Claims Representative, Recovery

About the role

Join Sedgwick, a company dedicated to helping people facing unexpected challenges. Our 33,000 colleagues work daily to provide support and care. We offer a career where you can grow, experience a caring culture, and enjoy a balanced work-life.

Responsibilities

• Analyzes and processes complex claims, focusing on high exposure cases involving litigation.
• Works with high exposure, complex multi-jurisdictional claims to identify potential third-party subrogation recovery opportunities.
• Investigates and gathers information to assess the feasibility of recovery, employing strategies to manage claims through resolution.
• Promotes subrogation efforts by providing guidance and direction to internal and external stakeholders, ensuring recovery efforts align with client, financial, and jurisdictional strategies.
• Develops and pursues third-party subrogation claims, referring assignments to subrogation counsel as necessary, and negotiating subrogation interests.
• Sends appropriate subrogation lien notifications and gathers necessary information to support viable claims, documenting claim notes with relevant details.
• Manages claim recoveries, including subrogation, ensuring timely and accurate claim payments and settlements.
• Prepares status reports for clients and presents findings during claims reviews, providing additional expertise to peers and participating in team reviews.
• Coordinates litigation management and vendor referrals, managing the litigation process to ensure timely and cost-effective resolutions.
• Develops and delivers training materials, leading department training opportunities.
• Utilizes cost containment techniques, such as strategic vendor partnerships, to reduce the overall cost of claims for clients.
• Aids in gathering important compliance and claims processing information for team meetings.

Qualifications

• Six (6) years of multi-jurisdictional liability (general liability, auto liability, products), subrogation, and/or workers compensation claims handling experience, or equivalent combination of education and experience.
• Bachelor's degree from an accredited college or university preferred.
• Licenses as required, professional certifications as applicable to line of business preferred.
• Excellent oral and written communication, including presentation skills.
• PC literate, proficient in Microsoft Office products.
• Strong analytical and interpretive skills.
• Good organizational skills.
• Ability to work in a team environment.

Professional Certification

Professional certification as applicable to line of business preferred.