Complex Claims Advisor
| Company | Sedgwick Claims Management Services |
|---|---|
| Location | Madison, WI, USA |
| Salary | $Not Provided – $Not Provided |
| Type | Full-Time |
| Degrees | Bachelor’s |
| Experience Level | Senior, Expert or higher |
Requirements
- Bachelor’s degree from an accredited college or university preferred
- Eight (8) years of casualty claims experience or equivalent combination of education and experience required
- Three (3) to five (5) years of experience handling complex claims
- Experience in negotiation, mediation, arbitration or ADR skills on higher value complex claims
- Supervisory experience a plus
- Specific jurisdictional expertise preferred
- Subject matter expertise in worker’s compensation claims and/or liability claims processing
- Ability to obtain and maintain appropriate licensing
- Ability to manage claims across multiple jurisdictions
- Excellent oral and written communication, including presentation skills
- PC literate, including Microsoft Office products
- Excellent analytical and interpretive skills
- Strong organizational skills
- Ability to work in a team environment
- Ability to meet or exceed Service Expectations
Responsibilities
- Proactively and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional expertise to provide oversight, and directs the handling to achieve the best possible resolution
- Acts as the organizational subject matter expert for line of business and key jurisdictions on complex claim issues
- Uses knowledge of all aspects of claims handling in evaluating exposure; recommends and directs action plans for issue or case resolution
- Articulates and documents clear and concise file notes to allow stakeholders to understand the issues and path to resolution
- Facilitates roundtables with groups/teams; engages appropriate internal and external resources as needed
- Provides technical leadership on and maintains co-ownership of complex claim issues; through further influence creates a culture of continual quality improvement
- Performs other duties as assigned
- Supports the organization’s quality program(s)
- Travels as required
Preferred Qualifications
- Bachelor’s degree from an accredited college or university preferred
- Industry designation(s) preferred
- Specific jurisdictional expertise preferred