The OSHA Representative assists clients with OSHA recordkeeping obligations and ensures compliance with regulatory requirements. They are responsible for generating reports, conducting quality control, and interpreting regulations for claims staff.
Sedgwick
179 Remote Job Openings at Sedgwick
The Instructional Designer will design and develop training courses, materials, and assessments using e-learning tools to improve performance in alignment with business goals. They will also collaborate with subject matter experts and utilize data to evaluate the effectiveness of learning deliverables.
The RN performs clinical assessments and evaluates treatment utilization to ensure evidence-based, cost-effective care. They collaborate with medical professionals and claims examiners to advocate for injured employees while maintaining regulatory and ethical standards.
The Director of Client Services oversees client service delivery, operational analytics, and strategic initiatives for the Workers' Compensation program. They partner with regional leadership to drive continuous improvement, high-quality claim outcomes, and effective client stewardship.
Claims Examiner - Workers' Compensation | Jurisdiction: Southeast States | Licensing: Required - Remote
Sedgwick
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Full Time
·
2 days ago
Sedgwick
Analyze and process workers' compensation claims to determine benefits due while ensuring compliance with service expectations and industry best practices. Investigate claims, negotiate settlements within authority, and maintain professional communication with claimants and clients.
The Patient Care Coordinator manages the delivery of medical goods and services by processing referrals and coordinating with patients, vendors, and medical professionals. They are responsible for confirming patient information, obtaining necessary approvals, and ensuring billing accuracy according to regulatory guidelines.
The Claims Examiner analyzes and processes complex bodily injury auto and commercial transportation claims by reviewing coverage and investigating liability. They are responsible for managing the litigation process, coordinating vendor management, and ensuring timely resolution of claims.
The Claims Adjuster analyzes mid- and higher-level general liability claims to determine benefits and ensure proper adjudication. They are responsible for managing subrogation, negotiating settlements, and maintaining accurate documentation of claim files.
The Patient Care Coordinator manages the delivery of medical goods and services by processing referrals and coordinating with patients, vendors, and case managers. They are responsible for verifying patient information, obtaining necessary approvals, and ensuring all billing documentation is accurate and compliant with regulations.
The candidate will inspect building structures to assess integrity and perform cause and origin analysis of failures. They are also responsible for preparing comprehensive technical reports and providing expert testimony when required.
The Sr. Pricing Analyst is responsible for analyzing and pricing new and renewal business opportunities across all lines of business. They also manage projects, communicate with cross-functional departments, and support management with process improvements and client implementations.
Analyze and process workers compensation claims to determine benefits due while ensuring adherence to service expectations and industry best practices. Investigate claims to determine exposure and negotiate settlements within designated authority.
The claims adjuster is responsible for investigating, evaluating, and quantifying insurance claims to determine coverage, liability, and settlement amounts. They must manage assigned files, maintain accurate records, and negotiate settlements while adhering to company quality standards.
The Scrum Master drives predictable, high-quality delivery across multiple AI initiatives by facilitating Agile ceremonies and managing project governance. They partner with product and technology leadership to ensure backlog readiness, mitigate risks, and provide transparent reporting on delivery status.
The Quality Assurance Specialist assesses and confirms data quality and performance of investigative service partners through regular audits of case files. They also identify trends for service efficiency and collaborate with stakeholders to ensure accurate data capture in the client relationship management system.
Claims Team Lead - Workers Compensation | Jurisdiction: Southeast States | Licensing: FL or Home State Required - Remote
Sedgwick
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Full Time
·
3 days ago
Sedgwick
The Claims Team Lead supervises multiple teams of examiners to ensure accurate claims adjudication and compliance with jurisdictional requirements. They are responsible for monitoring workloads, providing technical direction, and maintaining professional relationships with clients.
The SVP of Operations Planning & Analysis creates innovative, performance-driven operational models and provides strategic insights to leadership. They are responsible for tracking financial impacts, managing workload metrics, and overseeing the development of key performance indicators.
Sr. Claims Specialist, Medical Malpractice | Professional Liability
Sedgwick
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Full Time
·
3 days ago
Sedgwick
The specialist analyzes and resolves complex medical malpractice claims by investigating exposure and developing effective action plans. They also coordinate legal defense, manage claim costs, and maintain professional relationships with clients.
The Property Desk Adjuster examines insurance policies, inspects property damage, and interviews claimants to determine company liability. They are responsible for estimating repair costs, negotiating settlements, and managing case reserves for assigned claims.
The Proposal Consultant develops and manages responses to RFPs and RFQs while collaborating with subject matter experts to ensure accuracy and compliance. They are responsible for maintaining proposal timelines, editing content, and ensuring the overall quality and cohesiveness of all submissions.
The Estimate Review Specialist Sr. is responsible for reviewing contractor repair estimates to ensure compliance with client, regulatory, and industry standards. They negotiate scope with adjusters and contractors while maintaining accurate documentation and data records for all claims.
Claims Examiner Workers Compensation I CO experience needed
Sedgwick
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Full Time
·
4 days ago
Sedgwick
The Claims Examiner is responsible for analyzing and processing workers' compensation claims to determine benefits due while ensuring adherence to service expectations. They must investigate claims, negotiate settlements within authority, and maintain professional communication with claimants and clients.
