workers Compensation Claims Associate | Richmond, VA - Hybrid Schedule | VA Workers Compensation knowledge preferred","Richmond, VA - 14th","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 Associate | Richmond, VA - Hybrid Schedule | VA Workers Compensation knowledge preferred Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career? 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 OF THE ROLE: To be oriented and trained as new industry professional with the ability to analyze workers compensation claims and determine benefits due. OFFICE LOCATION\u002FSCHEDULE Richmond, VA 40 hours per week, Mon - Fri Hybrid schedule ARE YOU AN IDEAL CANDIDATE? We are looking for an enthusiastic candidate to fill a Workers Compensation Associate position. Ideal candidates will thrive in a collaborative team environment, show motivation and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused. ESSENTIAL RESPONSIBILITIES MAY INCLUDE Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision. Supports other claims representatives, examiners and leads with larger or more complex claims as necessary. Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency. Communicates claim action\u002Fprocessing 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\u002For defined period medical claims. Maintains professional client relationships QUALIFICATIONS Education & Licensing: High school diploma or GED required Skills: Strong oral and written communication, computer literate – including Microsoft Office, organizational skills required Experience: Clerical or customer service experience or equivalent combination of education and experience preferred TAKING CARE OF YOU Flexible work schedule. Ability to work in an agile environment Referral incentive program. Career development and promotional growth opportunities. A diverse and comprehensive benefit package offering including medical, dental vision, 401K. 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\u002FVisual: 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 ($20-$22\u002Fhour). 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",{"id":2870,"slug":2871,"title":2872,"location":13,"raw_job_location_address_addressLocality":1333,"raw_hiringOrganization_logo_url":13,"raw_description":2873},64538,"workers-compensation-claims-adjuster-hybrid-riverside-ca-sedgwick-claims-management-services-inc","Workers Compensation - Claims Adjuster | HYBRID | Riverside, CA","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 Adjuster | HYBRID | Riverside, CA OFFICE LOCATION: Riverside, CA (3 days In Office\u002F2 days WFH) PRIMARY PURPOSE: To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency. Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments. Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract. Manages subrogation of claims and negotiates settlements. Communicates claim action with claimant and client. Ensures claim files are properly documented and claims coding is correct. May process complex lifetime medical and\u002For defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review. Maintains professional client relationships. 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 Three (3) years of claims management experience or equivalent combination of education and experience required. Licensing \u002F Jurisdiction Knowledge: California workers' compensation claims experience required | SIP Preferred 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\u002FVisual: 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 $65,000 - $85,000\u002Fyr. 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. #claimsadjuster #claims #hybrid 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",{"id":2875,"slug":2876,"title":2877,"location":13,"raw_job_location_address_addressLocality":1333,"raw_hiringOrganization_logo_url":13,"raw_description":2878},64539,"workers-compensation-claims-examiner-hybrid-riverside-ca-sedgwick-claims-management-services-inc","Workers Compensation - Claims Examiner | HYBRID | Riverside, CA","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 Examiner | HYBRID | Riverside, CA 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. OFFICE LOCATIONS Riverside, California (3 days in-office, 2 days remote) PRIMARY PURPOSE OF THE ROLE: To analyze workers' compensation 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. ESSENTIAL RESPONSIBLITIES 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: 5 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. Licensing \u002F Jurisdiction Knowledge: California workers' compensation claims experience required | SIP 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 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\u002FVisual: 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 $80,000-$100,000\u002Fyr. 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 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",{"id":2880,"slug":2881,"title":2882,"location":13,"raw_job_location_address_addressLocality":1343,"raw_hiringOrganization_logo_url":13,"raw_description":2883},64540,"workers-compensation-claims-examiner-long-beach-or-roseville-ca-hybrid-sedgwick-claims-management-services-inc","Workers Compensation Claims Examiner | Long Beach or Roseville, CA (Hybrid)","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 Examiner | Long Beach or Roseville, CA (Hybrid) 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 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 Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Experience Five (5) years of California Workers Compensation 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. Licensing \u002F Jurisdiction Knowledge: California jurisdictional knowledge required; SIP required or must be obtained within one (1) year of start date. 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 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\u002FVisual: Hearing, vision and talking NOTE: Credit security clearance, confirmed via a background credit check, is required for this position. 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 $80,000 - $100,000 per year. 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. #Claims #ClaimsExaminer #Hybrid #Remote 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",{"id":2885,"slug":2886,"title":2887,"location":13,"raw_job_location_address_addressLocality":1343,"raw_hiringOrganization_logo_url":13,"raw_description":2888},64542,"claims-examiner-workers-comp-hybird-roseville-ca-sedgwick-claims-management-services-inc","Claims Examiner - Workers Comp (Hybird Roseville, CA)","Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work® Most Loved Workplace® Forbes Best-in-State Employer Claims Examiner - Workers Comp (Hybird Roseville, CA) 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 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. Coordinates vendor referrals for additional investigation and\u002For 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. QUALIFICATION 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\u002FVisual: Hearing, vision and talking NOTE: Credit security clearance, confirmed via a background credit check, is required for this position. 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 $80-85K. 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 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",{"id":2890,"slug":2891,"title":2892,"location":13,"raw_job_location_address_addressLocality":1343,"raw_hiringOrganization_logo_url":13,"raw_description":2893},64544,"claims-representative-iap-workers-compensation-training-program-roseville-amp-long-beach-ca-sedgwick-claims-management-services-inc","Claims Representative (IAP) - Workers Compensation Training Program | Roseville & Long Beach, CA","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 Representative (IAP) - Workers Compensation Training Program | Roseville & Long Beach, CA Are you looking for an impactful job that offers an opportunity to develop a professional career? A stable and consistent work environment in an office setting. A training program to learn how to investigate and resolve complex situations for employees and customers from some of the world’s most reputable brands. 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 including medical, dental, vision & 401k. PRIMARY PURPOSE OF THE ROLE: To be oriented and trained as a new industry professional. This role begins with a comprehensive 4-week concept-based learning and professional training program, followed by a dedicated onboarding experience before entering the on-the-job phase. You will be assigned a mentor and manager that will support and guide you on your career journey and be equipped with the foundational skills needed for a successful career in claims adjusting. While in the program, you’ll have the opportunity to grow and advance within the industry. Next Class Date: 10\u002F12\u002F26 Locations: Roseville or Long Beach, CA - Onsite ARE YOU AN IDEAL CANDIDATE? We are seeking enthusiastic and service-oriented individuals for an entry-level trainee position who are: Strong Communicators Empathetic Multi-Taskers Accountable Structured Thinkers Ambitious Agile Learners Team Collaborators ESSENTIAL RESPONSIBLITIES INCLUDE Attendance and completion of designated claims professional training program. Adjusting various levels of workers’ compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim. Communicating effectively with injured workers, insureds\u002Femployers, medical providers, attorneys and carrier representatives, primarily through telephonic, video conference and email. Thoroughly investigating new and existing claims by gathering relevant information including medical records, employer reports, and witness statements. Investigating employer\u002Femployee relationships, policy verification, coverage and any potential for subrogation issues or fraud indicators. Determining coverage, compensability and appropriate benefits in accordance with jurisdictional guidelines and carrier program requirements. Documenting claims files and properly coding claim activity. Preparing detailed reports documenting findings and recommendations. Administering claim benefits i.e., indemnity and medical benefits, through maintenance of calendared claim-related action items, ensuring state compliance. Participating in virtual and\u002For in-person meetings, claim reviews and business functions as needed for educational training, claim discussions and various meetings. QUALIFICATIONS Education Requirement – High School Diploma or GED. Bachelor's degree preferred and 2 years of customer service experience and\u002For combination of education and experience. 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\u002FVisual: 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 $27.69\u002Fhr. 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. #claims #entrylevel 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",{"id":2895,"slug":2896,"title":2897,"location":13,"raw_job_location_address_addressLocality":1343,"raw_hiringOrganization_logo_url":13,"raw_description":2898},64549,"litigation-consultant-general-liability-sedgwick-claims-management-services-inc","Litigation Consultant - General Liability","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 Litigation Examiner - General Liability | Must Reside in CA 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 address and handle high end General Liability cases with serious injuries, complex coverage scenarios and legal inquiries or disputes; to develop a strategy to bring a case to satisfactory resolution. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Reviews\u002Facts on reports\u002Fforms; responds to inquiries; seeks legal opinion and early resolution; and communicates resolution to appropriate parties. Handles high end cases with serious injuries and\u002For complex coverage scenarios. Responds to decisions, agreement, and\u002For court order; creates action plan; determines need for examination; gains client authorization. Identifies cases for settlements\u002Fredemptions. Gathers\u002Fdocuments additional information and coordinates with client designees. Requests legal\u002Fprivate 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\u002Fadjusts 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. 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 preferred. Experience Six (6) years of litigation claims management experience (General Liability) or equivalent combination of education and experience required. 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\u002FVisual: Hearing, vision and talking 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 $85,000 - $105,000. 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. #Claims #ClaimsExaminer #Hybrid #LI-Hybrid #LI-AM1 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",{"id":2900,"slug":2901,"title":2902,"location":13,"raw_job_location_address_addressLocality":1343,"raw_hiringOrganization_logo_url":13,"raw_description":2903},64551,"workers-compensation-claims-examiner-dedicated-account-3-days-remote-sedgwick-claims-management-services-inc","Workers Compensation Claims Examiner | Dedicated Account | 3 Days Remote","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 Examiner | San Diego or Roseville, CA 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. OFFICE LOCATIONS Roseville, CA (Hybrid - 2 days in office) San Diego, CA (Hybrid - 2 days in office) 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 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. Coordinates vendor referrals for additional investigation and\u002For 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. QUALIFICATION 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. Licensing \u002F Jurisdiction Knowledge: California jurisdictional knowledge required; SIP required or must be obtained within one (1) year of employment. 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 80,000 - 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. #Claims #ClaimsExaminer #Hybrid #LI-Hybrid #LI-Remote #LI-AM1 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",{"id":2905,"slug":2906,"title":2907,"location":13,"raw_job_location_address_addressLocality":1402,"raw_hiringOrganization_logo_url":13,"raw_description":2908},64564,"workers-compensation-claims-examiner-ca-or-nv-license-required-remote-sedgwick-claims-management-services-inc","Workers Compensation Claims Examiner - CA or NV license required (Remote)","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 Examiner - CA or NV license required (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 examiner 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 analyze workers compensation 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 5 years of claims management experience or equivalent combination of education and experience required. Licensing \u002F Jurisdiction Knowledge: Must be licensed in California or Nevada 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\u002FVisual: 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 (80k-100k). 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 #LI-REMOTE 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",{"id":2910,"slug":2911,"title":2912,"location":13,"raw_job_location_address_addressLocality":1402,"raw_hiringOrganization_logo_url":13,"raw_description":2913},64565,"workers-compensation-claims-team-lead-ca-license-remote-sedgwick-claims-management-services-inc","Workers Compensation Claims Team Lead | CA license (Remote)","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 Team Lead | CA or NV license (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 Workers Compensation & supervisory 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 supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical\u002Fjurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. 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 RESPONSIBLITIES MAY INCLUDE 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. Manages the litigation process; ensures timely and cost-effective claims resolution. Coordinates vendor referrals for additional investigation and\u002For litigation management. Leads team meetings and assigns accountability for follow-up items. Gathers important compliance\u002Fclaims processing information to be presented at team meetings. Assists in interviews of adjusters, clerical staff and provides feedback to hiring manager. Provides limited assistance\u002Fsupport to team lead with monthly review of adjuster workloads; notes trends and suggests adjustments when necessary. May include up to (3) three direct reports. SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership, and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing: 5 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\u002FLicensing: CA 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\u002FVisual: 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 (100k-115k). 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 #LI-REMOTE 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",{"id":2915,"slug":2916,"title":2917,"location":13,"raw_job_location_address_addressLocality":1973,"raw_hiringOrganization_logo_url":13,"raw_description":2918},64568,"service-center-representative-sedgwick-claims-management-services-inc","Service Center Representative","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 Service Center Representative Our teams thrive together! We collaborate onsite and embrace a flexible hybrid work arrangement. All candidates must live near our Center of Excellence in Seven Hills, OH:📍 5700 Lombardo Center Suite 200, Seven Hills OH 44131, starting at 17.00 per hour. ✨ What we offer: A stable, consistent work environment—both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? PRIMARY PURPOSE: The Service Center Representative position is in an inbound call center position where we provide excellent service to callers regarding claims to expedite the claims application process and provide detailed claim notes on all calls; to resolve issues with one call\u002Fone person response; and to direct calls to appropriate escalation path as needed. In this fast-paced environment colleagues will learn and gain the skills and knowledge to elevate themselves to the next level. They will gain extensive knowledge of the car rental industry and insurance claims. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Acts as primary liaison with callers; follows client specifications in assisting with questions and solving problems related to the claims application and servicing processes. Educates and informs the customer via multiple communication channels about documentation required to process a claim, required time frames, payment information, and claim status. Educates claimants\u002Fcallers on client requirements and benefit plans documenting all required details of the call in a concise professional manner. Enters verbal and written application information that meets both the internal and external customer’s requirements accurately into the claims management system. Assigns new claims to the appropriate claim handler. Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist\u002Fmanagement as needed. Attendance during scheduled work hours is required. QUALIFICATIONS Education & Licensing High school diploma or GED required. Experience One (1) year customer service experience or equivalent combination of education and experience required. Inbound call center experience preferred. Skills & Knowledge Understanding of claims management Excellent oral and written communication skills PC literate, including Microsoft Office products Strong organizational skills Good interpersonal skills Ability to multitask in fast paced environment Ability to support multiple clients across communication channels and utilize multiple systems simultaneously Ability to work in a team environment and\u002For independently 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\u002FVisual: 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. 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 17.00. 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",{"id":2920,"slug":2921,"title":2922,"location":13,"raw_job_location_address_addressLocality":1973,"raw_hiringOrganization_logo_url":13,"raw_description":2923},64571,"claims-team-lead-liability-bodily-injury-sedgwick-claims-management-services-inc","Claims Team Lead - Liability Bodily Injury","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 Team Lead - Liability Bodily Injury PRIMARY PURPOSE OF THE ROLE: To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical\u002Fjurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Supervises multiple teams of examiners, multiple product line examiners and\u002For several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit. Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. Provides technical\u002Fjurisdictional direction to examiner reports on claims adjudication. Compiles reviews and analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. Maintains contact with the client on claims and promotes a professional client relationship Assures that direct reports are properly licensed in the jurisdictions serviced. Ensures claims files are coded correctly and adequate documentation is made by claims examiners. Performs other duties as assigned. Supports the organization's quality program(s). SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing: Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred. Experience: Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience. Skills & knowledge: thorough knowledge of claims management processes and procedures for multiple product lines, excellent oral and written communication, including presentation skills, PC literate, including Microsoft Office products, leadership\u002Fmanagement skills, analytical and interpretive skills, ability to work in a team environment, and the ability to meet or exceed Performance Competencies Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 $80,000. 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. 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",{"id":2925,"slug":2926,"title":821,"location":13,"raw_job_location_address_addressLocality":2927,"raw_hiringOrganization_logo_url":13,"raw_description":2928},64578,"field-case-manager-sedgwick-claims-management-services-inc-5","Telecommuter IN","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 Field Case Manager This Field Case will cover our Southbend, IN, Merrillville, IN\u002FWarsaw, IN and Kalamazoo, MI region and must live in this area in order to be considered. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face to face interaction with injured workers and medical professionals. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure preferred; or bachelor’s degree in health or human services field required with one of the following certifications: CCM, CDMS, or CRC. Valid driver’s license required. High speed internet required. Employment may be contingent upon successful completion of a motor vehicle record (MVR) check. 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\u002FVisual: Hearing, vision and talking TAKING CARE OF YOU BY Offering a blended work environment. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer a diverse and comprehensive benefits package including: Three Medical, and two dental plans to choose from. Tuition reimbursement eligible. 401K plan that matches 50% on every $ you put in up to the first 6% you save. 4 weeks PTO your first full year. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #fieldcasemanager 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",{"id":2930,"slug":2931,"title":2932,"location":13,"raw_job_location_address_addressLocality":1450,"raw_hiringOrganization_logo_url":13,"raw_description":2933},64585,"workers-compensation-claims-examiner-ny-lost-time-experience-amp-ny-licensing-required-sedgwick-claims-management-services-inc","Workers Compensation Claims Examiner | NY Lost-Time Experience & NY Licensing 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 Examiner | NY Lost-Time Experience & NY Licensing 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? To analyze New York Lost-Time Workers Compensation 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. OFFICE LOCATION\u002FSCHEDULE: Syracuse, NY Hybrid Schedule : 2 days in-office\u002F3 days work from home 37.5 hour work week OPEN TO REMOTE IF OUTSIDE OF COMMUTABLE DISTANCE TO Syracuse, NY OFFICE 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: 3 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: NY Licensing: NY required TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Opportunity to work in an agile environment. 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\u002FVisual: 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 (80K - 90K). 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",{"id":2935,"slug":2936,"title":2937,"location":13,"raw_job_location_address_addressLocality":2101,"raw_hiringOrganization_logo_url":13,"raw_description":2938},64594,"claims-examiner-workers-compensation-i-coaz-experience-needed-sedgwick-claims-management-services-inc","Claims Examiner Workers Compensation I CO\u002FAZ experience needed","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 Compensation I CO\u002FAZ experience needed 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 workers compensation examiner 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. 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. ARE YOU AN IDEAL CANDIDATE? To analyze workers compensation 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. ESSENTIAL RESPONSIBLITIES 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: 5 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. Licensing \u002F Jurisdiction Knowledge: CO and AZ TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Opportunity to work in an agile environment. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 $63,404 - $88,000\u002Fyr. 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. 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",{"id":2940,"slug":2941,"title":2942,"location":13,"raw_job_location_address_addressLocality":1476,"raw_hiringOrganization_logo_url":13,"raw_description":2943},64597,"professional-liability-claims-advisor-sedgwick-claims-management-services-inc","Professional Liability Claims Advisor","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 Professional Liability Claims Advisor 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? You bring experience handling complex Medical Malpractice and\u002For Professional Liability claims, excel at investigating claims, evaluating coverage, and driving strategic resolutions, and thrive in a client-focused environment where you can manage high-exposure files, collaborate with defense counsel, and mentor others while delivering exceptional results. WORK LOCATIONS This role requires availability during Pacific Time Zone business hours. See posting for eligible locations. PRIMARY PURPOSE OF THE ROLE: Manage and handle MedMal and professional liability claims; to provide resolution of highly complex nature and\u002For severe claims; to coordinate case management within company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Analyzes and processes complex or technically difficult MedMal and Professional 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. 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. Performs coverage analysis and opinion as part of the claim process including all necessary correspondence. 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 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 others. QUALIFICATIONS Education & Licensing: 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. Experience: 3-5 years of medical malpractice and professional liability claims management experience required. TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Opportunity to work in an agile environment. 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, travel as required Auditory\u002FVisual: 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 $100,000 to $145,000. 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. #Claims #LI-Remote 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",{"id":2945,"slug":2946,"title":1353,"location":13,"raw_job_location_address_addressLocality":2545,"raw_hiringOrganization_logo_url":13,"raw_description":2226},64598,"general-adjuster-sedgwick-claims-management-services-inc-2",{"id":2948,"slug":2949,"title":1481,"location":13,"raw_job_location_address_addressLocality":630,"raw_hiringOrganization_logo_url":13,"raw_description":1483},64600,"general-liability-adjuster-sedgwick-claims-management-services-inc-2",{"id":2951,"slug":2952,"title":1509,"location":13,"raw_job_location_address_addressLocality":630,"raw_hiringOrganization_logo_url":13,"raw_description":2953},64603,"patient-care-coordinator-bilingual-preferred-sedgwick-claims-management-services-inc","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 Patient Care Coordinator-Bilingual Preferred PRIMARY PURPOSE: To provide world class customer service and service delivery to our clients and patients through processing referrals in the delivery of medical goods and services. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Reaches out to patients in relation to new or already processing referrals confirming patient demographic information, providing updates on the referral, and\u002For confirming delivery of said goods or service. Communicates with vendor partners, claims adjusters and nurse case managers providing updates on new referrals as well as referrals already in process. Procures vendor partners for each referral as it relates to the goods or services requested. Responsible for making or taking phone calls on existing referrals, new referrals, or other team members referrals. Provides quotes back to clients for approval or follow up on quotes already sent to obtain written approval for requested referrals ensuring that each referral is deemed medically necessary and approved by the claim’s adjuster. Confirms all required and relevant billing information exists in each referral as it relates to the workflow and billing processes in place and moves those referrals to be billed each day. Processes referrals per state regulations and workers compensation guidelines. 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. Experience Two (2) years of industry experience in healthcare network and patient care scheduling or equivalent combination of education and experience required. Skills & Knowledge Strong customer service skills Strong critical thinking skills Self-Starter Excellent oral and written communication skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Excellent interpersonal 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 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\u002FVisual: 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",{"id":2955,"slug":2956,"title":2957,"location":13,"raw_job_location_address_addressLocality":2598,"raw_hiringOrganization_logo_url":13,"raw_description":2958},64616,"claims-team-lead-auto-remote-sedgwick-claims-management-services-inc","Claims Team Lead, Auto | Remote","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 Team Lead, Auto | Remote PRIMARY PURPOSE OF THE ROLE: To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical\u002Fjurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Supervises multiple teams of examiners, multiple product line examiners and\u002For several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit. Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. Provides technical\u002Fjurisdictional direction to examiner reports on claims adjudication. Compiles reviews and analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal. Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner. Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client. Assures that direct reports are properly licensed in the jurisdictions serviced. Ensures claims files are coded correctly and adequate documentation is made by claims examiners. Performs other duties as assigned. Supports the organization's quality program(s). SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing: Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred. Experience: Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience. Skills & knowledge: thorough knowledge of claims management processes and procedures for multiple product lines, excellent oral and written communication, including presentation skills, PC literate, including Microsoft Office products, leadership\u002Fmanagement skills, analytical and interpretive skills, ability to work in a team environment, and the ability to meet or exceed Performance Competencies Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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",{"id":2960,"slug":2961,"title":2962,"location":13,"raw_job_location_address_addressLocality":2963,"raw_hiringOrganization_logo_url":13,"raw_description":2964},64617,"sr-claims-specialist-professional-liability-medical-malpractice-long-term-care-sedgwick-claims-management-services-inc","Sr. Claims Specialist, Professional Liability | Medical Malpractice | Long Term Care","Telecommuter MD","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. Claims Specialist, Professional Liability | Medical Malpractice | Long Term Care PRIMARY PURPOSE OF THE ROLE: To analyze complex or technically difficult medical malpractice claims including long term care facilities; to provide resolution of highly complex nature and\u002For severe injury claims; to coordinate case management within Company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service. ARE YOU AN IDEAL CANDIDATE? We are seeking experienced professionals to manage complex medical malpractice claims involving severe injury and high exposure. Ideal candidates demonstrate strong analytical and negotiation skills, exercise sound judgment, and are committed to delivering timely, cost‑effective claim resolutions while maintaining a high level of customer service. ESSENTIAL RESPONSIBLITIES MAY INCLUDE: Analyzes and processes complex or technically difficult medical malpractice 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. 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. Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing: 6 years of claims management experience or equivalent combination of education and experience required. Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certification as applicable to line of business preferred. Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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. 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. 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",{"id":2966,"slug":2967,"title":641,"location":13,"raw_job_location_address_addressLocality":2968,"raw_hiringOrganization_logo_url":13,"raw_description":2969},64619,"rn-field-case-manager-sedgwick-claims-management-services-inc-10","Telecommuter MO","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 RN Field Case Manager This Field Case Manager will cover our Kansas City (MO\u002FKS) region and must live in this area in order to be considered. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face to face interaction with injured workers and medical professionals. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure required. Valid driver’s license required. High speed internet required. Employment may be contingent upon successful completion of a motor vehicle record (MVR) check, where job related. 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\u002FVisual: Hearing, vision and talking TAKING CARE OF YOU BY Offering a blended work environment. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer a diverse and comprehensive benefits package including: Three Medical, and two dental plans to choose from. Tuition reimbursement eligible. 401K plan that matches 50% on every $ you put in up to the first 6% you save. 4 weeks PTO your first full year. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #fieldcasemanager 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",{"id":2971,"slug":2972,"title":1574,"location":13,"raw_job_location_address_addressLocality":1575,"raw_hiringOrganization_logo_url":13,"raw_description":2973},64622,"customer-support-representative-sedgwick-claims-management-services-inc-2","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 Customer Support Representative **Candidates must reside in the Pease - Portsmouth, NH area** This is a HYBIRD role that will be at least 3 days a week in office and two days remote. Possible shifts available after training is complete include: 9:00am – 5:30pm ET, 9:30am – 6pm ET, or 10:00am – 6:30 pm ET. Are you looking for an impactful job that offers an opportunity to develop a professional career? As a Service Center Representative you will have access to: A stable and consistent work environment in an office and\u002For virtual setting A training program to learn how to help employees and customers from some of the world’s most reputable brands 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 OF THE ROLE: As a member of our Bill ReviewIQ team, deliver comprehensive, high-quality support to customers with complex issues and questions. On this fast-paced team, you will need to exemplify outstanding customer delight skills. You will have a passion for problem-solving, technology, and helping others to promote a high-level customer satisfaction. You are encouraged to think creatively and are empowered to make routine decisions or address issues utilizing your own expertise. ESSENTIAL RESPONSIBILITIES MAY INCLUDE Hold total accountability for a positive customer experience Achieve and maintain proficiency with the capabilities of Bill ReviewIQ's software as a service applications, as well as corresponding system and software changes Answer an average of 15-30 inbound support calls and 20-30 emails per day Consistently available to receive incoming calls (at desk and logged into phone system) Manage and maintain timelines for issue resolution Ability to develop and maintain customer relationships Document software defects and work with internal departments to escalate or resolve Document call transactions, processes and methodologies used to diagnose and resolve the customer’s issues within the appropriate CRM tool Assist with identifying root cause of problems; manage and resolve issues in a rapidly changing environment Focus on both customer delight and continuous seeking out of new opportunities to expand customer relationships Ability to work an 11-8pm shift one day a week to be determined after training is completed QUALIFICATIONS Education: High school diploma or GED required. College courses preferred Experience: One (1) year customer service experience or equivalent combination of education and experience required. Inbound call center experience preferred. Skills: Proven ability to troubleshoot and support customers using software applications, strong customer service skills, ability to effectively multitask in a high paced environment and balance multiple priorities, a solid understanding of basic computer functions and ability to teach\u002Ftrain users, and strong oral and written communications skills. TAKING CARE OF YOU Career development and promotional growth opportunities A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more 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",{"id":2975,"slug":2976,"title":2977,"location":13,"raw_job_location_address_addressLocality":1682,"raw_hiringOrganization_logo_url":13,"raw_description":2978},64638,"business-development-director-auto-solutions-sedgwick-claims-management-services-inc","Business Development Director- Auto Solutions","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 Business Development Director- Auto Solutions PRIMARY PURPOSE OF THE ROLE: To expand and enhance the company's top line through diligent relationship building and maintenance with prospective clients across an area; to identify and address prospective and existing client opportunities for marketing the company's programs; and to ensure sales goals, objectives and profit margins are met. ESSENTIAL RESPONSIBILITIES MAY INCLUDE Identifies, develops and maintains internal and external relationships\u002Fpartnerships. Builds relationships with prospects. Facilitates the development of new partnerships and the company; facilitates and remains involved in the implementation process ensuring a smooth transition of new client programs. Develops the detailed knowledge of individual prospect operations targeting specific needs which may be opportunities for marketing company programs. Ensures the identification of expertise required addressing individual prospect requirements; identifies resources for prospect solicitation and service teams. Utilizes the appropriate national resources to facilitate responses and pricing for RFPs, proposals, and presentations. Manages the design of service programs ensuring client need fulfillment. Develops and implements an annual sales and service plan including identification of potential client prospects, their needs, and the methodology of presenting company's ability to fulfill those needs. Meets sales goals of $2-3 million. QUALIFICATIONS Bachelor's degree from an accredited college or university required. Bachelor's degree with major in Business Administration, Finance or Risk Management preferred. Licenses as required. Possession of, or progress towards, CPCU and\u002For ARM designation required. Ten (10) years of related experience or equivalent combination of education and experience required to include five (5) years of relationship building in the claims management or risk management area. 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\u002FVisual: 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. #LI-TS1 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",{"id":2980,"slug":2981,"title":2982,"location":13,"raw_job_location_address_addressLocality":1682,"raw_hiringOrganization_logo_url":13,"raw_description":2983},64639,"principal-data-scientist-sedgwick-claims-management-services-inc","Principal Data Scientist","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 Principal Data Scientist Job Responsibilities Lead the design and development of advanced statistical and machine learning models that improve claims outcomes, operational efficiency, and risk management. Serve as the technical authority for complex modeling initiatives including fraud detection, claims severity prediction, litigation risk modeling, and recovery optimization. Develop predictive and prescriptive models using structured and unstructured claims data, including adjuster notes, medical records, and policy documentation. Architect modeling approaches that leverage modern techniques such as gradient boosting, deep learning, NLP, anomaly detection, and probabilistic modeling. Partner with AI Engineering teams to productionize models and integrate them into enterprise AI platforms and operational systems. Design feature engineering strategies and modeling pipelines using large-scale enterprise datasets. Establish best practices for model development, experimentation, validation, and reproducibility. Lead advanced analytical techniques such as causal inference, scenario simulation, and risk scoring methodologies. Build and maintain model evaluation frameworks that measure accuracy, bias, stability, and business impact. Monitor deployed models for drift, degradation, and changing data distributions, and recommend recalibration strategies. Provide technical guidance to data scientists and analysts across the organization. Mentor junior team members on statistical methods, machine learning techniques, and analytical rigor. Translate complex analytical findings into clear, actionable insights for business leaders and operational teams. Collaborate with Claims Operations, Finance, Risk, and IT stakeholders to identify high-impact analytical opportunities. Evaluate external data sources and third-party analytical solutions that enhance predictive capabilities. Ensure analytical methodologies align with enterprise governance standards and regulatory expectations. Contribute to Sedgwick’s broader AI and advanced analytics strategy by identifying emerging technologies and modeling approaches. Lead research and innovation initiatives that advance Sedgwick’s predictive analytics capabilities. Qualifications Master’s or PhD in Data Science, Statistics, Mathematics, Computer Science, Economics, or related quantitative discipline. 8–12+ years of experience in data science, statistical modeling, or advanced analytics roles. Deep expertise in machine learning algorithms, statistical modeling techniques, and predictive analytics methodologies. Strong programming skills in Python, R, or similar analytical languages. Extensive experience working with large, complex datasets in enterprise environments. Proven experience designing and implementing end-to-end modeling pipelines. Strong understanding of model validation, feature engineering, and performance evaluation techniques. Experience collaborating with engineering teams to deploy models into production systems. Familiarity with distributed data processing tools and modern data platforms preferred. Experience in insurance, claims management, healthcare, or financial services analytics preferred. Ability to communicate advanced analytical concepts to both technical and non-technical stakeholders. Demonstrated ability to lead complex analytical initiatives that drive measurable business value. Strong mentoring and technical leadership capabilities. #LI-TS1 #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. 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",{"id":2985,"slug":2986,"title":2987,"location":13,"raw_job_location_address_addressLocality":1682,"raw_hiringOrganization_logo_url":13,"raw_description":2988},64643,"product-managerowner-ai-sedgwick-claims-management-services-inc","Product Manager\u002FOwner AI","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\u002FOwner AI End-to-End AI Product Owner – Line of Business or Platform Aligned Role Overview The Product Manager \u002F Product Owner – AI is responsible for end-to-end ownership of AI initiatives for a specific Line of Business or claims domain. This role partners directly with business stakeholders to define AI-enabled improvements to claims operations, cost control, and client service performance, and translates those objectives into structured, sprint-ready execution plans. This role combines strategic initiative shaping with hands-on backlog ownership and daily collaboration with AI engineers and data scientists. It ensures that AI development is grounded in real operational pain points and that delivered solutions are practical, compliant, and measurable in impact. Key Responsibilities The Product Manager\u002FOwner works directly with claims leadership, operational managers, and Business Transformation Leads to understand workflow bottlenecks, leakage drivers, customer friction points, regulatory risks, and client performance commitments. They translate these insights into clearly defined AI use cases with measurable operational objectives such as reduced claim cycle time, improved reserving accuracy, enhanced fraud detection rates, or improved document processing speed. They decompose initiatives into epics and features that reflect real-world operational workflows, ensuring requirements account for system integrations, adjuster behavior, client reporting requirements, and compliance obligations. They collaborate with AI engineers and data scientists to validate feasibility, data availability, model explainability considerations, and downstream operational impact. They own and continuously refine the product backlog, ensuring it remains prioritized according to business value and aligned with enterprise AI portfolio constraints. They prepare stories with detailed acceptance criteria that reflect actual claims scenarios and operational realities, not abstract technical requirements. During sprint execution, they remain closely engaged with the delivery team, clarifying nuances of claims processes, regulatory rules, and client-specific variations. They validate that developed models, automation features, or decision-support tools function appropriately within the claims workflow and align with user expectations. They communicate progress, risks, and trade-offs to LOB stakeholders transparently, ensuring expectations are managed around sequencing and delivery timelines. Following deployment, they monitor adoption, operational metrics, and user feedback, adjusting backlog priorities based on real-world performance and measurable impact. This role requires balancing operational urgency with disciplined backlog governance, particularly in environments where client escalations or regulatory deadlines may introduce pressure for rapid change. Qualifications 6–10 years of experience in Product Management or Business-Technology roles within insurance, claims, or managed services Strong understanding of claims operations, adjuster workflows, or insurance servicing models Experience working in Agile delivery environments Ability to translate operational pain points into structured technical requirements Strong stakeholder communication skills across business and technical audiences #LI-TS1 #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. 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",{"id":2990,"slug":2991,"title":2992,"location":13,"raw_job_location_address_addressLocality":1682,"raw_hiringOrganization_logo_url":13,"raw_description":2993},64647,"sr-payroll-manager-sedgwick-claims-management-services-inc","Sr Payroll Manager","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 Payroll Manager PRIMARY PURPOSE: To manage payroll operations and related activities; to manage the corporate payroll staff; to develop and control functions necessary to accomplish payroll processing objectives; and to coordinate payroll tax preparation, filing and payments. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Manages corporate payroll unit activities ensuring accurate and timely payroll processing; manages and trains internal payroll staff; and assigns workloads. Prepares tax gross-up for relocations, special pays, and related documentation for IRS. Maintains payroll tax files and correspondence with state and local tax jurisdictions; initiates and coordinates tax research with ADP and tax agencies; and audits state and local tax withholding requirements in related system(s). Ensures that more complex internal payroll actions are performed accurately. Researches and resolves report or data discrepancies identified by Colleague Resources (CR) and Finance staff. Educates CR staff on payroll related issues. Adheres to the goal of delivering and maintaining the highest quality of customer services to internal clients. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university strongly preferred. Experience Eight (8) years of related experience or equivalent combination of education and experience required to include five (5) years payroll experience and one (1) year multiple state tax reporting. Supervisory experience preferred. Experience with ADP Enterprise payroll processing system, ADP WGPS service and\u002For ADP eTime processing system preferred. Skills & Knowledge Thorough knowledge of payroll functions and multiple state tax requirements Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership\u002Fmanagement\u002Fmotivational skills 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\u002FVisual: 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",{"id":2995,"slug":2996,"title":1787,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":2997},64649,"claims-team-lead-auto-sedgwick-claims-management-services-inc","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 Team Lead, Auto PRIMARY PURPOSE OF THE ROLE: To supervise the operation of multiple teams of examiners and staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical\u002Fjurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Supervises multiple teams of examiners, multiple product line examiners and\u002For several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit. Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. Provides technical\u002Fjurisdictional direction to examiner reports on claims adjudication. Compiles reviews and analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal. Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner. Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client. Assures that direct reports are properly licensed in the jurisdictions serviced. Ensures claims files are coded correctly and adequate documentation is made by claims examiners. Performs other duties as assigned. Supports the organization's quality program(s). SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing: Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred. Experience: Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience. Skills & knowledge: thorough knowledge of claims management processes and procedures for multiple product lines, excellent oral and written communication, including presentation skills, PC literate, including Microsoft Office products, leadership\u002Fmanagement skills, analytical and interpretive skills, ability to work in a team environment, and the ability to meet or exceed Performance Competencies Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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",{"id":2999,"slug":3000,"title":3001,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":3002},64655,"product-manager-data-products-sedgwick-claims-management-services-inc","Product Manager - Data Products","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 - Data Products 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: The Product Manager represents the “voice of the client” and is accountable for delivering measurable business value through data products. This role partners with clients and internal stakeholders to identify needs, define product opportunities, and translate them into actionable requirements. The Product Manager owns the product backlog, roadmap, and outcomes, ensuring alignment between business priorities, client impact, and technical feasibility while supporting predictable delivery. ESSENTIAL RESPONSIBLITIES MAY INCLUDE 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 develop and maintain a product roadmap and backlog, adjust scope and prioritization, and ensure product functionality aligns with technical feasibility. Defines and tracks product success metrics (e.g., adoption, usage, NPS, revenue\u002Fretention impact), represents the “voice of the client,” and communicates roadmap progress, risks, and dependencies to stakeholders. Oversee, coordinate & support development work Works with technical resources on Data Products team to estimate effort required to complete requests and allocates capacity accordingly. Translates client and stakeholder requirements into clear product problem statements, user stories, and acceptance criteria, and gather necessary inputs to execute technical build. Participates in end-to-end product design activities, ensuring solutions are intuitive and aligned with client workflows. Ensures product strategy, requirements, and priorities are clearly understood by data engineering and analytics teams. 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. Participates in sprint ceremonies and evaluation meetings (e.g., planning, reviews, retrospectives). Contributes to IT and product documentation as needed. Tactical Leads client feedback sessions, and supports go-to-market readiness, including training materials and release communications. Documents product decisions, use cases, and release notes to ensure alignment on product vision, scope, and trade-offs. Maintains a holistic understanding of business processes and internal system configurations impacting the product and evaluates technical implications of proposed changes. 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. QUALIFICATIONS Eight (8) years’ experience in product strategy, product management or requirements intake role. 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 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. #productmanager LI-KK1 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",{"id":3004,"slug":3005,"title":3006,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":3007},64659,"vmo-manager-sedgwick-claims-management-services-inc","VMO Manager","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 VMO Manager PRIMARY PURPOSE: The VMO Manager is responsible for establishing and running the vendor management office within Technology to optimize outcomes from Managed Services Providers (MSPs). This role drives governance, performance management, program health, and KPI alignment across all MSP engagements, ensuring service excellence, contractual compliance, value realization, and risk mitigation. The VMO Manager ensures service excellence, contractual compliance, value realization, and risk mitigation while partnering with Technology, Security, Finance, Procurement, Legal, and business leaders to deliver measurable business outcomes. ESSENTIAL RESPONSIBILITES MAY INCLUDE Governance & Operating Model Designs and operates the VMO governance framework for MSPs, including cadence, artifacts, and decision rights (e.g., QBR\u002FMBR, contract reviews, risk reviews, and improvement plans). Establishes and enforce standardized vendor playbooks, including SLAs\u002FXLAs, KPIs, escalation paths, RACI, and performance scorecards. Maintains a central repository of contracts, SOWs, amendments, obligations, and renewal calendars; ensure alignment to enterprise procurement and legal policies. Drives compliance with regulatory, security, and data privacy requirements (e.g., SOC 2, ISO 27001, GDPR\u002FCCPA where applicable) in collaboration with Security, Risk, and Legal Program Health & Value Realization Creates and manages a portfolio view of all MSP engagements—status, risks, dependencies, financials, and outcomes. Facilitates prioritization of Innovation Backlogs and run retrospectives. Monitors program health across delivery, risk, compliance, and stakeholder satisfaction; proactively surface issues, trends, and recommendations. Drives transition & transformation governance for new MSPs or scope changes, including due diligence, knowledge transfer, and operational readiness. Quantifies and communicates value realization (e.g., cost optimization, service stability, risk reduction, productivity gains). Relationship & Stakeholder Management Serves as primary point of accountability for vendor performance across Technology, ensuring alignment with CIO priorities and roadmaps. Fosters collaborative and performance-driven culture across teams and partners Facilitates exec-level engagement with vendors including escalations, negotiations and remediation planning. Partners with IT leaders (Infra, Apps, Security, Data), Finance\u002FProcurement, and Legal to align contracts, budgets, and outcomes. Standard, Tools & Automation Defines data standards and reporting framework to ensure accuracy, transparency, and auditability of vendor performance. Own or influence the VMO tooling ecosystem (ex ServiceNow, vendor scorecards, BI \u002F analytics). Implement automation and analytics to enhance SLA tracking, reporting, and invoice validation. Develop dashboards and insights to inform decision-making and improve service delivery. QUALIFICATIONS Bachelor’s degree in Information Technology, Business, or related field; MBA or equivalent preferred. 8+ years in vendor management, service delivery management, IT operations, or sourcing within a Technology organization. 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\u002FVisual: 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",{"id":3009,"slug":3010,"title":3011,"location":13,"raw_job_location_address_addressLocality":1757,"raw_hiringOrganization_logo_url":13,"raw_description":3012},64662,"workers-compensation-claims-representative-medical-only-workers-compensation-va-jurisdiction-sedgwick-claims-management-services-inc","Workers Compensation Claims Representative | Medical Only Workers Compensation | VA Jurisdiction","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 | Medical Only Workers Compensation | VA Jurisdiction 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 process low level MEDICAL ONLY Workers Compensation claims for a Dedicated Client to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements with general supervision. 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 RESPONSIBLITIES 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. Medical Only 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: VA TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Opportunity to work in an agile environment. 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 (45,000-60,000). 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. #claims #claimsexaminer #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. 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",{"id":3014,"slug":3015,"title":3016,"location":13,"raw_job_location_address_addressLocality":1773,"raw_hiringOrganization_logo_url":13,"raw_description":3017},64664,"claims-team-lead-commercial-trucking-remote-sedgwick-claims-management-services-inc","Claims Team Lead | Commercial Trucking | Remote","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 Team Lead | Commercial Trucking | Remote PRIMARY PURPOSE OF THE ROLE: To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical\u002Fjurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims ESSENTIAL FUNCTIONS and RESPONSIBILITIES Supervises multiple teams of examiners, multiple product line examiners and\u002For several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit. Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. Provides technical\u002Fjurisdictional direction to examiner reports on claims adjudication. Compiles reviews and analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal. Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner. Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client. Assures that direct reports are properly licensed in the jurisdictions serviced. Ensures claims files are coded correctly and adequate documentation is made by claims examiners. SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing: Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience. Skills: thorough knowledge of claims management processes and procedures for multiple product lines, excellent oral and written communication, including presentation skills, PC literate, including, Microsoft Office products, and leadership\u002Fmanagement skills Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred. Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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",{"id":3019,"slug":3020,"title":3021,"location":13,"raw_job_location_address_addressLocality":3022,"raw_hiringOrganization_logo_url":13,"raw_description":3023},64665,"claims-examiner-workers-compensation-jurisdiction-wa-amp-or-licensing-wa-amp-or-cert-preferred-sedgwick-claims-management-services-inc","Claims Examiner - Workers Compensation | Jurisdiction: WA & OR | Licensing: WA & OR Cert preferred","Telecommuter WA","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 Compensation | Jurisdiction: WA & OR | Licensing: WA & OR Cert preferred 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 Claims Examiner, WC knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.  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 analyze workers compensation 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 5 years of claims management experience or equivalent combination of education and experience required. Licensing \u002F Jurisdiction Knowledge: WA and OR TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Opportunity to work in an agile environment. 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, travel as required Auditory\u002FVisual: 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 ( $70k-$95k). 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 #Hotjobs 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",{"id":3025,"slug":3026,"title":1499,"location":13,"raw_job_location_address_addressLocality":1773,"raw_hiringOrganization_logo_url":13,"raw_description":1709},64667,"claims-examiner-auto-bodily-injury-sedgwick-claims-management-services-inc-3",{"id":3028,"slug":3029,"title":3030,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":3031},64685,"claims-examiner-construction-sedgwick-claims-management-services-inc","Claims Examiner - Construction","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 - Construction 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 general liability\u002F construction defect examiner 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. 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. ARE YOU AN IDEAL CANDIDATE? To analyze general liability claims involving New York labor law or construction defect 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. ESSENTIAL RESPONSIBLITIES 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: 5 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. Licensing \u002F Jurisdiction Knowledge: Anywhere in the United States with construction defect experience TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Opportunity to work in an agile environment. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. Work environment requirements for entry-level opportunities include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 $75,000 - $100,000\u002Fyr. 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. 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",{"id":3033,"slug":3034,"title":1499,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":3035},64688,"claims-examiner-auto-bodily-injury-sedgwick-claims-management-services-inc-4","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, Auto | Bodily Injury PRIMARY PURPOSE OF THE ROLE: To analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. ARE YOU AN IDEAL CANDIDATE? To analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements. ESSENTIAL RESPONSIBLITIES MAY INCLUDE 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\u002Fprocessing with insured, client, and agent or broker when appropriate. Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing: 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. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Skills: strong oral and written communication, including presentation skills, PC literate including Microsoft Office products, and ability to work in a team environment. Secure and maintain the State adjusting licenses as required for the position. 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 – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 $70,000 to $80,000. 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. 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. 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",{"id":3037,"slug":3038,"title":3039,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":3040},64690,"claims-examiner-bodily-injury-commercial-trucking-remote-sedgwick-claims-management-services-inc","Claims Examiner, Bodily Injury | Commercial Trucking | Remote","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, Bodily Injury | Commercial Trucking | Remote PRIMARY PURPOSE OF THE ROLE: To analyze and process complex bodily injury auto and commercial trucking claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. ARE YOU AN IDEAL CANDIDATE? To analyze complex auto bodily injury and commercial trucking claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Processes complex auto commercial trucking claims, 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\u002Fprocessing with insured, client, and agent or broker when appropriate. Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing: 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. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Skills: strong oral and written communication, including presentation skills, PC literate including Microsoft Office products, and ability to work in a team environment. Secure and maintain the State adjusting licenses as required for the position. Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 $80,000 to $85,000. 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. 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",{"id":3042,"slug":3043,"title":1499,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":3044},64692,"claims-examiner-auto-bodily-injury-sedgwick-claims-management-services-inc-5","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, Auto | Bodily Injury PRIMARY PURPOSE OF THE ROLE: To analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. ARE YOU AN IDEAL CANDIDATE? To analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements. ESSENTIAL RESPONSIBLITIES MAY INCLUDE 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\u002Fprocessing with insured, client, and agent or broker when appropriate. Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing: 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. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Skills: strong oral and written communication, including presentation skills, PC literate including Microsoft Office products, and ability to work in a team environment. Secure and maintain the State adjusting licenses as required for the position. Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 $70,000 to $80,000. 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. 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. 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",{"id":3046,"slug":3047,"title":3048,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":3049},64701,"claims-examiner-workers-compensation-i-remote-sedgwick-claims-management-services-inc","Claims Examiner Workers Compensation I Remote","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 Compensation I 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 workers compensation examiner 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. 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. ARE YOU AN IDEAL CANDIDATE? To analyze workers compensation 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. ESSENTIAL RESPONSIBLITIES 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: 5 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. Licensing \u002F Jurisdiction Knowledge: Anywhere in the United States TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Opportunity to work in an agile environment. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. Work environment requirements for entry-level opportunities include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 $63,404 - $85,000\u002Fyr. 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. 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",{"id":3051,"slug":3052,"title":3053,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":3054},64702,"claims-representative-iap-workers-compensation-training-program-sedgwick-claims-management-services-inc-3","Claims Representative (IAP) -Workers Compensation Training Program","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 Representative (IAP) -Workers Compensation Training Program Are you looking for an impactful job that offers an opportunity to develop a professional career? A stable and consistent work environment in an office setting. A training program to learn how to investigate and resolve complex situations for employees and customers from some of the world’s most reputable brands. 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 including medical, dental, vision & 401k. PRIMARY PURPOSE OF THE ROLE: To be oriented and trained as a new industry professional. This role begins with a comprehensive 4-week concept-based learning and professional training program, followed by a dedicated onboarding experience before entering the on-the-job phase. You will be assigned a mentor and manager that will support and guide you on your career journey and be equipped with the foundational skills needed for a successful career in claims adjusting. While in the program, you’ll have the opportunity to grow and advance within the industry. Next Class Date: 10\u002F12\u002F26 ARE YOU AN IDEAL CANDIDATE? We are seeking enthusiastic and service-oriented individuals for an entry-level trainee position who are: Strong Communicators Empathetic Multi-Taskers Accountable Structured Thinkers Ambitious Agile Learners Team Collaborators ESSENTIAL RESPONSIBLITIES INCLUDE Attendance and completion of designated claims professional training program. Adjusting various levels of workers’ compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim. Communicating effectively with injured workers, insureds\u002Femployers, medical providers, attorneys and carrier representatives, primarily through telephonic, video conference and email. Thoroughly investigating new and existing claims by gathering relevant information including medical records, employer reports, and witness statements. Investigating employer\u002Femployee relationships, policy verification, coverage and any potential for subrogation issues or fraud indicators. Determining coverage, compensability and appropriate benefits in accordance with jurisdictional guidelines and carrier program requirements. Documenting claims files and properly coding claim activity. Preparing detailed reports documenting findings and recommendations. Administering claim benefits i.e., indemnity and medical benefits, through maintenance of calendared claim-related action items, ensuring state compliance. Participating in virtual and\u002For in-person meetings, claim reviews and business functions as needed for educational training, claim discussions and various meetings. QUALIFICATIONS Education Requirement – High School Diploma or GED. Bachelor's degree preferred and 2 years of customer service experience and\u002For combination of education and experience. 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\u002FVisual: 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 $25.65\u002Fhr. 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. #claims #entrylevel 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",{"id":3056,"slug":3057,"title":3058,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":3059},64709,"sr-claims-specialist-professional-liability-eampo-dampo-epl-remote-sedgwick-claims-management-services-inc","Sr. Claims Specialist, Professional Liability | E&O, D&O, EPL | Remote","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. Claims Specialist, Professional Liability | E&O, D&O, EPL | Remote PRIMARY PURPOSE: To analyze complex or technically difficult errors and omissions, employment practices law, and directors and officers claims; to provide resolution of highly complex nature and\u002For severe injury claims; to coordinate case management within Company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Analyzes and processes complex or technically difficult professional 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. 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. 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 preferred. Licenses as required. Professional certification as applicable to line of business preferred. Experience Six (6) years of claims management experience or equivalent combination of education and experience required. Skills & Knowledge 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 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\u002FVisual: 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 $100,000 to $125,000. 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. 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",{"id":3061,"slug":3062,"title":3063,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":3064},64713,"svp-medical-director-sedgwick-claims-management-services-inc","SVP Medical Director","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 SVP Medical Director PRIMARY PURPOSE: To evaluate medical reports escalated due to deficient information utilizing evidence based criteria; to provide leadership within the dedicated team of clinician and claim professionals in support of the dedicated program through training and implementation of medical best practices; and to provide client facing support when needed for additional services supporting Human Resources with ADAAA and FMLA support that require medical expertise; to adhere to service delivery time frames, customer satisfaction, and overall support of workflow. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Client-facing clinical support: Participate in client stewardship discussions, claim roundtables, and complex medical escalations. Travel Expectations: 25%-30%. Emerging medical trends and clinical strategy: Stay current on emerging medical trends, treatment standards, clinical literature, and evidence-based guidelines; support client conversations and operational decisions tied to these trends. Claims and occupational health expertise: Support workers’ compensation, disability, FMLA, fitness-for-duty, return-to-work, liability, and safety-sensitive workforce issues. Managed Care \u002F UR support: Can support operational needs as required specific to Utilization Review and Physician Advisor Support, care management strategy, vendor alignment, and quality improvement.. Licensure support: Obtain and maintain Medical Director licensure in a few select states, as needed, to support regulatory, Managed Care, utilization review, and operational requirements. Evidence-based medical guidance: Apply applicable clinical guidelines and medical literature to support defensible recommendations, claim discussions, treatment-plan clarification, and return-to-work\u002Fdisability-related decision-making. Provider, appeal, and quality support: Engage treating providers when needed and support appeals, independent medical review considerations, peer review alignment, and clinical quality review. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Responsible for evaluating the following: Conducting reviews on cases where the nurse is seeking treatment plan clarification, claim denial, disability certification or duration management for return to work guidance. Generating phone calls to treating physicians to enter into a motivational conversation to create an environment for positive discussion outlining the facts and evidence to make appropriate claim determinations. Documenting recommendations within templates in Juris and SharePoint using the appropriate format referencing evidence-based criteria within the required time frame. The oversight of the appeal and review process including making a recommendation of specialty for the Independent Medical Review process. Developing and delivering training materials and presentations to meet training needs. Interfacing and providing guidance and leadership to the Client dedicated leadership team as well as team leads where appropriate. Following established policy and procedures to assure compliance to best practices, service standards, state regulations, and client service requirements and assure efficient, cost effective, quality program delivery for medical and disability management. Coordinating and evaluating the service delivery between the company, partners, and vendors. Member of a client Disability Pension Board Review of identified appeal cases for quality assurance purposes Voting member to determine if eligibility requirements have been met Quarterly meeting attendance telephonically or virtually Provides MRO expertise in special cases where a case is escalated. Provides assistance where occupational health expertise is needed. Collaborates with other parts of the company as needed. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). 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. Education & Licensing Medical Doctor (M.D.) degree required. TAKING CARE OF YOU BY Offering a blended work environment. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. Thrives when everyone is working towards the same vision\u002Fgoals. We offer a diverse and comprehensive benefits package including: Three medical, and two dental & vision plans to choose from. Tuition reimbursement 401K plan that matches 50% on every $ you put in up to the first 6% you save. 4 weeks PTO your first full year. 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\u002FVisual: Hearing, vision and talking Experience Ten (10) of related experience required to include one (1) to three (3) years utilization review experience and three (3) years clinical quality control. Skills & Knowledge Knowledge of evidence-based guidelines Knowledge of ADAA and FMLA Knowledge of utilization review procedures Knowledge of clinical quality systems and measurements Knowledge of resources available regarding regulations and parameters of third party reimbursement, benefit determinations and payments Knowledge of statutory requirements of state's jurisdiction\u002FERISA regulations Knowledge about general claim practices. Knowledge of pharmacy processes and pharmacy benefit management a plus. Understanding of pain management a plus. 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 Proven management\u002Fleadership 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 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 $250,000-$275.000 (bonus 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. 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",{"id":3066,"slug":3067,"title":3068,"location":13,"raw_job_location_address_addressLocality":1967,"raw_hiringOrganization_logo_url":13,"raw_description":3069},64749,"claims-adjuster-workers-compensation-juridicition-midwest-states-licensing-home-state-required-sedgwick-claims-management-services-inc","Claims Adjuster - Workers Compensation | Juridicition: Midwest States | Licensing: Home State 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 Adjuster - Workers Compensation | Juridicition: Midwest States | Licensing: Home State 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? 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.  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: Hybrid, 2 days in office, 3 days work from home. PRIMARY PURPOSE OF THE ROLE To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 4 years of claims management experience or equivalent combination of education and experience required. Jurisdiction: Midwest states Licensing: Home state 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. 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, travel as required Auditory\u002FVisual: 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",{"id":3071,"slug":3072,"title":748,"location":13,"raw_job_location_address_addressLocality":1979,"raw_hiringOrganization_logo_url":13,"raw_description":3073},64759,"disability-representative-sedgwick-claims-management-services-inc-12","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 Disability Representative PRIMARY PURPOSE: Provides disability case management and routine claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims; coordinates investigative efforts, thoroughly reviewing contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes claim determinations, based on the information received, to approve routine disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes routine medical information (i.e. attending physical statements, office notes, off work notes, etc.) or consults with a nurse to determine if the claimant is disabled as defined by the disability plan. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians) regularly. Determines benefits due, makes timely claims payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages routine disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases as appropriate to team lead and clinical case management to assist with claim determination. Meets the organization’s quality program(s) minimum requirements. Maintains professional client relationships and provides excellent customer service. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Two (2) years of related experience or equivalent combination of education and experience required. One (1) year of office or customer service experience required. One (1) year of benefits or claims management experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement with limited supervision 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required Auditory\u002FVisual: 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 $24.00. 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. 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",{"id":3075,"slug":3076,"title":753,"location":13,"raw_job_location_address_addressLocality":1979,"raw_hiringOrganization_logo_url":13,"raw_description":3077},64760,"leave-of-absence-coordinator-sedgwick-claims-management-services-inc-13","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 Leave of Absence Coordinator PRIMARY PURPOSE: Analyzes reported leave requests including Family Medical Leave (FMLA), unpaid state, military and company-specific, to make determinations based on client plans, state and federal regulations. Ensures that on-going claim management is within company service standards and industry best practices. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Establishes FMLA and other unpaid state, military, and\u002For company-specific leave claims; tracks and codes documentation in accordance with internal workflow processes. Analyzes FMLA and other unpaid claims to determine eligibility and certification in compliance with client plans, state and federal regulations. Reviews claim information received to identify action plan, determine benefits due, and make timely case decisions based on plan descriptions and service expectations as established by the client. Communicates decisions and on-going expectations clearly and professionally with claimants and clients by phone, written correspondence and\u002For claims system. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. State certification or licensing in statutory leaves is beneficial. Experience One (1) year of administrative\u002Fgeneral office experience or equivalent combination of education and experience required. FMLA administration experience preferred. Skills & Knowledge Knowledge of state and federal FMLA regulations Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical and interpretive skills Strong organizational and multitasking skills Excellent interpersonal skills Ability to exercise judgement in accordance with well-defined policies and procedures Ability to work in a team environment Ability to meet or exceed performance competencies as required by program 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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. 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",{"id":3079,"slug":3080,"title":2023,"location":13,"raw_job_location_address_addressLocality":1979,"raw_hiringOrganization_logo_url":13,"raw_description":3081},64764,"ltd-case-specialist-sedgwick-claims-management-services-inc-2","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 LTD Case Specialist PRIMARY PURPOSE: To analyze claims and determine benefits due ensuring compliance with plan provisions; to determine need for outside vendors, surveillance, and\u002For independent medical evaluations; to negotiate settlements and to make claim payments and revisions within designated authority level; and to calculate and collect overpayments. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Analyzes assigned claims and determines benefits due. Informs claimants of documentation required to process their claim and timeframes. Manages claim to ensure compliance with plan provisions. Provides appropriate documentation to LTD Manager for reporting purposes. Determines need for outside vendors, surveillance and\u002For independent medical evaluations as required and seeks advice from management, as necessary. Refers cases to LTD Supervisor, LTD Manager, or Project Manager. Negotiates settlement of appropriate claims within designated authority level. Makes claim payments and revisions to benefit amounts. Communicates status on decisions to client, claimant and supervisor. Calculates and collects overpayments. 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 preferred. Licenses as required. Experience Four (4) years of medical disability experience or equivalent combination of education and experience required. 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\u002FVisual: 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 $26.55 - $31.00. 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. 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. 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",{"id":3083,"slug":3084,"title":3085,"location":13,"raw_job_location_address_addressLocality":2368,"raw_hiringOrganization_logo_url":13,"raw_description":3086},64766,"auto-field-appraiser-boston-ma-sedgwick-claims-management-services-inc","Auto Field Appraiser- Boston, MA","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 Auto Field Appraiser- Boston, MA PRIMARY PURPOSE: To handle field appraisal assignments for our corporate fleets and insurance clients with an emphasis on Auto's. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Set appointments same day, inspect within 24 hours and write estimate car side Depending on location - appraiser is expected to write 6 to 10 estimates per day Ensures proper vehicle tear down Determine repair time allotments and required labor operations Makes accurate repair\u002Freplace decisions Assess and applies pre-existing damage, completes accurate total loss evaluations Negotiates agreed price with shop decision maker and sets time bound expected completion date per Client Guidelines Review and assess the validity of all supplement request Proactively provides customers with information regarding their vehicle’s cost of repair estimate and explains claims\u002Frepair process Maintains accurate vehicle’s cost of repair estimate and explains claims\u002Frepair process Negotiates advanced fees for tow, tear down, and storage on all vehicles that are determined to a financial total loss at a repair facility or tow yard Provide extraordinary customer service to all parties involved in the claims process Other duties as assigned by management or as needed. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. When not in the field, assist quality assurance team and be available for desk appraisal work as well QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred (but not required). Licenses as required, as needed. Professional certifications as applicable to line-of-business preferred. If the employee is required to obtain licensing applicable to their role, they will have 60 days to complete the training and testing. Experience Four (4) years of insurance or body shop experience required. Skills & Knowledge Good technical knowledge of auto appraisals Knowledge of client operations and labor regulations Excellent oral and written communication PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Excellent interpersonal skills Excellent negotiation skills Good judgment and discretion skills Ability to manage multiple projects and set priorities Ability to work in a team environment Ability to meet or exceed Performance Competencies CCC One experience WORK ENVIRONMENT Must be able to work independently. This is a field appraisal position and you will be responsible for managing your local territory and scheduling your work day. 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 locally Auditory\u002FVisual: 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. Pay Transparency disclosure: 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 ($55,000 - $65,000 annually). 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. 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",{"id":3088,"slug":3089,"title":3090,"location":13,"raw_job_location_address_addressLocality":654,"raw_hiringOrganization_logo_url":13,"raw_description":3091},77806,"workers-compensation-claims-associate-medical-only-claims-baltimore-md-hybrid-sedgwick-claims-management-services-inc","Workers Compensation Claims Associate | Medical Only Claims | Baltimore, MD - Hybrid","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 Associate | Medical Only Claims | Baltimore, MD - Hybrid Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career? 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 OF THE ROLE: To be oriented and trained as new industry professional with the ability to analyze workers compensation claims and determine benefits due. OFFICE LOCATION\u002FSCHEDULE Baltimore, MD Hybrid - 2 days in-office per week 37.5 hour work week ARE YOU AN IDEAL CANDIDATE? We are looking for an enthusiastic candidate to fill a Workers Compensation Associate position. Ideal candidates will thrive in a collaborative team environment, show motivation and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused. ESSENTIAL RESPONSIBILITIES MAY INCLUDE Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision. Supports other claims representatives, examiners and leads with larger or more complex claims as necessary. Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency. Communicates claim action\u002Fprocessing 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\u002For defined period medical claims. Maintains professional client relationships QUALIFICATIONS Education & Licensing: High school diploma or GED required Skills: Strong oral and written communication, computer literate – including Microsoft Office, organizational skills required Experience: Clerical or customer service experience or equivalent combination of education and experience preferred; medical terminology preferred TAKING CARE OF YOU Flexible work schedule. Ability to work in an agile environment Referral incentive program. Career development and promotional growth opportunities. A diverse and comprehensive benefit package offering including medical, dental vision, 401K. 