Jobs · Finance

Complex Claims Advisor | Product Liability & GL | Jurisdiction: All States | Licensing: Required Hybrid

Sedgwick · United States · 3 mo ago
RemoteRemoteFinance$70/hrFull-time

About the role

Develop targeted solutions and provide added technical guidance and oversight to ensure matters are resolved optimally while creating a culture of continual quality improvement designed to elevate the overall claim handling to benefit our stakeholders.

Responsibilities

  • Proactively and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional expertise to provide oversight, and directing 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), and travels as required.

Qualifications

  • Education & Licensing: Bachelor's degree from an accredited college or university preferred. Industry designation(s) preferred. Licenses as required for specific jurisdictions.
  • Experience: Eight (8) years of casualty claims experience or equivalent combination of education and experience required to include three (3) to five (5) years of experience handling complex claims and experience in negotiation, mediation, arbitration or ADR skills on higher value complex claims. Supervisory experience a plus. Specific jurisdictional expertise preferred.
  • Licensing / Jurisdiction Knowledge: All 50 states, home state licensing required.

Similar jobs