The adjuster is responsible for the end-to-end handling of complex commercial general liability claims, including investigation, coverage analysis, and liability determination. They will manage litigated files, negotiate settlements, and ensure compliance with regulatory and client service standards.
The adjuster is responsible for the end-to-end handling of complex third-party bodily injury and property damage claims under commercial general liability policies. They must proactively manage claim outcomes, control loss costs, and ensure compliance with client service standards and regulatory requirements.
The Consumer Care Advocate processes incoming claims-related communications and resolves inquiries from claimants, providers, and clients. They are responsible for accurate data entry, maintaining claim documentation, and coordinating necessary referrals or medical examinations.
The investigator will manage a portfolio of potentially fraudulent home insurance claims by conducting field visits and gathering evidence. They are responsible for maintaining contact with policyholders, negotiating settlements, and issuing reports to insurers.
Supervise operations for multiple teams of examiners and technical staff, ensuring accurate claims adjudication and compliance with quality standards. Act as a second level of appeal for client issues and provide technical direction to ensure effective claims management.
Workers Compensation Claims Examiner | NY Jurisdictional Experience | NY Licensing Required
Sedgwick
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Full Time
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4 days ago
Sedgwick
The examiner will analyze and process New York Lost-Time Workers Compensation claims to determine benefits and ensure timely resolution. Responsibilities include investigating claims, negotiating settlements within authority, and maintaining professional communication with claimants and clients.
Investigate fire events to determine origin, cause, and potential third-party responsibility for insurance claims. Maintain reporting commitments and serve as a liaison between the insurance industry and law enforcement or fire service personnel.
The Claims Examiner analyzes complex Personal Injury Protection claims and manages high-exposure litigation cases to ensure timely resolution. They are responsible for calculating reserves, negotiating settlements, and maintaining professional communication with claimants and clients.
The Field Case Manager acts as a liaison between injured workers and medical providers to facilitate effective treatment and timely return-to-work. They serve as a patient advocate to coordinate care and ensure resources are used in a cost-effective manner.
Workers Compensation Claims Examiner | MI, KY, IN & OH Jurisdictions | MI, IN & KY Licensing Preferred
Sedgwick
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Full Time
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5 days ago
Sedgwick
Analyze and process lost-time workers compensation claims to determine benefits due while ensuring adherence to service expectations. Investigate claims, negotiate settlements within authority, and maintain professional communication with claimants and clients.
Claims Examiner - Workers Compensation | Jurisdiction: MT | Licensing: MT preferred (Remote - Must Reside in MT)
Sedgwick
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Full Time
·
5 days ago
Sedgwick
The Claims Examiner is responsible for analyzing mid- to high-level workers' compensation claims to determine benefits and ensure timely resolution. They will also negotiate settlements, communicate with claimants and clients, and manage claim exposure according to industry best practices.
The Director of Product Management for AI is responsible for defining and executing the product strategy and roadmap for enterprise AI-enabled data products. This role leads cross-functional teams to deliver secure, scalable, and governed data solutions that drive measurable business value.
Drive business transformation across the UKIMEA region by leveraging AI, automation, and emerging technologies to improve operational efficiency. Coordinate strategic initiatives from discovery to implementation while bridging the gap between business needs and technology capabilities.
Handles complex claims for automobile, homeowner, and excess liability policies, focusing on coverage issues and legal complexities. Manages defense counsel in litigation and formulates strategic plans to resolve claims while minimizing indemnity leakage.
The role involves managing general liability claims to support individuals facing unexpected events. The adjuster will work within Sedgwick's global network to provide professional claims handling.
Direct all aspects of the global financial statement consolidation process to ensure accuracy and GAAP compliance. Lead month-end, quarter-end, and year-end closing processes while managing external audit requirements and departmental budgets.
Expedite the customer service claims application process and ensure correct case assignment to claims handlers. Act as a liaison to assist customers with documentation and resolve questions regarding claim status.
Handles complex claims for automobile, homeowner, and excess liability policies, focusing on coverage issues and legal disputes. Manages defense counsel in litigation and formulates resolution plans to minimize indemnity and expense leakage.
Conduct scientific investigations into mechanical system failures to determine root causes and provide expert opinions. Deliver comprehensive engineering analyses and provide expert testimony in legal depositions or courts of law.
Investigate fire events to determine the origin, cause, and responsibility for clients and legal counsel. Identify potential third-party responsibility for subrogation and maintain detailed reporting commitments.
Investigate accident sites, vehicles, and equipment to document evidence and determine the cause of failure. Provide expert opinions and serve as an expert witness in court or depositions for insurers and litigation support.
The role involves evaluating residential and commercial contents inventories based on replacement cost and actual cash value. It also requires preparing reports, processing replacement receipts, and providing feedback to maintain quality work products.
Independently conduct detailed investigations to determine the origin and cause of fires and explosions in commercial and residential structures. Provide expert testimony in depositions and trials while maintaining confidential claims files and collaborating with government agencies.