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\u002FVisual: 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 ($23.00 - $25.00\u002Fhr). 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",{"id":3093,"slug":3094,"title":3095,"location":13,"raw_job_location_address_addressLocality":3096,"raw_hiringOrganization_logo_url":13,"raw_description":3097},77810,"claims-examiner-general-product-liability-multi-state-jurisdiction-licensing-reciprocal-preferred-hybrid-sedgwick-claims-management-services-inc","Claims Examiner - General & Product Liability | Multi State Jurisdiction | Licensing: Reciprocal preferred - Hybrid","Boca Raton, FL - Park of Commerce","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 - General & Product Liability | Multi State Jurisdiction | Licensing: Reciprocal preferred - Hybrid 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. ARE YOU AN IDEAL CANDIDATE? To process general liability\u002Fproduct liability claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements with general supervision. 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 RESPONSIBLITIES MAY INCLUDE Processes product and general liability claims by gathering information to determine liability exposure; assign reserve values to claims, determines risk transfer (tender opportunities); settle claims up to designated authority level; make claim payments as necessary Develops and coordinates lower value product liability claims; prepares action plans pursuant to the claim or client contract Negotiates settlements within designated settlement authority Administers subrogation of claims Communicates claim action with claimant and client Ensures claim files are timely handled; properly documented; and claims coding is correct Maintains professional client relationships Performs other duties as assigned Supports the organization's quality program(s) Travels as required QUALIFICATIONS Education & Licensing: 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. Experience: Five (5) years of claims management experience or equivalent combination of education and experience or successful completion of Claims Representative training required. Jurisdiction Knowledge: All states Licensing: Reciprocal 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 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\u002FVisual: 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 $65,000 - $80,000. 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. 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",{"id":3099,"slug":3100,"title":3101,"location":13,"raw_job_location_address_addressLocality":654,"raw_hiringOrganization_logo_url":13,"raw_description":3102},77811,"clinical-manager-sedgwick-claims-management-services-inc","Clinical Manager","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 Clinical Manager Please Note: This is a hybrid position requiring onsite attendance at our Baltimore - St. Paul office (7 St. Paul Street, Suite 450 Baltimore, MD 21202) on Tuesdays and Thursdays each week, with remote work available on the remaining business days. 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? 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 enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. PRIMARY PURPOSE OF THE ROLE: To ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients by managing and training either a dedicated unit or multiple units of colleagues located in claims offices and on site at client locations; to provide expertise in client specific case management and utilization review requirements; and to ensure customer satisfaction through the provision of these services. ESSENTIAL RESPONSIBLITIES MAY INCLUDE: Manages overall clinical operations for less than three (3) assigned teams\u002Foffices or one (1) large dedicated unit; assists in developing and implementing clinical objectives and initiatives. Assists with implementation of new business plan with goals and objectives for assigned locations\u002Foffices; provides expert medical and product support to Sedgwick CMS claims and clinical staff. Promotes and adheres to all URAC standards and assures compliance to maintain successful URAC certification. Identifies challenges and creates solution for recruitment, hiring, staffing, process management and training needs; plans for staffing needs, including succession, bench-strength and new business; and supervises, coordinates and reviews the work of assigned staff. Assists in establishing policy and procedures to assure compliance to best practices, clinical management services standards, state regulations, and client service requirements. Monitors management reports relating to the area\u002Foffice performance. Delivers corporate training for clinical staff in conjunction with Sedgwick University; provides direct oversight of clinical orientation program; and coordinates with Sedgwick University for certification of training materials. Provides assistance to the Director Clinical Operations in making budget recommendations; manages budget ensuring achievement of unit financial goals; ensures effective deployment of strategic project plans. Identifies potential new product opportunities, processes and protocols; participates in presentations to clients, prospects and colleagues. Supports and interfaces with account management; provides expertise in client specific case management and utilization review requirements; and develops and maintains positive, productive relationships. SUPERVISORY RESPONSIBILITIES: 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS: Education & Licensing - Bachelor's degree in nursing (BSN) or master's degree in Vocational Rehabilitation from an accredited college or university or equivalent work Experience preferred. Certification in case management or certification in rehab counseling preferred. Valid driver's license required. Experience - Eight (8) years of related experience or equivalent combination of education and experience required to include three (3) years of medical or vocational case management, three (3) years clinical or three (3) years of vocational, and two (2) years supervisory experience. Workers compensation or disability experience preferred. TAKING CARE OF YOU: Flexible work schedule. Referral incentive program. Opportunity to work in an agile environment. [If Applicable] 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\u002FVisual: Hearing, vision and talking NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. 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 $84,000 - $100,000\u002Fyear. 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. 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",{"id":3104,"slug":3105,"title":3106,"location":13,"raw_job_location_address_addressLocality":699,"raw_hiringOrganization_logo_url":13,"raw_description":3107},77814,"workers-compensation-claims-examiner-brea-ca-sedgwick-claims-management-services-inc","Workers Compensation - Claims Examiner | Brea, CA","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 Examiner | Brea, CA 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 workers compensation 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? Seeking a seasoned California Workers Compensation Examiner who values strong client partnerships, enjoys a reasonable caseload, and works within a well‑managed intake environment. OFFICE LOCATION: Brea, CA PRIMARY PURPOSE OF THE ROLE: To analyze Workers Compensation 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. ESSENTIAL RESPONSIBLITIES 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: 3 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. Licensing \u002F Jurisdiction Knowledge: 3 or more years California workers compensation jurisdictional knowledge required, SIP required or must be obtained within one (1) year of employment TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Career development and promotional growth opportunities.  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\u002FVisual: 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 $85-105K. 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. 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 #LI-HYBRID 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",{"id":3109,"slug":3110,"title":272,"location":13,"raw_job_location_address_addressLocality":739,"raw_hiringOrganization_logo_url":13,"raw_description":3111},77823,"disability-representative-sr-sedgwick-claims-management-services-inc-20","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 Disability Representative Sr PRIMARY PURPOSE: To provide disability case management and claim determinations based on complex medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims; coordinating investigative efforts, thoroughly reviewing contested claims, negotiating return to work with or without job accommodations, and evaluating and arranging appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Analyzes, approves and authorizes assigned claims and determines benefits due pursuant to a disability plan. Reviews and analyzes complex medical information (i.e. diagnostic tests, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians). Communicates with the claimants providers to set expectations regarding return to work. Determines benefits due, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Medically manages disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly with claimant and client on all aspects of claims process either by phone and\u002For written correspondence. Informs claimants of documentation required to process claims, required time frames, payment information and claims status either by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimants physician and employer. Refers cases as appropriate to team lead and clinical case management. Maintains professional client relationships. 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 university or college preferred. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience required. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Ability to work in a team environment Excellent negotiation skills 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\u002FVisual: 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. 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 pay for this role is $20.78 - $23.50\u002Fhr. 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",{"id":3113,"slug":3114,"title":272,"location":13,"raw_job_location_address_addressLocality":739,"raw_hiringOrganization_logo_url":13,"raw_description":3115},77825,"disability-representative-sr-sedgwick-claims-management-services-inc-22","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 Disability Representative Sr PRIMARY PURPOSE: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed. Determines benefits due pursuant to a disability plan, makes timely claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases to team lead and clinical case management for additional review when appropriate. Maintains professional client relationships and provides excellent customer service. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Three (3) years of benefits or disability case\u002Fclaims management experience or equivalent combination of education and experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Ability to manage ambiguity Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement autonomously within established procedures 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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 $21-$23.50 per hour. 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. 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",{"id":3117,"slug":3118,"title":821,"location":13,"raw_job_location_address_addressLocality":2210,"raw_hiringOrganization_logo_url":13,"raw_description":3119},77827,"field-case-manager-sedgwick-claims-management-services-inc-6","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 Field Case Manager This Field Case Manger will cover our Charlotte\u002FWinston-Salem, NC region and must live in this area in order to be considered. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face to face interaction with injured workers and medical professionals. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure required. Valid driver’s license required. High speed internet required. Employment may be contingent upon successful completion of a motor vehicle record (MVR) check. 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\u002FVisual: Hearing, vision and talking TAKING CARE OF YOU BY Offering a blended work environment. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer a diverse and comprehensive benefits package including: Three Medical, and two dental plans to choose from. Tuition reimbursement eligible. 401K plan that matches 50% on every $ you put in up to the first 6% you save. 4 weeks PTO your first full year. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #fieldcasemanager 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",{"id":3121,"slug":3122,"title":821,"location":13,"raw_job_location_address_addressLocality":3123,"raw_hiringOrganization_logo_url":13,"raw_description":3124},77829,"field-case-manager-sedgwick-claims-management-services-inc-7","Charlotte, NC - Yorkmont","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 Field Case Manager This Field Case Manger will cover our Charlotte, NC region and must live in this area in order to be considered. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face to face interaction with injured workers and medical professionals. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure required. Valid driver’s license required. High speed internet required. Employment may be contingent upon successful completion of a motor vehicle record (MVR) check. 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\u002FVisual: Hearing, vision and talking TAKING CARE OF YOU BY Offering a blended work environment. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer a diverse and comprehensive benefits package including: Three Medical, and two dental plans to choose from. Tuition reimbursement eligible. 401K plan that matches 50% on every $ you put in up to the first 6% you save. 4 weeks PTO your first full year. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #fieldcasemanager 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",{"id":3126,"slug":3127,"title":3128,"location":13,"raw_job_location_address_addressLocality":763,"raw_hiringOrganization_logo_url":13,"raw_description":3129},77830,"claims-examiner-workers-compensation-dedicated-client-jurisdiction-midwest-states-licensing-mi-preferred-hybrid-sedgwick-claims-management-services-inc","Claims Examiner - Workers' Compensation | Dedicated Client | Jurisdiction: Midwest States | Licensing: MI preferred - Hybrid","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' Compensation | Dedicated Client | Jurisdiction: Midwest States | Licensing: MI preferred - Hybrid 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? 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.  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 analyze Workers Compensation 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 5 years of claims management experience or equivalent combination of education and experience required. Licensing: MI preferred or home state reciprocal Jurisdiction Knowledge: Midwest states 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, travel as required Auditory\u002FVisual: 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 (70-85k) 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 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",{"id":3131,"slug":3132,"title":3133,"location":13,"raw_job_location_address_addressLocality":1098,"raw_hiringOrganization_logo_url":13,"raw_description":3134},77831,"liability-claims-associate-blue-ash-oh-hybrid-schedule-sedgwick-claims-management-services-inc","Liability Claims Associate | Blue Ash, OH | Hybrid Schedule","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 Liability Claims Associate | Blue Ash, OH | Hybrid Schedule Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career? • A stable and consistent work environment in an office setting • 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 OF THE ROLE: To analyze reported lower-level workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices. OFFICE LOCATION\u002FSCHEDULE Blue Ash, OH Open to Hybrid after onboarding and training period 37.5 hour work week ARE YOU AN IDEAL CANDIDATE? We are looking for an enthusiastic candidate to fill a Liability Associate position. Ideal candidates will thrive in a collaborative team environment, show motivation and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused. ESSENTIAL RESPONSIBILITIES MAY INCLUDE Handles lower-level liability and\u002For 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\u002Fprocessing 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\u002For defined period medical claims. Maintains professional client relationships. QUALIFICATIONS Education & Licensing: High school diploma or GED required Skills: Strong oral and written communication, computer literate – including Microsoft Office, organizational skills required Experience: Clerical or customer service experience or equivalent combination of education and experience 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\u002FVisual: Hearing, vision and talking 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",{"id":3136,"slug":3137,"title":272,"location":13,"raw_job_location_address_addressLocality":763,"raw_hiringOrganization_logo_url":13,"raw_description":1083},77832,"disability-representative-sr-sedgwick-claims-management-services-inc-25",{"id":3139,"slug":3140,"title":838,"location":13,"raw_job_location_address_addressLocality":828,"raw_hiringOrganization_logo_url":13,"raw_description":839},77839,"claims-assistant-sedgwick-claims-management-services-inc-5",{"id":3142,"slug":3143,"title":272,"location":13,"raw_job_location_address_addressLocality":828,"raw_hiringOrganization_logo_url":13,"raw_description":802},77846,"disability-representative-sr-sedgwick-claims-management-services-inc-27",{"id":3145,"slug":3146,"title":827,"location":13,"raw_job_location_address_addressLocality":866,"raw_hiringOrganization_logo_url":13,"raw_description":3147},77847,"ada-accommodation-coordinator-sedgwick-claims-management-services-inc-3","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 Coordinator Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Dubuque, IA : 4141 Westmark Drive, Dubuque, IA 52002 Cedar Rapids, IA : 333 1st Street SE Ste. 200 Cedar Rapids IA 52401 Coralville, IA: 3273 Ridgeway Drive Coralville IA 52241 Dublin, OH : 5500 Glendon Court Dublin OH 43016 New Albany, OH : 7795 Walton Parkway New Albany, OH 43054 Indianapolis, IN: 8909 Purdue Road Suite 501 Indianapolis, IN 46268 Irving, TX: 2201 W. Royal Lane Suite 125 Irving, TX 75063 Southfield, MI : 300 Galleria Officentre Southfield MI 48034 Orlando, FL : 12650 Ingenuity Dr Orlando FL 32826 PRIMARY PURPOSE: To process claims and determine accommodation options following written guidelines and procedures pursuant to ADA, state and\u002For client requirements; to make timely referrals for appropriate disability and federal\u002Fstate leave of absence eligibility review; and to ensure the ongoing processing of claims. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Informs claimants of documentation required to process claims, required time frames, and claims status either by phone, written correspondence and\u002For claims system. Reviews medical information to determine if the claimant meets the requirements under ADA, state, and\u002For client requirements for a qualifying condition. Makes claim determinations to approve non-complex ADA claims or makes a recommendation to team lead to deny claims based on the ADA, state, and\u002For client requirements. Processes ADA claims ensuring compliance with duration control guidelines, ADA and state regulations, and\u002For client-specific process provisions. Determines accommodation options; makes timely claims referrals for appropriate disability or federal\u002Fstate leave of absence eligibility reviews where applicable. Conducts initial employee interview per process guidelines. Utilizes the appropriate clinical and vocational resources in case assessment (i.e. duration guidelines, in-house clinicians, ADA job accommodation specialists). Refers cases as appropriate to team lead. Maintains professional client relationships. 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 Two (2) years of related experience or equivalent combination of education and experience required. One (1) year of benefits or claims management experience preferred. Skills & Knowledge Excellent oral and written communication skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Excellent interpersonal skills Good 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\u002FVisual: 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. #disabilitycoordinator 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",{"id":3149,"slug":3150,"title":3151,"location":13,"raw_job_location_address_addressLocality":866,"raw_hiringOrganization_logo_url":13,"raw_description":3152},77848,"benefits-liaison-bilingual-french-sedgwick-claims-management-services-inc","Benefits Liaison - Bilingual (French)","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 Benefits Liaison - Bilingual (French) PRIMARY PURPOSE: To coordinate activities of absence programs for specific client; to assist\u002Fsupport Benefits Program Manager; to implement customer surveys; to assist in client training and benefits fairs; and to prepare reports for program administration. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Serves as liaison between Company and client human resources (HR) and employees in management of the absence programs. Communicates with client, employee, healthcare providers and Company operations team to coordinate resolution of escalated issues involving absence program. Assists manager in evaluating results of absence programs and best practice in absence administration; assists in assessing effectiveness of absence plan administration, communication and documentation; assists in development of management reports; assists in preparation of reports assessing financial impact of program administration. Maintains records and files pertinent to absence programs. Monitors satisfaction with leave and disability administration via periodic customer surveys and recommends needed changes. Works with appropriate stakeholders for client and Company to ensure continuous performance and process improvement. Maintains knowledge of legal requirements and best practices relevant to absence programs and administration. Works with management to update and maintain absence program procedures relating to administration, compliance requirements, audits of leaves; employee handbook and other program-related documents. Assists with client training and development of communications; assists in administration of benefits fairs as needed. Assists client in reviewing and requesting approvals from Company operations team to conduct Independent Medical Examinations (IMEs) and Functional Capacity Evaluations (FCEs). ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as needed. QUALIFICATIONS Education & Licensing Bachelor's degree or equivalent from an accredited college or university preferred. Experience Six (6) years absence management experience or equivalent combination of education and experience required. Demonstrated progressive responsibilities strongly preferred. Project management, office operations management, disability\u002Fabsence management, insurance-related and\u002For statistical analysis experience preferred. Skills & Knowledge Knowledge of legal requirements and best practices relevant to absence programs and administration Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Negotiation skills Good interpersonal skills Self motivated with ability to work independently 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\u002FVisual: 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",{"id":3154,"slug":3155,"title":3156,"location":13,"raw_job_location_address_addressLocality":866,"raw_hiringOrganization_logo_url":13,"raw_description":3157},77850,"return-to-work-representative-sedgwick-claims-management-services-inc","Return-to-Work Representative","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 Return-to-Work Representative PRIMARY PURPOSE: To negotiate, facilitate and monitor successful return-to-work of claimants within appropriate disability duration guidelines and to assist case management staff with client competence decisions for individual positions. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Determines objective, quantifiable, medically supported work restrictions for assigned claims. Facilitates return-to-work (RTW) and accommodation efforts through negotiation with client, treatment provider and claimant; completes all accommodation\u002FRTW related jurisdictional or client directed documentation, notification, or reporting; and documents client contact in claim notes as per Sedgwick CMS standards. Adheres to medical and legal regulations and accreditation standards in written communication. Contacts employers to determine specific information regarding employment area (i.e. training\u002Feducation needed, physical demands, wages and benefits, availability, etc.); ascertains the specific physical tolerances, vocational skills and essential job functions needed for specific employment positions as requested by referral sources or employers; and recommends necessary adaptive equipment as needed. Maintains regular contact with clients following placement as per program guidelines, contacts involved individuals regarding progress on each case and makes suggestions as needed for changing plans. Works closely with team members to ensure smooth transition from medical case management into job placement. Performs other tasks related to accommodation\u002FRTW evaluation and work adjustment as needed. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing HS Diploma\u002FGED required. Bachelor's degree from an accredited college or university preferred. Experience Three (3) years of related experience including one (1) year of return-to-work or job accommodation experience or three (3) years of claims management experience or equivalent combination of education and experience required. Skills & Knowledge Working knowledge of return-to work or job accommodation procedures Good technical knowledge of claims management procedures Excellent oral and written communications, 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\u002FVisual: 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",{"id":3159,"slug":3160,"title":272,"location":13,"raw_job_location_address_addressLocality":866,"raw_hiringOrganization_logo_url":13,"raw_description":802},77852,"disability-representative-sr-sedgwick-claims-management-services-inc-28",{"id":3162,"slug":3163,"title":3164,"location":13,"raw_job_location_address_addressLocality":866,"raw_hiringOrganization_logo_url":13,"raw_description":3165},77853,"walk-in-interviews-care-team-representative-opportunities-sedgwick-claims-management-services-inc","Walk-In Interviews: Care Team Representative Opportunities","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 Walk-In Interviews: Care Team Representative Opportunities Our Teams Thrive Together! We collaborate in person and embrace a flexible hybrid work style. To join our team, you'll need to live near our Center of Excellence in: 📍 Dubuque, IA 4141 Westmark Avenue Dubuque, IA 52002 Walk-In Interviews Available Looking for your next opportunity? Stop by and meet our team! Hiring managers will be on-site and ready to speak with qualified candidates. 📅 September 9 | 7:00 AM - 11:00 AM CST 📅 September 10 | 3:00 PM - 7:00 PM CST 📅 September 16 | 7:00 AM - 11:00 AM CST 📅 September 17 | 3:00 PM - 7:00 PM CST No appointment needed. Come learn more about Sedgwick, explore career opportunities, and interview with our team. What We Offer ✅ A stable and consistent work environment, both in-office and virtual ✅ Comprehensive training to help you support employees and customers from some of the world's most respected brands ✅ A dedicated manager and mentor to support your success ✅ Career growth and advancement opportunities as you develop new skills ✅ A competitive, comprehensive benefits package designed to support your mental, physical, financial, and professional well-being Your Next Big Opportunity Starts Here Ready to start a rewarding career with a team that supports your growth every step of the way? See what a day in the life of a Care Team Representative is like: SED23026 - Mariah_01-09-24 (vidyard.com) &https:\u002F\u002Fshare.vidyard.com\u002Fwatch\u002FVCLjdFEUwPccjWaBtjLmwX Learn more about our Care Team: Care Team (ceros.com) PRIMARY PURPOSE: To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not limited to, expediting the claims process and providing detailed claim notes on all calls, resolving issues with one call\u002Fone person response, and directing calls to appropriate escalation path as needed. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Acts as primary liaison with callers from multiple client accounts within a shared services environment. Follows specifications in assisting with questions and solving problems related to the claims application and servicing processes. Performs claim intake and full-service customer support within regulatory requirements, company, and client expectations at all times. Educates and informs the customer about documentation required to file\u002Fprocess a claim, required time frames, payment information, and claim status. Educates claimants\u002Fcallers on client requirements and benefit plans documenting all required details of the call in a concise professional manner. Enters verbal and written claim information that meets both the internal and external customer’s requirements accurately into the appropriate system. Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist\u002Fmanagement as needed. Attendance during scheduled work hours is required. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. Experience One (1) year customer service experience or equivalent combination of education and experience required. Inbound call center experience preferred. Skills & Knowledge Excellent verbal and written communication skills PC literate, including Microsoft Office products, Windows environment Must meet minimum typing requirements Strong organizational skills Good interpersonal skills Ability to multi task in fast paced environment Ability to support multiple clients across communication channels and utilize multiple systems simultaneously Ability to work in a team environment and\u002For independently Ability to meet or exceed Performance Competencies Ability to meet all attendance expectations 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\u002FVisual: 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 $17.85. 