The `apply with seek` option will be utilized for international applicants, mainly australiaIf this does not apply to you please use the `apply` optionAccount consultant if you care, there’s a place for you here
For a career path that is both challenging and rewarding, join sedgwick’s talented team of 27,000 colleagues around the globeSedgwick is a leading provider of technology-enabled risk, benefits and integrated business solutionsTaking care of people is at the heart of everything we doMillions of people and organizations count on sedgwick each year to take care of their needs when they face a major life event or something unexpected happensWhether they have a workplace injury, suffer property or financial loss or damage from a natural or manmade disaster, are involved in an auto or other type of accident, or need time away from work for the birth of a child or another medical situation, we are here to provide compassionate care and expert guidanceOur clients depend on our talented colleagues to take care of their most valuable assets—their employees, their customers and their propertyAt sedgwick, caring counts®Join our team of creative and caring people of all backgrounds, and help us make a difference in the lives of othersSedgwick is a global leader in property insurance claims, offering solutions for commercial and residential marketsWe specialize in large/complex losses, large domestic and international commercial risks, middle market commercial property losses, and real estate and catastrophic losses.
Primary purpose: to manage claim caseload of basic to highly complex claims within granted authority level including related financial implications, along with financial implications and to mentor account representatives and account specialists.
Essential functions and responsibilities
Utilizes special account instructions to obtain individual customer information and adhere to instructions; identifies, initiates, and coordinates various specialized services such as subrogation, fraud evaluation or case management review to resolve claims.
Establishes and maintains effective relationship with internal and external customers and coworkers; communicates effectively and timely.
Mentors/coaches account representatives and account specialists; facilitates round table discussions within the assigned team.
Investigates, evaluates and resolves claims; identifies potential problems/trends in claim files and takes corrective action or makes corrective recommendations; interprets medical reports and state law or jurisdictional law in claim handling.
Applies jurisdictional and medical knowledge to properly assess the indemnity, medical and expense exposure of assigned claims and appropriately interprets and applies insurance coverage.
Reviews client files and collaborates with team to prepare information which includes thorough analysis of file strategies, claims status and emerging trends.
Proactively manages litigation in conjunction with client requirements; works constructively with client and legal representatives to resolve claims.
Ensures compliance and best possible outcomes by minimizing financial liability.
Compiles requirements in order to prevent penalties and fines; utilizes instructions and tools provided to ensure that all state required documentation is issued accurately and in timely manner in accordance with specific jurisdictional timeframes and guidelines.
Monitors reports as assigned and documents compliance with key jurisdictional requirements (i.eEdi, timeliness of benefit payments, etc.); assists team lead in tracking completion of team’s tasks and projects; reviews sas/sox documents and submits in timely manner; and assists with takeover and reverse takeover projects ensuring that claim files are transferred and handled appropriately.
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 preferredState adjuster licenses requiredExperience
Six (6) years of related experience and/or training or equivalent combination of education and experience requiredSkills & 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 accommodationsMental: 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/visual: hearing, vision and talking sedgwick is an equal opportunity employer and a drug-free workplace.