Directs the analysis of company and client revenues and expenses while managing the strategic planning group. Leads ad hoc financial projects and coordinates due diligence and integration for potential acquisitions.
The coordinator manages hotel accommodations for insured families by searching for and securing placements that align with carrier guidelines. They serve as the primary point of contact, handling reservations, check-ins, and billing escalations with empathy and precision.
The role involves evaluating prescribed medications and physician prescribing patterns to ensure patient safety and quality standards. The RN will perform clinical assessments, conduct drug utilization reviews, and negotiate care levels using medical and disability guidelines.
Workers Compensation Claims Examiner | REMOTE | Must reside in CA
Sedgwick
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Full Time
·
9 days ago
Sedgwick
Analyze and process complex workers compensation claims to determine benefits and ensure timely resolution. This includes negotiating settlements and communicating claim activity to claimants, clients, and excess carriers.
The role involves coordinating hotel accommodations for insured families by searching for hotels, negotiating rates, and managing reservations. It also requires handling check-ins, check-outs, and resolving billing or relocation issues with empathy and precision.
Coordinate customized temporary housing solutions for displaced policyholders by researching properties and negotiating lease terms. Serve as a primary point of contact to ensure a high-quality service experience and policy compliance.
Coordinate customized temporary housing solutions for displaced policyholders by researching properties and negotiating lease terms. Serve as a primary point of contact to ensure policyholders are matched with suitable accommodations while maintaining high service standards.
Coordinate and manage lease extensions and housing support for displaced policyholders to ensure continuity of housing. Act as a liaison between insureds, adjusters, and landlords while resolving in-stay service issues and maintaining accurate financial records.
The role supports the Client Services discipline by running claims management reports and assisting with contract assembly and stewardship reports. It also involves participating in client meetings and performing corporate structure modifications.
Conseiller / Conseillère en indemnisation des accidents du travail – Niveau 2 / Workers Comp Consultant - Level 3
Sedgwick
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Full Time
·
10 days ago
Sedgwick
Analyze and process complex workers' compensation claims to determine benefits and manage them through action plans to resolution. Negotiate settlements, manage subrogation, and maintain professional relationships with clients and claimants.
Analyze and process complex auto and commercial transportation bodily injury claims by reviewing coverage and determining liability. Manage the litigation process, coordinate with vendors, and ensure timely resolution of claims according to client requirements.
Manage a varied caseload of construction-related injury, disease, and third-party property damage claims from notification to resolution. Investigate policy coverage, assess evidence, and oversee litigation activity while maintaining professional relationships with blue-chip clients and brokers.
Claims Adjuster - Workers Compensation | Jurisdiction: MI, TX, IN, IL, OH | Licensing: Required - Remote
Sedgwick
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Full Time
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10 days ago
Sedgwick
Analyze mid- to higher-level workers compensation claims to determine benefits and ensure proper adjudication according to industry standards. Manage the full claim lifecycle, including negotiating settlements, handling subrogation, and coordinating return-to-work efforts.
Independently conduct detailed investigations to determine the origin and cause of fires and explosions in commercial and residential structures. Provide expert testimony in depositions and trials while collaborating with multidisciplinary teams and government agencies.
Acts as a liaison between carriers and the internal payment team to resolve housing-related issues and requests. Coordinates short-term rental housing for policyholders by conducting market research and negotiating lease terms.
Review estimates and supporting documentation using Xactimate and Symbility to ensure compliance with client and regulatory guidelines. Serve as a subject matter expert on property restoration scope and adjudicate complex customer claims.
The adjuster is responsible for investigating, evaluating, and quantifying insurance claims to determine coverage and liability. They manage the full claims lifecycle, including interviewing witnesses, negotiating settlements, and maintaining accurate records in company systems.
Workday Integration Analyst – Full remote Spain or Portugal
Sedgwick
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Full Time
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11 days ago
Sedgwick
Lead and optimize the Workday integration landscape to ensure seamless connectivity between Workday and external systems. Design, build, and support integrations using Workday Studio, Core Connectors, and API integrations while maintaining system health.
Conduct field investigations and report on a diverse portfolio of liability claims, including employers', public, and motor injury claims. Manage the full claims lifecycle from initial investigation through to settlement and closure for prestigious insurers and corporate clients.
Independently conduct detailed investigations to determine the origin and cause of fires and explosions in commercial and residential structures. Provide expert testimony in depositions and trials while collaborating with multidisciplinary teams and government agencies.
Analyze and process complex commercial auto claims for trucking accounts, including bodily injury and coverage reviews. Manage the litigation process, coordinate with vendors, and pursue subrogation opportunities to ensure timely resolution.
The role focuses on processing medical referrals and coordinating between patients, vendor partners, and claims adjusters. Responsibilities include confirming patient demographics, procuring vendors, and ensuring billing information is accurate and compliant with state regulations.
Supervise multiple teams of examiners and technical staff handling liability claims for clients. Monitor workloads, provide technical direction on claims adjudication, and maintain professional client relationships.