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. #entrylevel #contactcenterrep 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",{"id":3167,"slug":3168,"title":3169,"location":13,"raw_job_location_address_addressLocality":902,"raw_hiringOrganization_logo_url":13,"raw_description":3170},77856,"financial-representative-part-time-sedgwick-claims-management-services-inc","Financial Representative Part-Time","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 Financial Representative Part-Time This role is part-time and works 4 hours per day Monday-Friday. PRIMARY PURPOSE: To calculate employee benefit overpayments; and to obtain reimbursements from overpaid disability and worker's compensation cases. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Ensures compliance with established recovery procedures and standards. Maintains quality control. Conducts periodic file reviews of team members' files. Provides payroll administration services for claimants receiving payments from outside of company systems. Coordinates recovery activity on assigned cases. Refers cases to collection agencies as applicable. Notifies employees verbally and in writing of claim overpayments. Responsible for manual calculations of employee benefit overpayments. 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 preferred. Licenses as required. Experience Three (3) years of financial experience or equivalent combination of education and experience required. Claims management experience preferred. Skills & Knowledge Good knowledge of claims management Technical knowledge of recovery requirements 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 Good judgment and discretion 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\u002FVisual: 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 $24.00 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",{"id":3172,"slug":3173,"title":3174,"location":13,"raw_job_location_address_addressLocality":902,"raw_hiringOrganization_logo_url":13,"raw_description":3175},77859,"financial-representative-sedgwick-claims-management-services-inc","Financial Representative","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 Financial Representative PRIMARY PURPOSE: To calculate employee benefit overpayments; and to obtain reimbursements from overpaid disability and worker's compensation cases. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Ensures compliance with established recovery procedures and standards. Maintains quality control. Conducts periodic file reviews of team members' files. Provides payroll administration services for claimants receiving payments from outside of company systems. Coordinates recovery activity on assigned cases. Refers cases to collection agencies as applicable. Notifies employees verbally and in writing of claim overpayments. Responsible for manual calculations of employee benefit overpayments. 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 preferred. Licenses as required. Experience Three (3) years of financial experience or equivalent combination of education and experience required. Claims management experience preferred. Skills & Knowledge Good knowledge of claims management Technical knowledge of recovery requirements 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 Good judgment and discretion 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\u002FVisual: 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 $24.00 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",{"id":3177,"slug":3178,"title":3179,"location":13,"raw_job_location_address_addressLocality":902,"raw_hiringOrganization_logo_url":13,"raw_description":3180},77860,"client-litigation-manager-general-liability-all-states-dedicated-client-hybrid-eden-prairie-mn-sedgwick-claims-management-services-inc","Client Litigation Manager - General Liability | All States + Dedicated Client | Hybrid - Eden Prairie, MN","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 Client Litigation Manager - General Liability | All States + Dedicated Client | Hybrid - Eden Prairie, MN 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? 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.  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 : Eden Prairie, MN Sedgwick office; Hybrid 2 days in office, 3 days work from home. PRIMARY PURPOSE OF THE ROLE To address cases involving a legal inquiry or dispute when Premises, Tendering and Product liability cases are high value and\u002For may result in media exposure to the client; and to develop a strategy to bring a case to satisfactory resolution. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Works closely with client(s); keeps client(s) informed of anticipated exposure. Handles public relations as it may relate to media interest in specific cases. Reviews\u002Facts on reports\u002Fforms; responds to inquiries; seeks legal opinion and early resolution; and communicates resolution to appropriate parties. Concentrates on high exposure clams ($300,000+) and claims of a sensitive nature (i.e. potential media exposure). Responds to decisions, agreement, and\u002For court order; creates action plan; determines need for examination; gains client authorization. Identifies cases for settlements\u002Fredemptions. Gathers\u002Fdocuments additional information and coordinates with client designees. Requests legal\u002Fprivate investigation; assigns to and coordinates with local counsel; monitors local counsel performance. Responds to plaintiff's counsel, union, employee, or client requests. Identifies issues; formulates defense strategy. Establishes\u002Fadjusts accrued liability. Approves administrative expenses. Identifies subrogation opportunities and manages process. Attends mediations or hearings as needed. Works with partners to affect early return-to-work. QUALIFICATIONS Education & Licensing: 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. Experience: Eight (8) years of related experience or equivalent combination of education and experience required to include five (5) years of claims management experience and three (3) years of litigation claims management. Legal experience 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, travel as required Auditory\u002FVisual: 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 (90k-120k). 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. 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",{"id":3182,"slug":3183,"title":3184,"location":13,"raw_job_location_address_addressLocality":902,"raw_hiringOrganization_logo_url":13,"raw_description":3185},77861,"claims-team-lead-premises-general-liability-dedicated-client-all-states-licensing-home-state-required-must-reside-in-mn-sedgwick-claims-management-services-inc","Claims Team Lead - Premises & General Liability | Dedicated Client & All States | Licensing: Home State Required (Must reside in MN)","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 Team Lead - Premises & General Liability | Dedicated Client & All States | Licensing: Home State Required (Must reside in MN) 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? 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 supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical\u002Fjurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims ESSENTIAL RESPONSIBLITIES MAY INCLUDE Supervises multiple teams of examiners, multiple product line examiners and\u002For several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit. Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. Provides technical\u002Fjurisdictional direction to examiner reports on claims adjudication. Compiles reviews and analyzes management reports and takes appropriate action. Performs other duties as assigned; Supports the organization's quality program(s). SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal. Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner. Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client. Assures that direct reports are properly licensed in the jurisdictions serviced. Ensures claims files are coded correctly and adequate documentation is made by claims examiners. QUALIFICATIONS Education & Licensing: 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. Experience: Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience. Licensing \u002F Jurisdiction Knowledge: All 50 states & Home State or Reciprocal licensing 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. 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, travel as required Auditory\u002FVisual: 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 (85k-110k). 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. 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",{"id":3187,"slug":3188,"title":3189,"location":13,"raw_job_location_address_addressLocality":902,"raw_hiringOrganization_logo_url":13,"raw_description":3190},77862,"r76445-claims-assistant-onsite-eden-prairie-mn-sedgwick-claims-management-services-inc","R76445 Claims Assistant (Onsite - Eden Prairie, MN)","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 R76445 Claims Assistant (Onsite - Eden Prairie, MN) Job Description 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? 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 11000 Prairie Lakes Drive Suite 200 Eden Prairie, MN 55344 PRIMARY PURPOSE OF THE ROLE To provide support to the claims staff and to perform other office tasks depending on the client program. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Sets up and enters new claims into claims management system. Inputs and reviews notes\u002Fdiaries in claims management system as instructed. Processes payments. Processes mail; handles filing, faxing and photocopying. Reviews, prepares, creates, and\u002For sends letters, reports, and forms. Answers and initiates telephone calls, sets up medical appointments, and may provide customer service as required. Other activities\u002Fprojects as assigned including the preparation and distribution of computer reports. Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing: 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. Experience: Six (6) months of clerical or customer service 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. 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, travel as required Auditory\u002FVisual: 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 ($18.00-$21.00 per hour). 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. 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",{"id":3192,"slug":3193,"title":3194,"location":13,"raw_job_location_address_addressLocality":939,"raw_hiringOrganization_logo_url":13,"raw_description":3195},77863,"claims-examiner-workers-compensation-jurisdiction-ca-dedicated-client-remote-sedgwick-claims-management-services-inc","Claims Examiner - Workers Compensation | Jurisdiction: CA | Dedicated Client - Remote","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 Compensation | Licensing & Jurisdiction: CA - Hybrid 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?   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.  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 analyze Workers Compensation 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 5 years of claims management experience or equivalent combination of education and experience required. Licensing \u002F Jurisdiction Knowledge: CA 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. 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, travel as required Auditory\u002FVisual: 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 (72k-95k) 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 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",{"id":3197,"slug":3198,"title":3199,"location":13,"raw_job_location_address_addressLocality":902,"raw_hiringOrganization_logo_url":13,"raw_description":3200},77864,"litigation-consultant-general-liability-jurisdiction-all-states-sedgwick-claims-management-services-inc","Litigation Consultant - General Liability | Jurisdiction: All 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. 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 Litigation Consultant - General Liability | Jurisdiction: All 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? 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 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\u002Facts on reports\u002Fforms; responds to inquiries; seeks legal opinion and early resolution; and communicates resolution to appropriate parties. Handles high end cases with serious injuries and\u002For complex coverage scenarios. Responds to decisions, agreement, and\u002For court order; creates action plan; determines need for examination; gains client authorization. Identifies cases for settlements\u002Fredemptions. Gathers\u002Fdocuments additional information and coordinates with client designees. Requests legal\u002Fprivate 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\u002Fadjusts 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. Performs other duties as assigned, Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing: 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. 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. Licensing \u002F Jurisdiction Knowledge: [Update as appropriate] 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, travel as required Auditory\u002FVisual: 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 ($70k-90k). 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. 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",{"id":3202,"slug":3203,"title":3204,"location":13,"raw_job_location_address_addressLocality":963,"raw_hiringOrganization_logo_url":13,"raw_description":3205},77865,"billing-manager-sedgwick-claims-management-services-inc","Billing Manager","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 Billing Manager Future Location being Plano TX - Hybrid 2-3 days in office PRIMARY PURPOSE: To ensure the quality of invoices, to adhere to any contracts\u002Fagreements in place with clients and to maintain working relationships among current and future clients. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Assists management, adjusters, support staff and billing specialists with invoicing inquiries\u002Frequirements. Maintains record of adjuster billing rates for invoicing purposes, as well as in billing system. Maintains record of fee schedules\u002Fbilling agreements that Sedgwick has in place with clients. Controls and generates invoicing to ensure that it adheres to fee schedules\u002Fbilling agreements in place with clients as well as invoicing standards. Oversees workflow within Central Billing Unit. Resolves invoicing issues with management, adjusters, and support staff. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). SUPERVISORY DUTIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Experience Eight (8) years of related experience or equivalent combination of education and experience required to include four (4) years of billing experience and one (1) year of supervisory experience. Skills & Knowledge Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Strong organizational skills Excellent interpersonal skills Ability to manage multiple projects and set priorities 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\u002FVisual: 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",{"id":3207,"slug":3208,"title":3194,"location":13,"raw_job_location_address_addressLocality":939,"raw_hiringOrganization_logo_url":13,"raw_description":3209},77868,"claims-examiner-workers-compensation-jurisdiction-ca-dedicated-client-remote-sedgwick-claims-management-services-inc-2","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 Compensation | Licensing & Jurisdiction: CA - Hybrid 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? 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.  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 analyze Workers Compensation 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 5 years of claims management experience or equivalent combination of education and experience required. Licensing \u002F Jurisdiction Knowledge: CA 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. 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, travel as required Auditory\u002FVisual: 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 (70-82k) 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 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",{"id":3211,"slug":3212,"title":3213,"location":13,"raw_job_location_address_addressLocality":974,"raw_hiringOrganization_logo_url":13,"raw_description":3214},77870,"claims-assistant-workers-compensation-on-site-glendale-ca-sedgwick-claims-management-services-inc","Claims Assistant - Workers Compensation (On-Site Glendale, CA)","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 Assistant - Workers Compensation (On-Site Glendale, CA) 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 core values that include empathy, accountability, collaboration, growth, and inclusion. LOCATION: IN-OFFICE Glendale, CALIFORNIA PRIMARY PURPOSE: To process low level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements with general supervision. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Processes low level workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency. Develops and coordinates low level workers compensation claims' action plans to resolution, return-to-work efforts, and approves claim payments. Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract. 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 Two (2) years of claims management experience or equivalent combination of education and experience or successful completion of Claims Representative training 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. 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\u002FVisual: 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 $18-20\u002Fhr. 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",{"id":3216,"slug":3217,"title":3218,"location":13,"raw_job_location_address_addressLocality":974,"raw_hiringOrganization_logo_url":13,"raw_description":3219},77872,"claims-adjuster-workers-compensation-hybrid-glendale-ca-sedgwick-claims-management-services-inc","Claims Adjuster - Workers Compensation (HYBRID- Glendale, CA)","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 Adjuster - Workers Compensation (HYBRID- Glendale, CA) 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 workers compensation 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? Seeking a seasoned California Workers Compensation Examiner who values strong client partnerships, enjoys a reasonable caseload, and works within a well‑managed intake environment. OFFICE LOCATION: GLENDALE, CALIFORNIA PRIMARY PURPOSE OF THE ROLE: To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency. Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments. Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract. QUALIFICATIONS Education & Licensing: 4 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. Licensing \u002F Jurisdiction Knowledge: 3 or more years California workers compensation jurisdictional knowledge required, SIP required or must be obtained within one (1) year of employment TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Career development and promotional growth opportunities.  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\u002FVisual: 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 $75-80K. 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. 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-HYBRID 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",{"id":3221,"slug":3222,"title":3223,"location":13,"raw_job_location_address_addressLocality":974,"raw_hiringOrganization_logo_url":13,"raw_description":3224},77873,"claims-associate-workers-compensation-on-site-glendale-ca-sedgwick-claims-management-services-inc","Claims Associate - Workers Compensation (ON-SITE Glendale, CA)","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 - Workers Compensation (ON-SITE Glendale, CA) Job Description 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. LOCATION: IN-OFFICE HONOLULU, HI PRIMARY PURPOSE: To analyze low level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices ESSENTIAL FUNCTIONS and RESPONSIBILITIES Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision. Supports other claims representatives, examiners and leads with larger or more complex claims as necessary. Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency. Communicates claim action\u002Fprocessing 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\u002For defined period medical claims. Maintains professional client relationships. 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; Licenses as required Experience: One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience 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\u002FVisual: 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 $22- 24\u002Fhr. 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",{"id":3226,"slug":3227,"title":3228,"location":13,"raw_job_location_address_addressLocality":1025,"raw_hiringOrganization_logo_url":13,"raw_description":3229},77880,"product-processor-dea-sedgwick-claims-management-services-inc","Product Processor DEA","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 Processor DEA PRIMARY PURPOSE: To scan, count and\u002For weigh quantities of material as directed ESSENTIAL FUNCTIONS and RESPONSIBILITIES Sorts, counts\u002Fweighs and scans all returned product contained within the confines of a return, in accordance with specific departmental procedures, on a daily basis. Responsible for the timeliness of processing-controlled substance and non-control substance returns. Reads necessary documentation to determine types and quantities of material to measure\u002Fcount. Maintains the integrity of all documentation that is provided within the return, and properly records the information according to departmental procedures. Dispositions materials as prescribed by the training guidelines. Assists with the shipping and receiving of pharmaceutical product when required. Adheres to all occupational safety and health administration (OSHA) safety regulations and maintain compliance to all operational and regulatory standard of practice procedures. Responsible for following all drug enforcement administration (DEA) documentation and procedures. Adheres to strict security procedures as well as compliance with the code of conduct provided within the colleague handbook. Work in the DEA security cage when requested but may be required to assist with work in other departments of the building and be willing to comply with various departmental procedures as requested. 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 preferred or GED required. Must complete biological hazard and waste training. Must submit to Hepatitis B vaccinations or a waiver. Experience One (1) years’ experience in a manufacturing or processing environment or equivalent combination of education and experience required. Skills & Knowledge Demonstrates the ability to review and proofread work for accuracy and completes specific areas of assignments, as directed. Concentrates on tasks at hand, even in distracting work environments Demonstrates the ability to respond to customer issues\u002Fquestions in a timely manner Demonstrates the ability to observe safety and security procedures Oral and written communication skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills attention to detail Excellent interpersonal 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 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, this position may have exposure to chemical and pharmaceutical products that may cause an allergic response in certain individuals. Crouching – frequently bend the body downward and forward by bending leg and spine Fingering – constantly type with the fingers, and\u002For separate pages of documents, etc, Grasping – constantly apply pressure to an object with the fingers and palm Kneeling – occasionally bend legs at knee to come to a rest on knee or knees Lifting – frequently raise objects from a lower to a higher position or moving objects horizontally from position-to-position. Must be able to exert in excess of 50 pounds of force frequently to lift, push or pull objects. Pulling – occasionally use upper extremities to exert force in order to draw, haul or tug objects in a sustained motion Pushing – occasionally use upper extremities to press against something with steady force in order to thrust forward, downward or outward Reaching – frequently extend hand (s) and arm (s) in any direction Repetitive motion – frequent substantial movements (motions) of the wrists, hands and\u002For fingers Sitting – occasionally sit for sustained periods of time Standing – frequently stand for sustained periods of time Stooping – occasionally bend body downward and forward by bending spine at the waist Auditory\u002FVisual: 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",{"id":3231,"slug":3232,"title":3233,"location":13,"raw_job_location_address_addressLocality":1047,"raw_hiringOrganization_logo_url":13,"raw_description":3234},77883,"claims-adjuster-liability-gl-bi-pd-jurisdiction-all-states-licensing-home-state-required-hybrid-sedgwick-claims-management-services-inc","Claims Adjuster - Liability | GL, BI, PD | Jurisdiction - All states | Licensing: Home State Required - Hybrid","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 Adjuster - Liability | GL, BI, PD | Jurisdiction - All states | Licensing: Home State Required - Hybrid 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? 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 LOCATION : Irving, TX or Des Moines, IA - Hybrid 2 days in office, 3 days remote. PRIMARY PURPOSE OF THE ROLE To analyze liability 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 4 years of claims management experience or equivalent combination of education and experience required. Licensing: Home state required Jurisdiction Knowledge: All states TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Opportunity to work in an agile environment. 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\u002FVisual: Hearing, vision and talking #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. 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",{"id":3236,"slug":3237,"title":3238,"location":13,"raw_job_location_address_addressLocality":1074,"raw_hiringOrganization_logo_url":13,"raw_description":3239},77887,"iap-claims-representative-skillbridge-conversion-sedgwick-claims-management-services-inc","IAP Claims Representative - SkillBridge Conversion","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 IAP Claims Representative - SkillBridge Conversion Are you looking for an impactful job that offers an opportunity to develop a professional career? A stable and consistent work environment in an office setting. A training program to learn how to investigate and resolve complex situations for employees and customers from some of the world’s most reputable brands. 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 including medical, dental, vision & 401k. PRIMARY PURPOSE OF THE ROLE: To be oriented and trained as a new industry professional. This role begins with a comprehensive 4-week concept-based learning and professional training program, followed by a dedicated onboarding experience before entering the on-the-job phase. You will be assigned a mentor and manager that will support and guide you on your career journey and be equipped with the foundational skills needed for a successful career in claims adjusting. While in the program, you’ll have the opportunity to grow and advance within the industry. ARE YOU AN IDEAL CANDIDATE? We are seeking enthusiastic and service-oriented individuals for an entry-level trainee position who are: Strong Communicators Empathetic Multi-Taskers Accountable Structured Thinkers Ambitious Agile Learners Team Collaborators ESSENTIAL RESPONSIBLITIES INCLUDE Attendance and completion of designated claims professional training program. Adjusting various levels of workers’ compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim. Communicating effectively with injured workers, insureds\u002Femployers, medical providers, attorneys and carrier representatives, primarily through telephonic, video conference and email. Thoroughly investigating new and existing claims by gathering relevant information including medical records, employer reports, and witness statements. Investigating employer\u002Femployee relationships, policy verification, coverage and any potential for subrogation issues or fraud indicators. Determining coverage, compensability and appropriate benefits in accordance with jurisdictional guidelines and carrier program requirements. Documenting claims files and properly coding claim activity. Preparing detailed reports documenting findings and recommendations. Administering claim benefits i.e., indemnity and medical benefits, through maintenance of calendared claim-related action items, ensuring state compliance. Participating in virtual and\u002For in-person meetings, claim reviews and business functions as needed for educational training, claim discussions and various meetings. QUALIFICATIONS Education Requirement – High School Diploma or GED. Bachelor's degree preferred and 2 years of customer service experience and\u002For combination of education and experience. 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\u002FVisual: 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 25.65\u002Fhr. 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. #claims #entrylevel 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",{"id":3241,"slug":3242,"title":3243,"location":13,"raw_job_location_address_addressLocality":1586,"raw_hiringOrganization_logo_url":13,"raw_description":3244},77897,"liability-claims-examiner-general-liability-bi-auto-bi-ny-licensing-preferred-dedicated-client-sedgwick-claims-management-services-inc","Liability Claims Examiner | General Liability BI & Auto BI | NY Licensing Preferred | Dedicated Client","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 Liability Claims Examiner | General Liability BI & Auto BI | NY Licensing Preferred | Dedicated Client 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 General Liability BI & Auto BI 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. OFFICE LOCATION Hybrid scheduled if within 25 miles of the Marlton, NJ Sedgwick office If outside of the 25 miles, position will be remote ESSENTIAL RESPONSIBLITIES 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: 4 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: Nationwide Licensing: NY Preferred, not required TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Opportunity to work in an agile or remote environment. 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\u002FVisual: 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 (80,000 - 85,000). 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. 