The Scrum Master ensures the structured and transparent delivery of AI initiatives supporting insurance and claims operations. They facilitate all Agile ceremonies and remove impediments to maintain sustainable delivery velocity.
Manage end-to-end complex third-party bodily injury and property damage claims under commercial general liability policies. This includes conducting coverage analysis, managing litigated files, and negotiating settlements to control loss costs.
The role involves end-to-end ownership of AI initiatives to improve claims operations, cost control, and client service. This includes translating business pain points into technical requirements and managing the product backlog in collaboration with AI engineers.
Manage multiple client service programs or a large national program to ensure customer satisfaction and client retention. Oversee account renewals, pricing, invoicing, and the leadership of personnel through performance development plans.
Lead a team of Regional Business Development Directors to accelerate market presence and revenue growth across the Eastern or Western US. Develop and implement annual sales plans while maintaining strategic partnerships with prospective clients and internal operations.
Liability Claims Adjuster | General Liability & Auto Liability Property Damage | Dedicated Client
Sedgwick
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Full Time
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16 days ago
Sedgwick
Analyze and process General Liability and Auto Liability Property Damage claims to determine benefits due. This includes investigating exposures, negotiating settlements, and communicating activity to claimants and clients.
Handle property and casualty insurance losses by examining policies, inspecting damage, and estimating repair costs. Negotiate settlements with claimants and prepare detailed reports of findings.
Investigate complex personal, casualty, or property loss claims to determine insurance coverage and liability. Negotiate out-of-court settlements with claimants and manage case reserves to cover probable costs.
Assist Property Repair Solutions customers, contractors, and carriers with questions and concerns regarding program work. Responsibilities include dispatching jobs, making outbound sales and appointment calls, and monitoring pending jobs to ensure customer satisfaction.
Conduct field investigations and report on a diverse portfolio of liability claims, including employers', public, and motor injury claims. Manage relationships with prestigious insurers, corporate clients, and brokers to resolve claims and protect brand reputation.
Manage a portfolio of over 150 motor claims from first notification through to settlement. Investigate liability, negotiate outcomes, and ensure all cases are handled in line with regulatory and client requirements.
Claims Examiner - Workers Compensation | Dedicated Account | Jurisdiction/Licensing: FL - Required (Remote)
Sedgwick
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Full Time
·
17 days ago
Sedgwick
Analyze and process complex workers compensation claims to determine benefits and ensure timely resolution. This includes negotiating settlements and communicating claim activity to claimants, clients, and excess carriers.
Investigate and adjust residential and commercial property and casualty claims with minimal supervision. Responsibilities include inspecting damages, determining coverage, preparing repair estimates, and negotiating settlements.
The role focuses on expanding the company's top line by building and maintaining relationships with prospective clients. It involves identifying market opportunities, managing RFPs, and meeting annual sales goals of $2-3 million.
Handle high-end auto insurance cases involving serious injuries, complex coverage, and legal disputes. Develop defense strategies, manage local counsel, and participate in mediations, trials, and arbitrations to reach satisfactory resolutions.
Negotiate and facilitate the successful return to work of claimants by determining physical tolerances and vocational skills. Coordinate with employers and medical providers to modify job sites and ensure compliance with legal and accreditation standards.
The ML Architect partners with stakeholders to design and deploy machine learning models and predictive algorithms in production environments. They are responsible for implementing end-to-end ETL pipelines and sharing data-driven insights to inform business decisions.
Workers' Compensation Claims Examiner | CA WC Experience Required
Sedgwick
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Full Time
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19 days ago
Sedgwick
Analyze and adjudicate complex California workers' compensation claims, including those involving high exposure and litigation. Manage the full claim lifecycle from investigation and benefit determination to settlement negotiation and resolution.
Lead the company's IT internal audit and SOX programs, focusing on risk assessment, planning, and execution across a global environment. Provide critical oversight and assurance for the global SAP S/4HANA migration and implementation process.
Investigate the origin and cause of structural failures, including roof damage, water intrusion, and building collapses. Provide expert opinions and serve as an expert witness in court or depositions for insurers and litigation support.
Sr. Training Consultant (IAP) - Workers Compensation | California Residents
Sedgwick
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Full Time
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23 days ago
Sedgwick
Develop and deliver complex training programs and materials specifically for claims management system products. Consult with management to identify training needs and evaluate curriculum effectiveness to align with business objectives.
Manage technical and operational functions for assigned offices, ensuring compliance with industry standards and quality service delivery. Responsible for staffing, training, budget preparation, and the direct management of 25-49 colleagues.
Workers Compensation Claims Representative | NY Jurisdiction & NY Licensing Required
Sedgwick
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Full Time
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24 days ago
Sedgwick
Independently manage a capped caseload of workers' compensation claims from inception to resolution in compliance with New York laws. This includes negotiating settlements, maintaining accurate records, and communicating effectively with claimants and clients.
Independently conduct detailed investigations to determine the origin and cause of fires and explosions in commercial and residential structures. Provide expert testimony in depositions and trials while collaborating with multidisciplinary teams and government agencies.
Claims Advisor, Professional Liability | Medical Malpractice
Sedgwick
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Full Time
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25 days ago
Sedgwick
Manage and resolve complex medical malpractice and professional liability claims while coordinating case management and controlling total claim costs. This includes conducting investigations, negotiating settlements, and maintaining professional client relationships.
Investigate structural failures and damages in residential, commercial, and industrial buildings to determine root causes. Provide expert opinions and serve as an expert witness in court or depositions for insurers and litigation support.
The Commodity Manager acts as a sourcing expert responsible for managing supplier relationships, negotiating pricing structures, and overseeing the RFP process. They monitor market trends and conduct spend analyses to optimize collaboration and mitigate risks across assigned commodities.
Conduct ethical and scientific investigations into electrical system failures and provide expert opinions for insurers and litigation support. Perform on-site inspections of residential and industrial losses and serve as an expert witness in court or depositions.
Conduct ethical and scientific investigations into electrical system failures and provide expert opinions for insurers and litigation support. Perform site inspections, analyze evidence in laboratory settings, and serve as an expert witness in court or depositions.
Investigate fire events to determine origin, cause, and responsibility for clients and legal counsel. Conduct witness interviews and public records research to provide unbiased, defensible findings.
The role is responsible for collecting, analyzing, and reporting data while ensuring overall data integrity and accuracy. Key tasks include generating custom and exception reports for internal and external clients to identify data errors.
Investigate, evaluate, and quantify residential and commercial property and casualty insurance claims to determine coverage and liability. Negotiate settlements, manage reserves, and maintain strong client relationships while ensuring compliance with company standards.
Liability Claims Representative | GL, BI, Auto & Premise Liability Experience | Nationwide jurisdictions | Home State Licensing | Remote
Sedgwick
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Full Time
·
a month ago
Sedgwick
Analyze and process General Liability, Bodily Injury, Auto, and Premise claims to determine benefits due. This includes investigating exposures, negotiating settlements, and communicating activity to claimants and clients.
The WFA Client Services Manager is responsible for managing multiple client service programs and maintaining key relationships with clients and vendors. This role focuses on ensuring customer satisfaction and retention through effective program management and client education.
Handle property and casualty insurance losses by examining policies, inspecting damage, and estimating repair costs. Negotiate settlements with claimants and prepare detailed reports of findings.
The adjuster is responsible for investigating, evaluating, and quantifying insurance claims to determine coverage and liability. Key duties include negotiating settlements, managing reserves, and maintaining strong relationships with clients and external vendors.
The role involves managing and adjusting accident benefit claims as a senior professional. It requires navigating complex risk landscapes to provide claims administration solutions for clients.
Manage end-to-end complex third-party bodily injury and property damage claims under commercial general liability policies. This includes conducting liability investigations, managing litigated files, and negotiating settlements while maximizing risk transfer opportunities.
Claims Examiner Workers Compensation I CA experience required
Sedgwick
·
Full Time
·
a month ago
Sedgwick
Analyze and process California workers compensation claims to determine benefits due and ensure timely resolution. This includes negotiating settlements, investigating claim exposure, and communicating activity to claimants and clients.
Handles property and casualty insurance claims valued up to $15,000 by examining documentation and conducting investigations. Manages a caseload efficiently using technology to determine liability and negotiate settlements.
Claims Examiner Workers Compensation I SE jurisdictions I Remote
Sedgwick
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Full Time
·
a month ago
Sedgwick
Analyze and process complex workers compensation claims to determine benefits and ensure timely resolution. This includes investigating claim exposure, negotiating settlements, and communicating activity to claimants and clients.
Claims Examiner Workers Compensation I NE jurisdictions I Remote
Sedgwick
·
Full Time
·
a month ago
Sedgwick
Analyze and process complex workers compensation claims to determine benefits due and ensure timely resolution. This includes negotiating settlements and communicating claim activity to claimants, clients, and excess carriers.
Investigate and adjust residential and commercial property and casualty claims with minimal supervision. This includes inspecting damages, determining coverage, preparing repair estimates, and negotiating settlements.
Analyze and process complex auto and general liability claims to determine benefits and negotiate settlements. Manage the litigation process and coordinate with vendors to ensure cost-effective and timely claim resolutions.
Analyze mid- to higher-level general auto claims to determine damage scope and ensure proper adjudication. Manage the full claims lifecycle, including assigning reserves, negotiating settlements, and handling subrogation.
Sachbearbeiter Versicherungsschäden (m/w/d) – Gewerbeimmobilien | 100% Home-Office
Sedgwick
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Full Time
·
a month ago
Sedgwick
Manage and evaluate insurance claims for commercial real estate, coordinating with experts, construction companies, and insurers. Responsibilities include checking insurance coverage, managing loss reserves, and negotiating with claimants.
Schadensachbearbeiter (m/w/d) Unfallversicherung - 100% Home-Office
Sedgwick
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Full Time
·
a month ago
Sedgwick
Responsible for processing and reviewing accident insurance claims, including daily allowances, repatriation, and disability benefits. This involves communicating with international partners and determining eligibility for benefit releases.