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",{"id":3246,"slug":3247,"title":871,"location":13,"raw_job_location_address_addressLocality":1149,"raw_hiringOrganization_logo_url":13,"raw_description":3248},77900,"care-team-representative-sedgwick-claims-management-services-inc-9","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 Care Team Representative Entry-level, Care Team Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near one of our dynamic Centers of Excellence📍Orlando, FL: 12650 Ingenuity Drive, Orlando FL 32826; 📍 Southfield, MI: 300 Galleria Officentre, Southfield MI 48034; 📍 Portland, ME: 179 John Roberts Rd, South Portland, ME 04106;📍 Irving, TX: 2201 W. Royal Lane, Suite 125, Irving TX 75063; 📍Dublin, OH: 5500 Glendon Court #100, Dublin, OH 43016; 📍 New Albany, OH: 7795 Walton Parkway Suite 200, New Albany OH 43054; 📍 Dubuque, IA: 4141 Westmark Avenue, Dubuque IA 52002; 📍 Cedar Rapids, IA: 333 1st Street SE, Suite 200, Cedar Rapids, IA 52401; 📍 Coralville IA: 273 Ridgeway Drive, Coralville IA 52241 ✨ What we offer: A stable, consistent work environment—both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? See what a day in the life of a Care Team Representative is like: SED23026 - Mariah_01-09-24 (vidyard.com) &https:\u002F\u002Fshare.vidyard.com\u002Fwatch\u002FVCLjdFEUwPccjWaBtjLmwX Learn more about our Care Team: Care Team (ceros.com) PRIMARY PURPOSE: To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not limited to, expediting the claims process and providing detailed claim notes on all calls, resolving issues with one call\u002Fone person response, and directing calls to appropriate escalation path as needed. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Acts as primary liaison with callers from multiple client accounts within a shared services environment. Follows specifications in assisting with questions and solving problems related to the claims application and servicing processes. Performs claim intake and full-service customer support within regulatory requirements, company, and client expectations at all times. Educates and informs the customer about documentation required to file\u002Fprocess a claim, required time frames, payment information, and claim status. Educates claimants\u002Fcallers on client requirements and benefit plans documenting all required details of the call in a concise professional manner. Enters verbal and written claim information that meets both the internal and external customer’s requirements accurately into the appropriate system. Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist\u002Fmanagement as needed. Attendance during scheduled work hours is required. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. Experience One (1) year customer service experience or equivalent combination of education and experience required. Inbound call center experience preferred. Skills & Knowledge Excellent verbal and written communication skills PC literate, including Microsoft Office products, Windows environment Must meet minimum typing requirements Strong organizational skills Good interpersonal skills Ability to multi task in fast paced environment Ability to support multiple clients across communication channels and utilize multiple systems simultaneously Ability to work in a team environment and\u002For independently Ability to meet or exceed Performance Competencies Ability to meet all attendance expectations 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\u002FVisual: 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 (17.85). 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.  #entrylevel #contactcenterrep 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",{"id":3250,"slug":3251,"title":3252,"location":13,"raw_job_location_address_addressLocality":3253,"raw_hiringOrganization_logo_url":13,"raw_description":3254},77908,"claims-associate-workers-compensation-sedgwick-claims-management-services-inc","Claims Associate - Workers Compensation","Negaunee, MI - Iron","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 - Workers Compensation 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. 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. OFFICE LOCATION: 205 Iron Street Negaunee, MI 49866 PRIMARY PURPOSE: To analyze reported lower-level medical only claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision. Supports other claims representatives, examiners and leads with larger or more complex claims as necessary. Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency. Communicates claim action\u002Fprocessing 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\u002For defined period medical claims. Maintains professional client relationships. QUALIFICATIONS Education & Licensing: High school diploma or GED required. Licenses as required. Experience: One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience 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 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\u002FVisual: 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",{"id":3256,"slug":3257,"title":120,"location":13,"raw_job_location_address_addressLocality":1192,"raw_hiringOrganization_logo_url":13,"raw_description":3258},77909,"workforce-absence-operations-manager-sedgwick-claims-management-services-inc-3","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 Workforce Absence Operations Manager 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 responsibility for less than 25 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\u002Fregulations, 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. SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications appropriate to line of business preferred. Experience Eight (8) years claims management experience or equivalent combination of education and experience required to include two (2) years supervisory experience. Skills & Knowledge Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership\u002Fmanagement\u002Fmotivational skills 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\u002FVisual: 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 $75,000.00 - $85,000.00 USD Annual. 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",{"id":3260,"slug":3261,"title":968,"location":13,"raw_job_location_address_addressLocality":1245,"raw_hiringOrganization_logo_url":13,"raw_description":3262},77913,"advocacy-coordination-team-specialist-sedgwick-claims-management-services-inc","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 Advocacy Coordination Team Specialist Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Orlando, FL : 12650 Ingenuity Dr Orlando FL 32826 Eden Prairie, MN : 11000 Prairie Lakes Drive Eden Prairie, MN 55344 Dublin, OH : 5500 Glendon Court Dublin OH 43016 New Albany, OH : 7795 Walton Parkway New Albany, OH 43054 PRIMARY PURPOSE: Actively researches, resolves, and administers escalated inquires for all lines of business, including but not limited to Family Medical Leave (FMLA), complex paid and unpaid state, military, and company-specific leaves, accommodations, disability and statutory claims. Provides excellent customer service displaying care and empathy to callers regarding claims and executes technical and jurisdictional requirements for accurate claims processing, benefit review and interpretation of regulations, financial payment processing, and error correction of complex or high exposure claims. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes independent claim determinations, based on the information received, to approve complex claims or make a recommendation to team lead to deny claims based on the requirements. Analyzes and authorizes leave, accommodation, disability, and statutory claims and determines benefits due pursuant to client plans, and state and federal regulations. Enters and adjusts payments and evaluates file interface to support payment research and resolution. Communicates clearly and professionally with claimant and client on all aspects of the claims process including claim approval, decision authority level to move the call forward, and issue resolution by phone, written correspondence and\u002For claims system. Facilitates claim resolution and handles escalated calls with claimant, human resources managers, treating physician’s office, client, or others with a goal of one-call resolution. Ensures claims files are coded correctly and that adequate documentation is in the claim. Reviews and analyzes complex medical information (i.e. diagnostic tests, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan and takes all necessary action to manage claims process to completion.  Informs claimants and client of documentation required to process claims, required timeframes, payment information and claims status.  Determines benefits due, makes timely and accurate claims payments\u002Fapprovals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Maintains professional client relationships and adheres to client specific requirements such as service level expectations, regulatory requirements, and reporting. Meets the organization’s quality program(s) minimum requirements. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. Bachelor's degree from an accredited college or university preferred. Experience Three (3) years of related experience or equivalent combination of experience and education required to include two (2) years of disability claims experience. Experience with SMART, SIR, GAIN, or other HR systems preferred. Experience with TAMS, Juris, viaOne express, and mySedgwick preferred for internal candidates. Skills & Knowledge Knowledge of ERISA regulations, state and federal FMLA, ADAAA, Social Security application procedures, required offsets and deductions, and disability procedures Working knowledge of medical terminology and duration management Proficient computer skills including working knowledge of Microsoft Office Exemplary call handling and de-escalation skills Excellent interpersonal communication skills, oral and written Analytical, interpretive, and critical thinking skills Effective decision-making Ability to manage ambiguity Strong organizational and multitasking skills Ability to exercise judgement autonomously within established procedures Ability to work in a team environment Ability to meet or exceed performance competencies as required by program WORK ENVIRONMENT Required to adhere to a set schedule with established break times. 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required. Auditory\u002FVisual: 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. 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 $22.00-$23.00 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",{"id":3264,"slug":3265,"title":1808,"location":13,"raw_job_location_address_addressLocality":1245,"raw_hiringOrganization_logo_url":13,"raw_description":1809},77914,"return-to-work-associate-sedgwick-claims-management-services-inc",{"id":3267,"slug":3268,"title":3269,"location":13,"raw_job_location_address_addressLocality":1245,"raw_hiringOrganization_logo_url":13,"raw_description":3270},77917,"claims-team-lead-workers-compensation-jurisdiction-licensing-ca-required-dedicated-account-remote-sedgwick-claims-management-services-inc","Claims Team Lead - Workers Compensation | Jurisdiction & Licensing: CA - Required | Dedicated Account (Remote)","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 Team Lead - Workers Compensation | Jurisdiction & Licensing: CA - Required | Dedicated Account (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? 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 supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical\u002Fjurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Supervises multiple teams of examiners, multiple product line examiners and\u002For several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit. Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. Provides technical\u002Fjurisdictional direction to examiner reports on claims adjudication. Compiles reviews and analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal. Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner. Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client. Assures that direct reports are properly licensed in the jurisdictions serviced. Ensures claims files are coded correctly and adequate documentation is made by claims examiners. Performs other duties as assigned. Supports the organization's quality program(s). SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing: 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. Experience: Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience. Licensing \u002F Jurisdiction Knowledge: CA 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\u002FVisual: 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 ($80-$110k). 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 #RiskManagement 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",{"id":3272,"slug":3273,"title":3274,"location":13,"raw_job_location_address_addressLocality":1952,"raw_hiringOrganization_logo_url":13,"raw_description":3275},77920,"claims-assistant-workers-compensation-100-onsite-portland-or-sedgwick-claims-management-services-inc","Claims Assistant - Workers Compensation (100% Onsite - Portland, OR)","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 Assistant - Workers Compensation (100% Onsite - Portland, OR) 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? 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.  Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.  ARE YOU AN IDEAL CANDIDATE? To provide support to the claims staff and to perform other office tasks depending on the client program. OFFICE LOCATION: 100% onsite Portland, OR Sedgwick Office. 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 RESPONSIBLITIES MAY INCLUDE Sets up and enters new claims into claims management system. Inputs and reviews notes\u002Fdiaries in claims management system as instructed. Processes payments. Processes mail; handles filing, faxing and photocopying. Reviews, prepares, creates, and\u002For sends letters, reports, and forms. Answers and initiates telephone calls, sets up medical appointments, and may provide customer service as required. Other activities\u002Fprojects as assigned including the preparation and distribution of computer reports. Performs other duties as assigned; supports the organization's quality program(s). QUALIFICATIONS Education: 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. 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\u002FVisual: 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 ($14.34 -$21.00). 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",{"id":3277,"slug":3278,"title":3279,"location":13,"raw_job_location_address_addressLocality":1343,"raw_hiringOrganization_logo_url":13,"raw_description":3280},77921,"claims-associate-workers-compensation-roseville-ca-sedgwick-claims-management-services-inc","Claims Associate - Workers Compensation | Roseville, CA","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 - Workers Compensation | Roseville, CA 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. LOCATION: In-Office Roseville, CA PRIMARY PURPOSE: To analyze low level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices ESSENTIAL FUNCTIONS and RESPONSIBILITIES Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision. Supports other claims representatives, examiners and leads with larger or more complex claims as necessary. Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency. Communicates claim action\u002Fprocessing 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\u002For defined period medical claims. Maintains professional client relationships. 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; Licenses as required Experience: One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience 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\u002FVisual: 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 $22- 25\u002Fhr. 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",{"id":3282,"slug":3283,"title":1348,"location":13,"raw_job_location_address_addressLocality":1343,"raw_hiringOrganization_logo_url":13,"raw_description":1349},77923,"claims-representative-iap-workers-compensation-training-program-roseville-ca-sedgwick-claims-management-services-inc-2",{"id":3285,"slug":3286,"title":3287,"location":13,"raw_job_location_address_addressLocality":1343,"raw_hiringOrganization_logo_url":13,"raw_description":3288},77927,"claims-examiner-workers-compensation-ca-jurisdiction-sedgwick-claims-management-services-inc","Claims Examiner - Workers Compensation | CA Jurisdiction","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 Compensation | CA Jurisdiction 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're looking for a claims professional with California workers' compensation experience who enjoys solving complex problems and delivering outstanding service. The ideal candidate has experience handling litigated and high-exposure claims, understands California jurisdictional requirements, and can confidently manage claims through investigation, benefit determination, settlement negotiation, and resolution. PRIMARY PURPOSE OF THE ROLE To analyze complex or technically difficult California 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 RESPONSIBLITIES MAY INCLUDE 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. Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner. QUALIFICATIONS Education & Licensing: Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Experience: Four (4) years of California workers compensation claims management experience or equivalent combination of education and experience required. Licensing \u002F Jurisdiction Knowledge: California jurisdictional knowledge required; SIP required or must be obtained within one year of hire date. 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\u002FVisual: 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 $80,000 - $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. #Claims #ClaimsExaminer #LI-Remote 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",{"id":3290,"slug":3291,"title":3292,"location":13,"raw_job_location_address_addressLocality":3293,"raw_hiringOrganization_logo_url":13,"raw_description":3294},77930,"claims-representative-workers-compensation-jurisdiction-wa-licensing-wa-hybrid-seatac-sedgwick-claims-management-services-inc","Claims Representative - Workers Compensation | Jurisdiction: WA | Licensing: WA (Hybrid - SeaTac)","SeaTac, WA - International","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 Representative - Workers Compensation | Jurisdiction: WA | Licensing: WA (Hybrid - SeaTac) PRIMARY PURPOSE OF THE ROLE: To process low level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements with general supervision. WORK LOCATION: Sea Tac, WA Sedgwick office location, 2 days in office 3 days work from home ARE YOU AN IDEAL CANDIDATE? To analyze Workers Compensation 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 2 years of claims management experience or equivalent combination of education and experience required. Licensing \u002F Jurisdiction Knowledge: WA 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, travel as required Auditory\u002FVisual: 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 ($51,781.00 - 72,494.00 ). 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",{"id":3296,"slug":3297,"title":3298,"location":13,"raw_job_location_address_addressLocality":1973,"raw_hiringOrganization_logo_url":13,"raw_description":3299},77937,"litigation-consultant-auto-remote-sedgwick-claims-management-services-inc","Litigation Consultant | Auto | Remote","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 Litigation Consultant | Auto | Remote 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\u002Facts on reports\u002Fforms; responds to inquiries; seeks legal opinion and early resolution; and communicates resolution to appropriate parties. Handles high end cases with serious injuries and\u002For complex coverage scenarios. Responds to decisions, agreement, and\u002For court order; creates action plan; determines need for examination; gains client authorization. Identifies cases for settlements\u002Fredemptions. Gathers\u002Fdocuments additional information and coordinates with client designees. Requests legal\u002Fprivate 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\u002Fadjusts 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. Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing: 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. 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. Skills: Technically skilled and familiar with legal pleadings, discovery, excellent oral and written communication, including presentation skills, PC literate, including Microsoft Office products, analytical and interpretive skills, strong organizational skill, excellent negotiation skills, ability to work in a team environment, and ability to meet or exceed Performance Competencies Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 $80,000. 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. 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. 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",{"id":3301,"slug":3302,"title":272,"location":13,"raw_job_location_address_addressLocality":1428,"raw_hiringOrganization_logo_url":13,"raw_description":2042},77939,"disability-representative-sr-sedgwick-claims-management-services-inc-29",{"id":3304,"slug":3305,"title":3174,"location":13,"raw_job_location_address_addressLocality":1428,"raw_hiringOrganization_logo_url":13,"raw_description":3306},77941,"financial-representative-sedgwick-claims-management-services-inc-2","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 Financial Representative Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Southfield, MI : 300 Galleria Officentre Southfield MI 48034 PRIMARY PURPOSE: To calculate employee benefit overpayments; and to obtain reimbursements from overpaid disability and worker's compensation cases. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Ensures compliance with established recovery procedures and standards. Maintains quality control. Conducts periodic file reviews of team members' files. Provides payroll administration services for claimants receiving payments from outside of company systems. Coordinates recovery activity on assigned cases. Refers cases to collection agencies as applicable. Notifies employees verbally and in writing of claim overpayments. Responsible for manual calculations of employee benefit overpayments. 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 preferred. Licenses as required. Experience Three (3) years of financial experience or equivalent combination of education and experience required. Claims management experience preferred. Skills & Knowledge Good knowledge of claims management Technical knowledge of recovery requirements 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 Good judgment and discretion 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\u002FVisual: 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",{"id":3308,"slug":3309,"title":272,"location":13,"raw_job_location_address_addressLocality":1428,"raw_hiringOrganization_logo_url":13,"raw_description":802},77942,"disability-representative-sr-sedgwick-claims-management-services-inc-30",{"id":3311,"slug":3312,"title":3174,"location":13,"raw_job_location_address_addressLocality":1428,"raw_hiringOrganization_logo_url":13,"raw_description":3313},77943,"financial-representative-sedgwick-claims-management-services-inc-3","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 Financial Representative Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence: Southfield, MI : 300 Galleria Officentre Southfield MI 48034 Dubuque, IA : 4141 Westmark Drive, Dubuque, IA 52002 Eden Prairie, MN : 11000 Prairie Lakes Drive Eden Prairie, MN 55344 Chicago, IL : 175 W. Jackson Blvd. 12th Fl. Chicago IL 60604 Dublin, OH : 5500 Glendon Court Dublin OH 43016 Irving, TX: 2201 W. Royal Lane Suite 125 Irving, TX 75063 Orlando, FL : 12650 Ingenuity Dr Orlando FL 32826 Indianapolis, IN: 8909 Purdue Road Suite 501 Indianapolis, IN 46268 PRIMARY PURPOSE: To calculate employee benefit overpayments; and to obtain reimbursements from overpaid disability and worker's compensation cases. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Ensures compliance with established recovery procedures and standards. Maintains quality control. Conducts periodic file reviews of team members' files. Provides payroll administration services for claimants receiving payments from outside of company systems. Coordinates recovery activity on assigned cases. Refers cases to collection agencies as applicable. Notifies employees verbally and in writing of claim overpayments. Responsible for manual calculations of employee benefit overpayments. 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 preferred. Licenses as required. Experience Three (3) years of financial experience or equivalent combination of education and experience required. Claims management experience preferred. Skills & Knowledge Good knowledge of claims management Technical knowledge of recovery requirements 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 Good judgment and discretion 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\u002FVisual: 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 $25.00 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",{"id":3315,"slug":3316,"title":3317,"location":13,"raw_job_location_address_addressLocality":2530,"raw_hiringOrganization_logo_url":13,"raw_description":3318},77948,"claims-examiner-workers-compensation-dedicated-client-jurisdiction-ms-ar-al-tn-ga-ky-licensing-ms-ar-or-reciprocal-state-required-remote-sedgwick-claims-management-services-inc","Claims Examiner - Workers Compensation | Dedicated Client | Jurisdiction: MS, AR, AL, TN, GA, KY | Licensing: MS, AR or Reciprocal State Required (Remote)","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 Compensation | Dedicated Client | Jurisdiction: MS, AR, AL, TN, GA, KY | Licensing: MS, AR or Reciprocal State Required (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 examiner 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 analyze workers compensation 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 5 years of claims management experience or equivalent combination of education and experience required. Licensing \u002F Jurisdiction Knowledge: MS, AR, AL, TN, GA, KY | Licensing: MS, AR or Reciprocal State 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. 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\u002FVisual: 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 (80k-100k). 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 #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. 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",{"id":3320,"slug":3321,"title":3322,"location":13,"raw_job_location_address_addressLocality":1482,"raw_hiringOrganization_logo_url":13,"raw_description":3323},77950,"rn-telephonic-case-manager-sedgwick-claims-management-services-inc","RN Telephonic Case Manager","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 RN Telephonic Case Manager PRIMARY PURPOSE OF THE ROLE: While partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy, communication and coordination of medical services. Prefer someone who lives in AZ or WA--but not a must. Must be an RN, have a compact license, and have 1.5 years of prior workers compensation experience. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Performs initial and ongoing clinical assessment via telephone calls to evaluate the injured worker's injury, medical treatment, psychosocial needs, cultural implications and support systems. Effectively communicates and builds relationships with the claims’ examiner, client, injured worker, attorney and supervisor. Identifies issues related to delayed recovery and\u002For return to work and problem solves with a creative thinking approach Negotiates treatment and disability duration with providers through use of medical and disability duration guidelines, adhering to quality. Identifies opportunities to expedite care for cost containment and timely medical recovery. Provides recommendations for alternate clinical resources to support claim resolution. Maintains client's privacy and confidentiality, promotes client safety and advocacy; and adheres to ethical, legal, accreditation and regulatory standards. EDUCATION AND LICENSING Current unrestricted RN license(s) in a state or territory of the United States required. Bachelor's degree in nursing (BSN) from accredited college or university or equivalent work experience preferred. Certification in case management, rehabilitation nursing or a related specialty is highly preferred. 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\u002FVisual: Hearing, vision and talking TAKING CARE OF YOU BY Offering a blended work environment. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. Thrives when everyone is working towards the same vision\u002Fgoals. We offer a diverse and comprehensive benefits package including: Three medical, and two dental & vision plans to choose from. Tuition reimbursement 401K plan that matches 50% on every $ you put in up to the first 6% you save. 4 weeks PTO your first full year. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #telephoniccasemanager 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 $78,000 - $85,000. 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. 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",{"id":3325,"slug":3326,"title":3327,"location":13,"raw_job_location_address_addressLocality":630,"raw_hiringOrganization_logo_url":13,"raw_description":3328},77954,"centralized-dispatcher-property-sedgwick-claims-management-services-inc","Centralized Dispatcher- Property","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 Centralized Dispatcher- Property PRIMARY PURPOSE: The Centralized Dispatcher – Property assigns losses to adjusters based on location, adjuster experience, and loss details in a timely manner to help support Property Claims. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Claim Assignment & Dispatching Assigns property losses to appropriate adjusters within 2 hours of receipt, using tools such as Salesforce, CTABS, and Excel. Reviews adjuster qualifications and availability, including performance metrics and workload capacity, to ensure optimal assignments. Coordinates with 1099 adjusters when needed, confirming availability via phone and documenting assignments. Client & System Coordination Ensures all systems (e.g., XA, Symbility, CTABS) are updated post-assignment. Sends client acknowledgments and notifies regional teams of assignments in their area. Verifies client-specific requirements are met before dispatching. Escalation & Collaboration Coordinates with regional leadership when adjuster availability or experience is insufficient. Escalates unclear or complex losses to clients or leadership for clarification or reassignment. Communicates delays, issues, or escalations promptly to ensure timely claim handling. Process Accuracy & Attention to Detail Maintains high accuracy in data entry and documentation across multiple platforms. Uses multiple data sources, including Business Excellence reports, to assess adjuster workload and performance. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or equivalent required. Experience Two (2) years of related experience in claims, dispatch, or insurance operations preferred, or equivalent combination of education and experience required. Skills & Knowledge Strong attention to detail and organizational skills Effective communication and problem-solving skills Proficiency in Salesforce, Excel, and internal claims systems (e.g., CTABS, XA, Symbility) PC literate, including Microsoft Office products Excellent interpersonal 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 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\u002FVisual: 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",{"id":3330,"slug":3331,"title":1787,"location":13,"raw_job_location_address_addressLocality":630,"raw_hiringOrganization_logo_url":13,"raw_description":3332},77958,"claims-team-lead-auto-sedgwick-claims-management-services-inc-3","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 Team Lead, Auto PRIMARY PURPOSE OF THE ROLE: To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical\u002Fjurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Supervises multiple teams of examiners, multiple product line examiners and\u002For several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit. Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. Provides technical\u002Fjurisdictional direction to examiner reports on claims adjudication. Compiles reviews and analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal. Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner. Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client. Assures that direct reports are properly licensed in the jurisdictions serviced. Ensures claims files are coded correctly and adequate documentation is made by claims examiners. Performs other duties as assigned. Supports the organization's quality program(s). SUPERVISORY RESPONSIBILITIES 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. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing: Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred. Experience: Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience. Skills & knowledge: thorough knowledge of claims management processes and procedures for multiple product lines, excellent oral and written communication, including presentation skills, PC literate, including Microsoft Office products, leadership\u002Fmanagement skills, analytical and interpretive skills, ability to work in a team environment, and the ability to meet or exceed Performance Competencies Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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",{"id":3334,"slug":3335,"title":1723,"location":13,"raw_job_location_address_addressLocality":630,"raw_hiringOrganization_logo_url":13,"raw_description":3336},77959,"data-analyst-sedgwick-claims-management-services-inc-2","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 Data Analyst PRIMARY PURPOSE: To create comprehensive reporting and analysis of statistical data; to monitor data for processing and procedures issues; and to support performance initiative by providing technical support and training to colleagues. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Compiles data; prepares and distributes reports; and analyzes results. Assists in efficient and effective program management; identifies poor work quality and cost effectiveness trends; and works with appropriate staff in analyzing and compiling data from technical reviews, as applicable. Provides training and coaching on processing and procedures issues. Provides analysis and reporting of trends. Ensures data integrity; develops and produces reports utilized in measuring data accuracy. May assist in the completion of appropriate client set-up and maintenance (parameter) forms. Extracts data and analyzes information based on plan and jurisdictional requirements. Gathers and prepares statistical data for reporting; makes recommendations to management for training needs. May analyze data for cause and effect ratios, return-to-work and accommodations trending, disability durations, injury by job type analysis, disability diagnosis trending, etc. Presents results to client and\u002For 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 with major in Computer Science, Finance or Economics from an accredited college or university preferred. Experience Six (6) years of related experience or equivalent combination of education and experience required. Three (3) years of query and report writing strongly preferred. Skills & Knowledge Thorough knowledge of query and report writing Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Excellent 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, 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\u002FVisual: 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",{"id":3338,"slug":3339,"title":3340,"location":13,"raw_job_location_address_addressLocality":630,"raw_hiringOrganization_logo_url":13,"raw_description":3341},77961,"remote-hotel-coordinator-sedgwick-claims-management-services-inc","Remote Hotel Coordinator","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 Hotel Coordinator Schedule: Weds, Thurs, Fri 1pm-12pm EST. Sunday 9a-8pm EST PRIMARY PURPOSE: To deliver seamless hotel accommodations for insured families with compassion, precision, and urgency. Hotel Coordinators act as the frontline connection between families, hotels, and insurance partners ensuring every placement is handled with care, accuracy, and efficiency. This role is vital to providing comfort during a difficult time and maintaining Sedgwick's reputation for excellence. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Serve as the first point of contact for insured families, confirming needs and clearly explaining the hotel and payment process. Search, evaluate, and secure hotels using internal databases, online platforms, and direct negotiations balancing family preferences with carrier guidelines. Facilitate reservations by contacting hotels directly or through booking tools, ensuring rate agreements and required authorizations are received. Communicate confirmations to insured families with professionalism and empathy, including hotel details and check-in instructions. Coordinate check-ins, check-outs, and extensions, verifying paperwork and updating records to reflect accurate statuses. Maintain detailed documentation in internal systems including hotel confirmations, receipts, hotel service agreements, and other relevant documents. Support families through challenges, addressing escalations such as billing concerns, relocations, or sensitive situations with confidence and care. Collaborate across teams by notifying leadership if adjuster approval is needed, managing relocation requests, and assisting with departmental phone coverage. 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 Two (2) year of experience in customer service, preferably within the travel, hospitality or insurance industries. Skills & Knowledge Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook). Excellent and professional phone voice. Strong communication, grammar, and interpersonal skills. Strong data entry skills with high attention to detail. Ability to work independently, show initiative, and perform well under pressure. Strong organizational skills and ability to multitask. Ability to work effectively in a remote team environment. 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\u002FVisual: 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 $17.00-$19.00\u002Fhr. Always accepting applications. 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",{"id":3343,"slug":3344,"title":3345,"location":13,"raw_job_location_address_addressLocality":630,"raw_hiringOrganization_logo_url":13,"raw_description":3346},77962,"medical-bill-coordinator-sedgwick-claims-management-services-inc","Medical Bill Coordinator","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 Medical Bill Coordinator PRIMARY PURPOSE: To review hospital and professional medical bills from provider including complex hospital, surgical, high level evaluation and management codes, and\u002For technical bills. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Processes bills in accordance with multi state schedules, rules, regulations, and guidelines. Applies PPO contract discounts to bills. Reviews operative reports to determine if surgery services were appropriately billed. Reviews complex medical, legal and consult services. Contacts client or facility to obtain additional or missing information. Handles provider appeals where appropriate to fee schedule and contractual disputes. Communicates internal issues to management. Assists bill review team lead with workflow management, coaching and mentoring of staff. Assists with process, procedure and system training for new staff. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travel as required. QUALIFICATIONS Education & Licensing High School diploma or GED required. Experience Two (2) years workers' compensation and\u002For bill review experience or equivalent combination of education and experience required to include provider appeals experience. PPO re-pricing, surgery review, by report and RNE review preferred. Two (2) years of experience with complex medical, legal, and consult review preferred. Skills & Knowledge Knowledge of re-pricing rules and guidelines Knowledge of medical terminology, anatomy and surgical terms Knowledge of multiple state jurisdictional regulations and rules Knowledge of Fee Schedules, Rules, and U&C Guidelines Knowledge of CPT\u002FICD9 PC literate, including Microsoft Office products Leadership skills and ability to motivate others Strong verbal and written communication skills Strong interpersonal skills High level of accuracy and attention to detail Ability to multi-task and function in high volume area Ability to handle deadlines and proactively problem solve 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\u002FVisual: 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 $.19.00. 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",{"id":3348,"slug":3349,"title":1830,"location":13,"raw_job_location_address_addressLocality":630,"raw_hiringOrganization_logo_url":13,"raw_description":3350},77963,"patient-care-coordinator-sedgwick-claims-management-services-inc","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 Patient Care Coordinator PRIMARY PURPOSE: To provide world class customer service and service delivery to our clients and patients through processing referrals in the delivery of medical goods and services. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Reaches out to patients in relation to new or already processing referrals confirming patient demographic information, providing updates on the referral, and\u002For confirming delivery of said goods or service. Communicates with vendor partners, claims adjusters and nurse case managers providing updates on new referrals as well as referrals already in process. Procures vendor partners for each referral as it relates to the goods or services requested. Responsible for making or taking phone calls on existing referrals, new referrals, or other team members referrals. Provides quotes back to clients for approval or follow up on quotes already sent to obtain written approval for requested referrals ensuring that each referral is deemed medically necessary and approved by the claim’s adjuster. Confirms all required and relevant billing information exists in each referral as it relates to the workflow and billing processes in place and moves those referrals to be billed each day. Processes referrals per state regulations and workers compensation guidelines. 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. Experience Two (2) years of industry experience in healthcare network and patient care scheduling or equivalent combination of education and experience required. Skills & Knowledge Strong customer service skills Strong critical thinking skills Self-Starter Excellent oral and written communication skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Excellent interpersonal 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 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\u002FVisual: 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. 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 $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. 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",{"id":3352,"slug":3353,"title":3354,"location":13,"raw_job_location_address_addressLocality":1515,"raw_hiringOrganization_logo_url":13,"raw_description":3355},77964,"claims-examiner-workers-compensation-jurisdiction-southeast-states-licensing-fl-or-home-state-required-remote-sedgwick-claims-management-services-inc-2","Claims Examiner - Workers Compensation | Jurisdiction: Southeast states | Licensing: FL or Home state required - Remote","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 Compensation | Jurisdiction: Southeast states | Licensing: FL or Home state required - 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? 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.  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 analyze Workers Compensation 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. ESSENTIAL RESPONSIBLITIES 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: 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. Experience: 5 years of claims management experience or equivalent combination of education and experience required. Licensing: FL or Home State required Jurisdiction Knowledge: Southeast States 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, travel as required Auditory\u002FVisual: 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 (70-90k) 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 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",{"id":3357,"slug":3358,"title":2023,"location":13,"raw_job_location_address_addressLocality":3359,"raw_hiringOrganization_logo_url":13,"raw_description":3360},77969,"ltd-case-specialist-sedgwick-claims-management-services-inc-3","Telecommuter MN","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 LTD Case Specialist PRIMARY PURPOSE: To analyze claims and determine benefits due ensuring compliance with plan provisions; to determine need for outside vendors, surveillance, and\u002For independent medical evaluations; to negotiate settlements and to make claim payments and revisions within designated authority level; and to calculate and collect overpayments. ESSENTIAL FUNCTIONS and RESPONSIBILITIES • Analyzes assigned claims and determines benefits due. • Informs claimants of documentation required to process their claim and timeframes. • Manages claim to ensure compliance with plan provisions. • Provides appropriate documentation to LTD Manager for reporting purposes. • Determines need for outside vendors, surveillance and\u002For independent medical evaluations as required and seeks advice from management, as necessary. • Refers cases to LTD Supervisor, LTD Manager, or Project Manager. • Negotiates settlement of appropriate claims within designated authority level. • Makes claim payments and revisions to benefit amounts. • Communicates status on decisions to client, claimant and supervisor. • Calculates and collects overpayments. 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 preferred. Licenses as required. Experience Four (4) years of medical disability experience or equivalent combination of education and experience required. 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\u002FVisual: 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. 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 $55,000 USD annual salary. 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",{"id":3362,"slug":3363,"title":3364,"location":13,"raw_job_location_address_addressLocality":2598,"raw_hiringOrganization_logo_url":13,"raw_description":3365},77970,"claims-adjuster-workers-compensation-jurisdiction-nc-licensing-nc-remote-must-reside-in-nc-sedgwick-claims-management-services-inc","Claims Adjuster - Workers Compensation | Jurisdiction - NC | Licensing: NC - (Remote, Must Reside in NC)","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 Adjuster - Workers Compensation | Jurisdiction - NC | Licensing: NC - (Remote, Must Reside in NC) 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?   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.  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 analyze Workers Compensation 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. ESSENTIAL RESPONSIBLITIES 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. Ability to travel to hearings as needed is required; however, hearing attendance is infrequent. QUALIFICATIONS Education & Licensing: 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. Experience: 4 years of claims management experience or equivalent combination of education and experience required. Licensing \u002F Jurisdiction Knowledge: NC 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. 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, travel as required Auditory\u002FVisual: Hearing, vision and talking #claimsexaminer #claims #hybrid 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",{"id":3367,"slug":3368,"title":3369,"location":13,"raw_job_location_address_addressLocality":2598,"raw_hiringOrganization_logo_url":13,"raw_description":3370},77973,"client-service-director-claims-industry-liability-experience-required-sedgwick-claims-management-services-inc","Client Service Director | Claims Industry & Liability Experience 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 Client Service Director | Claims Industry & Liability 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 OF THE ROLE: To determine account management strategies related to client service plans; to be responsible for retention of existing clients, customer satisfaction, revenue growth, client surveys, and new business; to provide 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 RESPONSIBLITIES MAY INCLUDE Provides stewardship reporting to clients; identifying and educating clients on 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. 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. 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\u002For 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 account manager experience or five (5) years adjuster experience including two (2) years in a supervisory capacity. Liability Experience required Operations\u002FClient Service experience 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 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",{"id":3372,"slug":3373,"title":1580,"location":13,"raw_job_location_address_addressLocality":2598,"raw_hiringOrganization_logo_url":13,"raw_description":1581},77974,"construction-defect-adjuster-sedgwick-claims-management-services-inc-2",{"id":3375,"slug":3376,"title":3377,"location":13,"raw_job_location_address_addressLocality":2598,"raw_hiringOrganization_logo_url":13,"raw_description":3378},77975,"workers-compensation-claims-adjuster-mo-lost-time-experience-fl-jurisdiction-fl-licensing-dedicated-client-sedgwick-claims-management-services-inc","Workers Compensation Claims Adjuster | MO & Lost-Time Experience | FL Jurisdiction & FL Licensing | Dedicated Client","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 Adjuster | MO & Lost-Time Experience | FL Jurisdiction & FL Licensing | Dedicated Client DEDICATED CLIENT CAPPED CASELOADS FL JURISDICTION & FL LICENSE 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 analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements ESSENTIAL FUNCTIONS and RESPONSIBILITIES Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency. Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments. Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract. Manages subrogation of claims and negotiates settlements. Communicates claim action with claimant and client. 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; Home state license required Experience: 1 - 2 years of claims management experience Prior handling of FL med only & indemnity claims Jurisdiction Knowledge: FL Licensing: FL 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\u002FVisual: Hearing, vision and talking #claimsexaminer #claims #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. 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",{"id":3380,"slug":3381,"title":3382,"location":13,"raw_job_location_address_addressLocality":1603,"raw_hiringOrganization_logo_url":13,"raw_description":3383},77978,"claims-representative-auto-pip-sedgwick-claims-management-services-inc","Claims Representative, Auto | PIP","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 Representative, Auto | PIP PRIMARY PURPOSE OF THE ROLE: To evaluate auto claims involving injured parties and manage first party medical treatment to determine eligibility under a personal injury protection and\u002For medical payment benefits. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Reviews claims to determine the nature of the medical loss and provides explanation of coverage Researches policy contract and interprets policy language to make coverage decisions based on 1st party medical coverage. Assesses medical treatment, evaluates medical bills, and initiates or reviews potential fraud investigations. Interprets medical records regarding injuries and addresses ongoing and continuous treatment for claimant. Identifies claim exposures and establishes reserves or adjust reserves accordingly on assigned files. Ensures claim files are properly documented and correctly coded based on the policy. Documents all claim activity and workflow accurately throughout the life of the claim in accordance with standard operating procedures. Provides effective and timely communication to client, claimants, medical providers, attorney offices, and vendors. Negotiates resolution of claims and makes payments within authority. Performs other duties as assigned. QUALIFICATIONS Education & Licensing: Bachelor's degree from an accredited college or university preferred. State adjuster licenses required. Experience: Three (3) years of Personal Injury Protection (PIP), medical payment and\u002For workers compensation or equivalent combination of education and experience, nursing experience a plus. Skills: knowledge of medical terminology and appropriate application of deductibles and limits, familiarity with Bodily Injury (BI)\u002FCasualty adjusting, oral and written communication skills, PC literate, including Microsoft Office products, and organizational skills 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. WORK ENVIRONMENT REQUIREMENTS INCLUDE Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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 $55,000 to $60,000. 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. 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",{"id":3385,"slug":3386,"title":3387,"location":13,"raw_job_location_address_addressLocality":2626,"raw_hiringOrganization_logo_url":13,"raw_description":3388},77981,"claim-associate-property-remote-or-tx-tn-ks-or-fl-sedgwick-claims-management-services-inc","Claim Associate - Property (REMOTE- OR, TX, TN, KS or FL)","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 Associate - Property (REMOTE- OR, TX, TN, KS or FL) 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 process uncomplicated commercial and personal lines property claims within designated authority. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Processes uncomplicated personal and commercial line property claims and ensures claim files are properly documented and coded correctly based on the policy. Maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution; escalates issues as needed. Identifies and pursues subrogation opportunities; secures and disposes of salvage. Communicates claim action\u002Fprocessing 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 High school diploma or GED; Licenses as required Experience: One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred. Knowledge of construction basics a plus. 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",{"id":3390,"slug":3391,"title":3392,"location":13,"raw_job_location_address_addressLocality":1682,"raw_hiringOrganization_logo_url":13,"raw_description":3393},77985,"applied-agentic-ai-engineer-sedgwick-claims-management-services-inc","Applied & Agentic AI Engineer","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 Applied & Agentic AI Engineer Job Responsibilities Architect and deploy LLM-powered and agentic AI solutions that transform claims intake, policy interpretation, fraud detection, and resolution workflows. Design end-to-end retrieval-augmented generation (RAG) systems leveraging enterprise knowledge bases, policy documents, SOPs, and historical claims data. Build autonomous and semi-autonomous agents capable of reasoning, planning, and executing multi-step claims processes. Develop stateful workflow orchestration layers that manage context, memory, and task sequencing across interactions. Implement planning and reflection loops that decompose complex claims scenarios into structured subtasks. Enable dynamic tool use through function calling and secure API integrations with claims systems, CRM platforms, document repositories, and analytics tools. Develop document intelligence pipelines using LLMs for summarization, entity extraction, classification, validation, and timeline reconstruction. Design structured prompt frameworks that enforce deterministic outputs and domain-aware reasoning. Build multi-agent systems that coordinate document review, coverage analysis, compliance checks, and decision support. Implement human-in-the-loop checkpoints for escalation, review, and override of AI-driven decisions. Develop guardrails, output validation layers, and hallucination mitigation strategies. Enforce structured outputs using schemas, type validation, and deterministic post-processing logic. Optimize token consumption, inference latency, and cloud infrastructure costs. Deploy scalable AI microservices using containerization and cloud-native architectures. Implement monitoring for model drift, retrieval quality degradation, reasoning failures, and workflow breakdowns. Maintain detailed audit logs of model decisions, agent reasoning steps, and tool executions. Develop evaluation frameworks to test reasoning accuracy, workflow completion rates, and system reliability. Collaborate with data engineering to build embedding pipelines, feature stores, and vector indexing strategies. Ensure compliance with Responsible AI standards, data privacy regulations, and enterprise governance policies. Partner with claims operations leadership to embed AI capabilities directly into adjuster and supervisor workflows. Measure business impact through cycle-time reduction, automation coverage, fraud detection lift, and operational efficiency gains. Qualifications Bachelor’s or Master’s degree in Computer Science, Artificial Intelligence, Engineering, or related field. 5+ years of experience building production-grade AI or advanced software systems. 2–4+ years of hands-on experience with LLM-powered applications and orchestration layers. Strong expertise in retrieval-augmented generation architectures and vector search systems. Experience designing and implementing multi-agent systems and workflow orchestration engines. Deep understanding of planning loops, contextual memory, and tool-augmented LLM reasoning. Strong proficiency in Python and API-driven system design. Experience integrating enterprise platforms and building secure connectors. Familiarity with Azure OpenAI or similar enterprise LLM environments. Experience deploying containerized services and managing CI\u002FCD pipelines. Understanding of distributed systems, microservices, and event-driven architectures. Experience implementing guardrails, access controls, and auditability mechanisms. Strong knowledge of evaluation methodologies for LLM reliability and agent performance. Experience in insurance, claims, healthcare, or other regulated industries preferred. Ability to translate complex operational workflows into scalable, AI-driven autonomous systems. 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",{"id":3395,"slug":3396,"title":3397,"location":13,"raw_job_location_address_addressLocality":1682,"raw_hiringOrganization_logo_url":13,"raw_description":3398},77986,"claims-examiner-liability-gl-bi-litigation-jurisdiction-multi-state-licensing-home-state-required-remote-sedgwick-claims-management-services-inc","Claims Examiner - Liability | GL, BI & Litigation | Jurisdiction: Multi State | Licensing: Home State Required - Remote","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 | GL, BI & Litigation | Jurisdiction: Multi State | Licensing: Home State Required - 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? 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.  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 analyze complex or technically difficult general, bodily injury and litigated 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 RESPONSIBLITIES 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: 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. Experience: 5 years of claims management experience or equivalent combination of education and experience required. Licensing \u002F Jurisdiction Knowledge: Multi state, Home state required; NY licensing is a preferred, must obtain within 6 months of employment. Travel is required to support mediations, conferences and training 10% or less. TAKING CARE OF YOU Flexible work schedule.  Referral incentive program.  Opportunity to work in an agile environment. 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, travel as required Auditory\u002FVisual: 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 ($75-95k). 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. 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",{"id":3400,"slug":3401,"title":838,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":3402},77990,"claims-assistant-sedgwick-claims-management-services-inc-6","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 Assistant PRIMARY PURPOSE: Handles losses and claims valued up to $15,000 for property and casualty insurers through the thorough examination of documents, records, loss reports, and other relevant documentation. Efficiently manages a case load using technology for efficient claim processing. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Evaluates insurance policies, claims forms, policies, endorsements, carrier instructions, and other records to determine insurance coverage. Conducts thorough investigations, gathers official reports as needed, consults police and hospital records and inspects physical damage or written estimates for damages based on a conducted inspection to determine extent of company's liability and varying methods of investigation, according to type of insurance. Interviews, telephones, and\u002For corresponds with claimant and witnesses regarding claim. Estimates cost of repair, replacement, or compensation. Prepares report of findings and negotiates claim settlements by adhering to carrier instructions and obtaining necessary information. Issues settlement checks, files regulatory documents, and handles salvage and subrogation as applicable. Recommends litigation by legal department when settlement cannot be negotiated. Attends litigation hearings and participates in depositions as necessary. Revises case reserves in assigned claims files to cover probable costs. Maintains an expected caseload efficiently. Utilizes technology and automation tools for efficient claim handling. Sends claims exceeding $15,000 gross loss amount to leadership for authority approval. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Must obtain IIA-AIC designation within 12 to 18 months in the role. Appropriate state adjuster license is required. Experience Three (3) year of related experience or equivalent combination of education and experience required. Prior experience handling property and casualty claims a plus but not required. Skills & Knowledge Empathetic claims handling demeanor Strong communication, analytical, organizational, and interpersonal skills PC literate, including Microsoft Office products Analytical and interpretive skills 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 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\u002FVisual: 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",{"id":3404,"slug":3405,"title":3406,"location":13,"raw_job_location_address_addressLocality":1682,"raw_hiringOrganization_logo_url":13,"raw_description":3407},77992,"ux-designer-sedgwick-ai-sedgwick-claims-management-services-inc","UX Designer – Sedgwick AI","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 UX Designer – Sedgwick AI PRIMARY PURPOSE OF THE ROLE: The UX AI Designer within the Transformation Office serves as a senior user experience and product design professional responsible for shaping intuitive, human-centered AI experiences that support large-scale business transformation. This role translates complex artificial intelligence capabilities, including Generative AI, agentic workflows, LLM-powered tools, and conversational interfaces, into accessible, effective, and scalable user experiences across enterprise systems, Lines of Business, and operational workflows. Operating at the intersection of user experience design, product strategy, AI innovation, and business transformation, the UX AI Designer partners closely with AI architects, product owners, engineering teams, data teams, business stakeholders, and end users to design AI-enabled experiences that are practical, trustworthy, and aligned with business outcomes. This role plays a critical part in ensuring AI solutions are not only technically sound, but also usable, explainable, governed, and adopted effectively by colleagues and clients. ESSENTIAL RESPONSIBILITIES MAY INCLUDE Leads the user experience strategy and design direction for AI-enabled products, tools, platforms, and workflows, ensuring solutions are intuitive, accessible, scalable, and aligned with enterprise transformation objectives. Designs user experiences for Generative AI platforms, conversational AI tools, agentic AI systems, copilots, chat-based interfaces, recommendation tools, and workflow automation solutions that support complex business processes. Partners with AI architects, engineers, product owners, business leaders, and end users to translate advanced AI capabilities into practical, user-centered designs that improve productivity, decision-making, and operational efficiency. Develops user journeys, personas, service blueprints, wireframes, prototypes, interaction models, and usability flows that define how colleagues and clients engage with AI-enabled solutions across systems and processes. Designs conversational and prompt-based experiences, including user prompts, interaction patterns, response flows, escalation paths, feedback loops, and human-in-the-loop review experiences. Applies human-centered design principles to ensure AI tools are transparent, explainable, trustworthy, and easy to adopt, with a strong focus on minimizing user friction and supporting responsible AI use. Conducts user research, stakeholder interviews, usability testing, journey mapping, and feedback sessions to identify user needs, pain points, adoption barriers, and opportunities for AI-driven process improvement. Collaborates with data, analytics, engineering, and platform teams to ensure AI experiences are informed by accurate data, appropriate context, sound design logic, and clear user expectations. Supports the design of enterprise AI governance experiences, including consent, disclosure, confidence indicators, explainability, exception handling, auditability, and user feedback mechanisms. Creates design standards, reusable interaction patterns, and UX best practices for enterprise AI solutions to promote consistency across AI products, platforms, and digital experiences. Partners with change management, communications, training, and business readiness teams to support user adoption, colleague enablement, and effective rollout of AI-enabled tools. Evaluates the effectiveness of AI experiences through qualitative and quantitative measures, including usability outcomes, adoption metrics, user satisfaction, task completion, productivity impact, and feedback trends. ADDITIONAL FUNCTIONS AND RESPONSIBILITIES Provides design guidance, coaching, and thought leadership to product teams, delivery teams, and business stakeholders on effective AI experience design. Contributes to the evolution of enterprise AI design standards, product strategy, tooling, and governance practices within the Transformation Office. Stays current on emerging AI design trends, human-AI interaction models, responsible AI practices, conversational design, and enterprise UX best practices. Supports cross-functional workshops, discovery sessions, design reviews, and stakeholder presentations related to AI-enabled transformation initiatives. Performs other duties as assigned. Travel as required. QUALIFICATIONS Bachelor’s degree in User Experience Design, Human-Computer Interaction, Product Design, Interaction Design, Cognitive Science, Psychology, Computer Science, Information Systems, or a related field from an accredited college or university required. Master’s degree in Human-Computer Interaction, Design Strategy, Human Factors, AI Interaction Design, or a related discipline preferred. Experience Seven (7) years of related experience in user experience design, product design, digital experience strategy, or human-centered design, with at least three (3) years supporting AI-enabled products, enterprise platforms, digital transformation initiatives, conversational interfaces, automation tools, or complex workflow design required. Experience designing user experiences for Generative AI, conversational AI, copilots, workflow automation, decision-support tools, enterprise software, or data-driven platforms strongly preferred. Experience working in complex corporate environments with cross-functional teams, including product, engineering, data, analytics, security, risk, compliance, operations, and business leadership preferred. Equivalent combination of education and experience may be considered. Skills & Knowledge Strong ability to translate complex AI, data, and technical concepts into clear, intuitive, and user-centered digital experiences. Advanced knowledge of UX design methods, including user research, journey mapping, service design, wireframing, prototyping, usability testing, accessibility, and design systems. Demonstrated understanding of human-AI interaction principles, including explainability, trust, transparency, user control, ethical AI use, feedback loops, and human-in-the-loop design. Experience designing conversational interfaces, chat-based experiences, prompt flows, AI-assisted workflows, decision-support experiences, or intelligent automation tools. Proficiency with design and collaboration tools such as Figma, FigJam, Miro, Adobe Creative Suite, or similar platforms. Strong understanding of product development lifecycles, agile delivery practices, enterprise technology environments, and cross-functional delivery models. Ability to partner effectively with AI architects, data scientists, software engineers, product owners, business stakeholders, and change management teams. Strong communication, facilitation, storytelling, and presentation skills, with the ability to influence stakeholders and clearly articulate design decisions. Ability to balance user needs, business objectives, technical feasibility, governance requirements, and operational constraints. Knowledge of accessibility standards and inclusive design principles. 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\u002FVisual: 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",{"id":3409,"slug":3410,"title":3411,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":3412},77997,"remote-housing-coordinator-sedgwick-claims-management-services-inc","Remote Housing Coordinator","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 Housing Coordinator SCHEDULE: Mon, Tue, Weds, Fri 12:00 PM-9:00 PM EST; Sat 9:00 AM-6:00 PM EST; Off Thurs & Sun PRIMARY PURPOSE: To coordinate customized temporary housing solutions for displaced policyholders in a fast-paced, service-driven environment. This role demands strong communication, research, negotiation, and multitasking skills to ensure insureds are matched with suitable like, kind, and quality accommodations. The Housing Coordinator serves as both a client advocate and housing specialist—blending empathetic support, strategic property research, and lease coordination to secure safe, comfortable, and comparable housing while delivering an elevated service experience with urgency and professionalism. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Support and promote Sedgwick’s mission, strategic vision, and value proposition to adjusters and policyholders. Serve as a key point of contact for policyholders during their relocation, ensuring consistent communication, clear expectations, and empathetic support. Qualify housing needs by gathering details about the insured’s lifestyle, household makeup, accessibility needs, pet considerations, and preferred amenities. Conduct detailed market research using listing platforms, vendor databases, and internal tools to locate viable, like-kind-and-quality housing options. Collaborate with corporate and independent housing vendors, landlords, and leasing agents to secure short-term rentals under time-sensitive circumstances. Apply negotiation skills to secure favorable lease terms, maximize policy benefits, and stay within Additional Living Expense (ALE) guidelines. Customize housing options that align with both policy coverage and the insured's expectations: balancing budget, availability, and quality. Maintain high touch service throughout the policyholder’s stay, proactively resolving issues and supporting lease extensions, furniture adjustments, and service needs. Draft and review lease agreements and related documents with attention to detail and policy compliance. Enter and maintain accurate data in housing databases, CRM tools, and internal platforms. Stay informed of local rental trends, landlord regulations, and insurance housing best practices to advise clients and partners effectively. Handle multiple claims and assignments at once with professionalism and urgency. Serves as the point of contact for VIP clientele. 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 Two (2) years experience in leasing, real estate, customer service, or account management. Previous experience in insurance, temporary housing, corporate lodging, or real estate strongly preferred. Skills & Knowledge Exceptional verbal and written communication skills; capable of calming distressed clients with professionalism and compassion. High emotional intelligence with the ability to adapt tone and approach to diverse client situations. Proficient in Microsoft Office Suite (Word, Excel, Access) and adept at learning new housing and CRM platforms. Advanced internet research capabilities to locate viable rental properties in limited markets. Detail-oriented and organized with strong documentation habits. Ability to multitask in a fast-paced environment with shifting priorities. Negotiation and relationship management skills with vendors, property managers, and landlords. Solutions-oriented mindset with a focus on timely, proactive service delivery. Experience coordinating accommodations for high-net-worth clients or large-loss claims is a plus. Bi-lingual English\u002FSpanish a plus. 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\u002FVisual: 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. 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 $17.00-$17.50\u002Fhr. Always accepting applications. 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",{"id":3414,"slug":3415,"title":2656,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":2657},77998,"data-engineer-sedgwick-claims-management-services-inc-2",{"id":3417,"slug":3418,"title":3411,"location":13,"raw_job_location_address_addressLocality":1708,"raw_hiringOrganization_logo_url":13,"raw_description":3419},77999,"remote-housing-coordinator-sedgwick-claims-management-services-inc-2","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 Housing Coordinator SCHEDULE: Mon, Tue, Weds, Fri 11:00 PM-8:00 PM EST; Sat 9:00 AM-6:00 PM EST; Off Thurs & Sun PRIMARY PURPOSE: To coordinate customized temporary housing solutions for displaced policyholders in a fast-paced, service-driven environment. This role demands strong communication, research, negotiation, and multitasking skills to ensure insureds are matched with suitable like, kind, and quality accommodations. The Housing Coordinator serves as both a client advocate and housing specialist—blending empathetic support, strategic property research, and lease coordination to secure safe, comfortable, and comparable housing while delivering an elevated service experience with urgency and professionalism. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Support and promote Sedgwick’s mission, strategic vision, and value proposition to adjusters and policyholders. Serve as a key point of contact for policyholders during their relocation, ensuring consistent communication, clear expectations, and empathetic support. Qualify housing needs by gathering details about the insured’s lifestyle, household makeup, accessibility needs, pet considerations, and preferred amenities. Conduct detailed market research using listing platforms, vendor databases, and internal tools to locate viable, like-kind-and-quality housing options. Collaborate with corporate and independent housing vendors, landlords, and leasing agents to secure short-term rentals under time-sensitive circumstances. Apply negotiation skills to secure favorable lease terms, maximize policy benefits, and stay within Additional Living Expense (ALE) guidelines. Customize housing options that align with both policy coverage and the insured's expectations: balancing budget, availability, and quality. Maintain high touch service throughout the policyholder’s stay, proactively resolving issues and supporting lease extensions, furniture adjustments, and service needs. Draft and review lease agreements and related documents with attention to detail and policy compliance. Enter and maintain accurate data in housing databases, CRM tools, and internal platforms. Stay informed of local rental trends, landlord regulations, and insurance housing best practices to advise clients and partners effectively. Handle multiple claims and assignments at once with professionalism and urgency. Serves as the point of contact for VIP clientele. 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 Two (2) years experience in leasing, real estate, customer service, or account management. Previous experience in insurance, temporary housing, corporate lodging, or real estate strongly preferred. Skills & Knowledge Exceptional verbal and written communication skills; capable of calming distressed clients with professionalism and compassion. High emotional intelligence with the ability to adapt tone and approach to diverse client situations. Proficient in Microsoft Office Suite (Word, Excel, Access) and adept at learning new housing and CRM platforms. Advanced internet research capabilities to locate viable rental properties in limited markets. Detail-oriented and organized with strong documentation habits. Ability to multitask in a fast-paced environment with shifting priorities. Negotiation and relationship management skills with vendors, property managers, and landlords. Solutions-oriented mindset with a focus on timely, proactive service delivery. Experience coordinating accommodations for high-net-worth clients or large-loss claims is a plus. Bi-lingual English\u002FSpanish a plus. 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\u002FVisual: 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 $17.00-$19.00\u002Fhr. Always accepting applications. 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",{"id":3421,"slug":3422,"title":3423,"location":13,"raw_job_location_address_addressLocality":1757,"raw_hiringOrganization_logo_url":13,"raw_description":3424},78001,"workers-compensation-lost-time-benefit-coordinator-va-jurisdictional-experience-required-sedgwick-claims-management-services-inc","Workers Compensation Lost Time Benefit Coordinator | VA Jurisdictional Experience 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 Lost Time Benefit Coordinator | VA Jurisdictional 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? To analyze Virginia Lost Time Workers Compensation 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: 4 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: VA 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\u002FVisual: 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 (65 - 71K). 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 #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. 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",{"id":3426,"slug":3427,"title":3428,"location":13,"raw_job_location_address_addressLocality":1773,"raw_hiringOrganization_logo_url":13,"raw_description":3429},78004,"claims-representative-commercial-trucking-sedgwick-claims-management-services-inc","Claims Representative | Commercial Trucking","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 Representative | Commercial Trucking PRIMARY PURPOSE OF THE ROLE To analyze and process low to mid-level auto commercial trucking and transportation claims. ESSENTIAL RESPONSIBILITIES MAY INCLUDE Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Develops and maintains action plans to ensure state required contract deadlines are met and to move the file towards prompt and appropriate resolution. Identifies and pursues subrogation opportunities; secures and disposes of salvage. Communicates claim action\u002Fprocessing with insured, client, and agent or broker when appropriate. Maintains professional client relations. Performs coverage, liability, and damage analysis on all claims assignments. Performs other duties as assigned. QUALIFICATIONS Education & Licensing: Bachelor's degree from an accredited college or university preferred. Secure and maintain the State adjusting licenses as required for the position. Experience: Three (3) years of personal line or commercial line property claims management experience or equivalent combination of education and experience required to include knowledge of construction basics. Property estimating software experience a plus. Skills: familiarity with personal and commercial lines policies and endorsements, ability to review and assess Property Damage estimates, total loss evaluations, and related expenses to effectively negotiate first and third party claims, knowledge of total loss processing, state salvage forms and title requirements, excellent oral and written communication, including presentation skills, and PC literate, including Microsoft Office products Work environment requirements include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. 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. 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",{"id":3431,"slug":3432,"title":3433,"location":13,"raw_job_location_address_addressLocality":1311,"raw_hiringOrganization_logo_url":13,"raw_description":3434},78013,"clinical-consultation-triage-team-part-time-sedgwick-claims-management-services-inc","Clinical Consultation Triage Team - Part Time","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 Clinical Consultation Triage Team - Part Time We are looking to add 4 part time nurses to our Clinical Consultation team. We are hiring for the following shifts (Monday through Friday with a rotating weekend): 8:30 AM to 4:30 PM 9:30 AM to 5:00 PM 11:00 AM to 6:30 PM 12:30 PM to 8:00 PM Please note, this class starts on October 19th - no exceptions. As a nurse at Sedgwick, you can build a meaningful and rewarding career while advocating for patients in a nontraditional clinical setting. Apply your medical\u002Fclinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment. Enjoy flexibility in your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. PRIMARY PURPOSE OF THE ROLE: To triage calls to assess needs, giving appropriate care advice and disposition to appropriate level of care treatment while promoting cost-effective outcomes and safely facilitate return to work. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. ESSENTIAL RESPONSIBLITIES MAY INCLUDE: Applies all phases of the nursing process, i.e., assessment, planning, implementation and evaluation when triaging calls. Identifies the needs of caller by triaging, obtaining general health information and\u002For physician services referral. Evaluates need for alternative treatment through telephonic contact and assessment with service provider. Triages patient using defined triage protocols to obtain pertinent data; and enters data into computer system. Identifies life-threatening emergencies and recommends appropriate interventions. Refers issues requiring physician interventions to physician in a timely manner; directs patients to appropriate level of care including but not limited to the nearest emergency room, urgent care facility, primary treating physician or selfcare. Demonstrates effective verbal communications skills. Adheres to quality assurance standards. Serves as resource to triage team members. EDUCATION AND LICENSING Bachelor's degree in nursing (BSN) preferred. Active unrestricted RN compact licensure required along with two (2) years of recent clinical practice experience. Should be proficient in multiple screens and multiple computer applications. TAKING CARE OF YOU Seeks innovative customer solutions. Craves cutting edge opportunities. Wants dynamic company culture. Passion about creativity. Seeks ongoing learning as a person and professional. Thrives when solving challenging problems. Wants achievements to be celebrated. We offer a diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse Work environment requirements for entry-level opportunities include – Physical: Computer keyboarding Auditory\u002Fvisual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines 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 $34.00-$36.00\u002Fhr. **Always accepting applications. 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",{"id":3436,"slug":3437,"title":3438,"location":13,"raw_job_location_address_addressLocality":1979,"raw_hiringOrganization_logo_url":13,"raw_description":3439},78027,"claims-examiner-workers-compensation-hybrid-west-hills-ca-sedgwick-claims-management-services-inc-2","Claims Examiner - Workers Compensation (Hybrid- West Hills, CA)","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 Compensation (Hybrid- West Hills, CA) Job Description 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. OFFICE LOCATIONS: West Hills, CA (Agile) 3 days remote PRIMARY PURPOSE OF THE ROLE: To analyze Workers Compensation 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. ESSENTIAL RESPONSIBLITIES 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: 5 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. Licensing \u002F Jurisdiction Knowledge: SIP required or must be obtained within one (1) year of employment; California workers compensation jurisdictional knowledge 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. 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\u002FVisual: 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 $80,000 - $92,000. 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. 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",{"id":3441,"slug":3442,"title":748,"location":13,"raw_job_location_address_addressLocality":1979,"raw_hiringOrganization_logo_url":13,"raw_description":3443},78028,"disability-representative-sedgwick-claims-management-services-inc-13","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 Disability Representative PRIMARY PURPOSE: Provides disability case management and routine claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments\u002Fapprovals and adjustments, medically managing disability claims; coordinates investigative efforts, thoroughly reviewing contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes claim determinations, based on the information received, to approve routine disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Reviews and analyzes routine medical information (i.e. attending physical statements, office notes, off work notes, etc.) or consults with a nurse to determine if the claimant is disabled as defined by the disability plan. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians) regularly. Determines benefits due, makes timely claims payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and\u002For claims system. Communicates with the claimants’ providers to set expectations regarding return to work. Medically manages routine disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and\u002For claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and\u002For related disability activities. Negotiates return to work with or without job accommodations via the claimant’s physician and employer. Refers cases as appropriate to team lead and clinical case management to assist with claim determination. Meets the organization’s quality program(s) minimum requirements. Maintains professional client relationships and provides excellent customer service. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. QUALIFICATIONS Education & Licensing High school diploma or GED required. State certification or licensing in statutory leaves is preferred or may be required based on state regulations. Experience Two (2) years of related experience or equivalent combination of education and experience required. One (1) year of office or customer service experience required. One (1) year of benefits or claims management experience preferred. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Knowledge of state and federal FMLA regulations Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills Proficient computer skills including working knowledge of Microsoft Office Analytical, interpretive, and critical thinking skills Strong organizational and multitasking skills Ability to work in a team environment Ability to meet or exceed performance competencies as required by program Effective decision-making and negotiation skills Ability to exercise judgement with limited supervision 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: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required Auditory\u002FVisual: 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 $25.09 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",{"id":3445,"slug":3446,"title":748,"location":13,"raw_job_location_address_addressLocality":763,"raw_hiringOrganization_logo_url":13,"raw_description":3447},64349,"disability-representative-sedgwick-claims-management-services-inc-2","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 Disability Representative Disability Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near our dynamic Center of Excellence📍 Chicago, IL 175 W. Jackson Blvd. 12th Fl. Chicago IL 60604. ✨ What we offer: A stable, consistent work environment—both in-office and virtual A comprehensive training program to help you support employees and customers from some of the world’s most respected brands A dedicated mentor and manager to guide you every step of your career journey Career development and promotional opportunities as you take on new responsibilities A diverse, all-inclusive benefits package designed to support your mental, physical, financial, and professional well-being Your next big opportunity starts here—are you ready to join us? PRIMARY PURPOSE: To process claims and determine benefits due pursuant to a disability plan; to make timely payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets; and to ensure the ongoing processing of claims. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Makes claim determinations to approve non-complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan. Determines benefits due, makes timely claims payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Informs claimants of documentation required to process claims, required time frames, payment information and claims status either by phone, written correspondence and\u002For claims system. Refers cases as appropriate to team lead; maintains professional client relationships. 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. College preferred. Experience Two (2) years of related experience or equivalent combination of education and experience required to include one (1) year general office or customer service experience. One (1) year of benefits or claims management experience preferred. Skills & Knowledge Excellent oral and written communication PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational 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\u002FVisual: 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. 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 (r21.82). 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",{"id":3449,"slug":3450,"title":3451,"location":13,"raw_job_location_address_addressLocality":1476,"raw_hiringOrganization_logo_url":13,"raw_description":3452},77949,"marine-surveyor-in-los-angeles-sedgwick-claims-management-services-inc","Marine Surveyor in Los Angeles","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 Marine Surveyor in Los Angeles PRIMARY PURPOSE: To inspect cargo damaged in transit and determine the nature, cause, and extent of damages; to review documents to determine when the cargo was damaged; and to provide written reports to underwriters and other parties with his\u002Fher qualified opinion as to the cause of loss. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Oversees loading and unloading of cargo from ships and other forms of transit to document damages as they are loaded and\u002For unloaded. Inspects damaged ships to determine cause of the damage and amount of damage resulting from collisions or motor failures. 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 Five (5) years of related experience or equivalent combination of education and experience required. Skills & Knowledge Good oral and written communication skills PC literate, including Microsoft Office products Good customer service skills Good organizational skills Ability to work independently and 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: Must be able to stand and\u002For walk for long periods of time. Must be able to kneel, squat or bend. Must be able to work outdoors in hot and\u002For cold weather conditions. Have the ability to: climb, crawl, stoop, kneel, and reaching\u002Fworking overhead. Be able to push\u002Fpull up to 100 pounds. Be able to drive up to 4 hours per day. Must have continual use of manual dexterity Auditory\u002FVisual: 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 $70-100k. 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. We are always accepting applications. 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"]