Commercial Property Claims Desk Adjuster - Remote after training
Sedgwick
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Full Time
·
a month ago
Sedgwick
Manages commercial property insurance claims by examining documentation and conducting thorough investigations to determine liability. Negotiates settlements, estimates repair costs, and maintains an efficient caseload using automation tools.
Workers Compensation Claims Adjuster | MO & Lost-Time Experience | FL Jurisdiction & FL Licensing | Dedicated Client
Sedgwick
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Full Time
·
a month ago
Sedgwick
Analyze mid- to higher-level workers compensation claims to determine benefits and ensure proper adjudication. Manage long-term indemnity claims, coordinate return-to-work efforts, and negotiate claim settlements.
Ingenieure (m/w/d) gesucht: Karriere im Schadenmanagement - 100% Home-Office
Sedgwick
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Full Time
·
a month ago
Sedgwick
Independently process and settle property and liability claims focusing on building damages through on-site inspections and technical reports. Coordinate with insurers, policyholders, and service providers to ensure quality-oriented claims handling.
Technische Sachverständige (m/w/d) Schaden / Versicherungen im Großraum Berlin - 100% Home-Office
Sedgwick
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Full Time
·
a month ago
Sedgwick
Independently process and settle property and liability claims with a focus on building damage, including on-site inspections and technical reports. Coordinate with insurers, policyholders, and service providers to ensure quality-oriented claims handling.
Technische Sachverständige (m/w/d) Schaden / Versicherung im Großraum Stuttgart-Ulm-München gesucht! – 100% Home-Office
Sedgwick
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Full Time
·
a month ago
Sedgwick
Independently process and settle property and liability claims with a focus on building damage, including site inspections and the creation of technical reports. Coordinate with insurers, policyholders, and service providers to ensure quality-oriented claims handling.
Lead the development and execution of integrated, full-funnel marketing campaigns across owned, earned, and paid media channels. Drive audience engagement and revenue impact through strategic orchestration in HubSpot and paid media platforms.
Loss Adjuster / Sachverständige (m/w/d) im Großraum Hamburg gesucht! – 100% Home Office
Sedgwick
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Full Time
·
a month ago
Sedgwick
Independently handle and settle property and liability claims with a focus on building damage, including on-site inspections and technical assessments. Coordinate with insurers, policyholders, and service providers to ensure quality-oriented claims processing and report creation.
Responsible for managing administrative functions, financial oversight, and client relationships within an assigned area. This includes ensuring contract compliance, handling renewals, and leading staffing and business planning efforts.
Client Performance Manager | Dedicated Client | Workers Compensation, General Liability, & Litigation Experience
Sedgwick
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Full Time
·
a month ago
Sedgwick
Responsible for managing quality aspects of Workers Compensation and General Liability accounts for a dedicated client. This includes overseeing litigation management, tracking performance guarantees, and ensuring compliance with client service instructions.
Claims Examiner Workers Compensation I NV experience required
Sedgwick
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Full Time
·
a month ago
Sedgwick
Analyze and process complex workers compensation claims to determine benefits due and ensure timely resolution. This includes negotiating settlements, gathering claim information, and communicating activity to claimants and clients.
Claims Examiner Workers Compensation I NE jurisdiction experience required
Sedgwick
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Full Time
·
a month ago
Sedgwick
Analyze and process complex workers compensation claims to determine benefits due and ensure timely resolution. This includes negotiating settlements, investigating claim exposure, and communicating activity to claimants and clients.
Claims Examiner Workers Compensation I NY experience required
Sedgwick
·
Full Time
·
a month ago
Sedgwick
Analyze and process complex workers compensation claims to determine benefits due and ensure timely resolution. This includes negotiating settlements and communicating claim activity to claimants, clients, and excess carriers.
Claims Examiner Workers Compensation I TX experience required
Sedgwick
·
Full Time
·
a month ago
Sedgwick
Analyze and process complex workers compensation claims to determine benefits due and ensure timely resolution. This includes negotiating settlements, investigating claim exposure, and communicating activity to claimants and clients.
Workers Compensation Claims Representative | Dedicated Client | Multiple Jurisdictions & Licensing Required | Remote - Central or Eastern Time Zone
Sedgwick
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Full Time
·
a month ago
Sedgwick
Manage a capped caseload of workers' compensation claims from inception to resolution while ensuring compliance with multiple state laws. Negotiate settlements and maintain comprehensive records within the claims management system.
Performs clinical evaluations and medical reviews of disability claims to ensure medical documentation substantiates the need for absence from work. Consults with providers and employees to provide case direction and guidance to claims examiners.
The role involves managing complex workers compensation claims, conducting investigations, and determining coverage limits. The adjuster is responsible for negotiating settlements, managing litigation, and maintaining accurate claim data.
Analyze and resolve complex medical malpractice claims while managing total claim costs and maintaining high customer service levels. Coordinate legal defense, negotiate settlements, and mentor assigned staff to ensure timely resolution of severe injury claims.
Analyze mid- to higher-level general auto claims to determine damage scope and ensure proper adjudication. Manage the full claims lifecycle, including liability assessment, reserve assignment, subrogation, and settlement negotiation.
Workers Compensation Claims Adjuster | NY Jurisdictional Knowledge & NY Licensing Required | Dedicated Public Entity Client & Capped Caseloads
Sedgwick
·
Full Time
·
2 months ago
Sedgwick
Analyze and process New York Workers Compensation lost-time claims to determine benefits and ensure timely resolution. This includes negotiating settlements, investigating claim exposure, and communicating activity to claimants and clients.
Coordinate and manage lease extensions and housing support for displaced policyholders to ensure continuity of housing. Act as a liaison between insureds, adjusters, and landlords while resolving in-stay service issues and maintaining accurate financial records.
The SVP Medical Director evaluates escalated medical reports using evidence-based criteria and provides clinical leadership to a team of professionals. They offer client-facing support for ADAAA and FMLA issues and oversee the appeal and review process for disability management.
Client Service Manager | Casualty Claims Experience Required (Auto, GL or WC) | Multi-Client
Sedgwick
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Full Time
·
2 months ago
Sedgwick
Manage multiple client service programs or a large national program to maintain strong relationships with clients, brokers, and vendors. Oversee program procedures, client renewals, and financial reporting to ensure customer satisfaction and retention.
Lead and grow the environmental consulting disciplines in Texas and the Gulf Coast by managing key client relationships and driving profitable growth. Oversee the technical execution of environmental projects, including site assessments and remediation, while mentoring junior and senior staff.
Claims Examiner, Commercial Trucking | Bodily Injury | Remote
Sedgwick
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Full Time
·
2 months ago
Sedgwick
Analyze and process complex commercial trucking and personal auto claims, focusing on bodily injury and liability determination. Manage the litigation process, coordinate with vendors, and pursue subrogation and risk transfer opportunities.
Lead the architecture and delivery of enterprise-grade LLM and agentic AI systems to transform claims and operational workflows. Design secure tool integration layers and implement deterministic guardrails to ensure AI reliability and compliance.
Liability Claims Adjuster | General Liability, Bodily Injury & Property Damage Experience | CA, FL & NY Jurisdictional Knowledge
Sedgwick
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Full Time
·
2 months ago
Sedgwick
Analyze and process liability claims for commercial trucking and general liability to determine benefits due. Negotiate settlements and communicate claim activity to claimants, clients, and excess carriers.
Manage complex casualty claims involving liability, damages, and legal issues for public entities and employment practices. Coordinate with defense counsel to resolve litigated claims while managing indemnity and expense leakage.
Analyze and process low to mid-level auto commercial trucking and transportation claims, including property damage and lower-level injury. Manage claim files, pursue subrogation opportunities, and maintain professional relations with insureds and clients.
Workers Compensation Claims Examiner | NY Jurisdictional Experience Required | Dedicated Client
Sedgwick
·
Full Time
·
2 months ago
Sedgwick
Analyze and process lost-time workers compensation claims to determine benefits and ensure timely resolution. This includes negotiating settlements and communicating claim activity to claimants, clients, and excess carriers.
Investigate and adjust residential and commercial property and casualty claims with minimal supervision. This includes inspecting claims, determining coverage, preparing repair estimates, and negotiating settlements.
Handle property and casualty insurance losses by examining policies, inspecting damage, and estimating repair costs. Negotiate settlements with claimants and prepare detailed reports of findings to determine company liability.
Manage the technical and operational functions of the Workers Compensation Claims Team to ensure compliance and quality service. Lead daily operations, monitor claim lifecycles, and mentor staff to drive operational efficiency and cost containment.
Supervise multiple teams of claims examiners and technical staff to ensure proper liability claims adjudication. Monitor workloads, provide technical guidance, and maintain professional relationships with clients regarding high-exposure claims.
The Claims Team Lead supervises multiple teams of examiners and technical staff for liability claims, providing training and monitoring workloads. They also ensure compliance with audit requirements and maintain professional client relationships.
Analyze and process complex auto and commercial transportation bodily injury claims by reviewing coverage and determining liability. Manage the litigation process, coordinate with vendors, and ensure timely resolution of claims within client requirements.
Investigate the origin and cause of structural failures, including roof damage, water intrusion, and building collapses. Provide expert opinions and serve as an expert witness in court or depositions for insurers and litigation support.
Claims Examiner, Commercial Trucking | Bodily Injury | Remote
Sedgwick
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Full Time
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3 months ago
Sedgwick
Analyze and process complex commercial trucking and auto claims, including bodily injury, by reviewing coverage and determining liability. Manage the litigation process, coordinate with vendors, and pursue subrogation and risk transfer opportunities.
Workers Compensation Claims Examiner | NY Jurisdiction | NY Licensing | Remote
Sedgwick
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Full Time
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3 months ago
Sedgwick
Analyze and process Workers Compensation lost-time claims to determine benefits and ensure timely resolution. This includes negotiating settlements, investigating claim exposure, and communicating activity to claimants and clients.
Independently process and evaluate liability claims across business, product, and building liability sectors. Manage the entire claims process, including communication with stakeholders, assessing liability grounds, and managing reserves.
Claims Examiner | No Fault- PIP | Lit Required | New York
Sedgwick
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Full Time
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3 months ago
Sedgwick
The Claims Examiner investigates, negotiates, and resolves complex PIP and Med Pay claims while ensuring compliance with jurisdictional requirements. They are responsible for establishing reserves, issuing payments, and maintaining clear documentation of all claim-related decisions.
Lead the design and development of advanced statistical and machine learning models to improve claims outcomes and risk management. Collaborate with cross-functional teams to productionize models and provide technical guidance to data scientists and analysts.
The Senior Engineer will own the production lifecycle of AI initiatives, building automated infrastructure to bridge legacy data systems with modern cloud AI services. Responsibilities include managing multi-cloud pipelines, implementing RAG frameworks, and ensuring model scalability, observability, and security.
The Field Case Manager acts as a liaison between injured workers and medical providers to facilitate effective treatment and return-to-work plans. They serve as patient advocates to coordinate care and ensure resources are used in a timely and cost-effective manner.
Sacharbeiter (m/w/d) im Qualitätsmanagement – 100% Home-Office & Teilzeit
Sedgwick
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Full Time
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3 months ago
Sedgwick
You will act as a technical advisor for field adjusters and take responsibility for the quality of property and liability insurance reports. Additionally, you will manage claims, identify recourse opportunities, and contribute to the digital transformation of claims processing.
Analyze and process complex workers' compensation claims to determine benefits and ensure timely resolution. Manage litigation, coordinate vendor referrals, and maintain professional relationships with claimants and clients.
The Claims Examiner analyzes and processes complex workers' compensation claims to determine benefits and ensure timely resolution. They manage litigation, negotiate settlements, and coordinate vendor referrals while maintaining professional client relationships.
Claims Examiner Workers Compensation I CA experienced required I Remote
Sedgwick
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Full Time
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4 months ago
Sedgwick
The Claims Examiner analyzes complex workers' compensation claims to determine benefits, manage litigation, and negotiate settlements. They are responsible for calculating reserves, coordinating vendor referrals, and ensuring all claims are processed according to statutory requirements and client service expectations.
The Director of Client Services is responsible for developing account management strategies, ensuring client retention, and driving revenue growth. They oversee service plans for complex accounts, manage dedicated staff, and resolve major customer service issues.
Claims Examiner Workers Compensation I NE Jurisdiction I Remote
Sedgwick
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Full Time
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4 months ago
Sedgwick
The Claims Examiner analyzes complex workers' compensation claims to determine benefits, manage litigation, and negotiate settlements. They are responsible for maintaining reserve adequacy, coordinating vendor referrals, and ensuring accurate documentation and state filings.
The Auto Claims Adjuster is responsible for investigating insurance claims, determining coverage validity, and negotiating settlements with all involved parties. They must also maintain accurate records, coordinate with field adjusters, and manage billing for assigned files.
The adjuster is responsible for investigating, evaluating, and quantifying insurance claims while determining coverage and liability. They must manage assigned claims, maintain accurate records, and negotiate settlements within their granted authority.
Sr. Claims Specialist, Professional Liability | E&O, D&O, EPL | Remote
Sedgwick
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Full Time
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4 months ago
Sedgwick
The primary purpose is to analyze complex professional liability claims, including errors and omissions, employment practices law, and directors and officers claims, to provide resolution for highly complex or severe injury cases. This involves managing total claim costs while coordinating case management according to company standards and client requirements.
The primary purpose is to analyze complex general liability claims, determine damages, manage high-exposure claims involving litigation, and ensure claims are adjudicated within service expectations and best practices. Essential functions include investigating claims, assessing liability, negotiating settlements within authority, managing reserves, and coordinating vendor referrals for investigation or litigation management.
The General Adjuster investigates claims for personal, casualty, or property loss or damages, attempting to effect out-of-court settlements with claimants. Essential functions include handling complex losses, examining coverage, interviewing parties, inspecting damage, estimating costs, and preparing findings reports.
The Attorney Auditor is primarily responsible for reviewing legal and non-legal invoices for clients, including insurance carriers and corporate legal departments, ensuring compliance with specified billing guidelines and Generally Accepted Principles and Standards (GAPS). Essential duties involve communicating with law firms regarding compliance, managing invoice workflow independently, and finalizing invoices for payment while meeting production standards.
The role involves processing and evaluating property damage claims, coordinating claims management processes, and communicating with various stakeholders. You will also be responsible for checking insurance coverage and contractual claims related to damage cases.
Claims Examiner | General Liability BI | Captive | Remote
Sedgwick
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Full Time
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6 months ago
Sedgwick
The Claims Examiner analyzes complex general liability claims to determine benefits due and manages claims through action plans to resolution. They negotiate settlements, assess liability, and ensure timely claims resolution while maintaining professional client relationships.
The Executive General Adjuster is responsible for handling losses or claims nationally, including complex adjustment issues. This role involves examining insurance policies, interviewing claimants, estimating costs, and negotiating settlements.
Field Case Managers work face to face with injured workers and medical providers to facilitate advocacy, medical treatment, and timely return-to-work. They serve as patient advocates, guiding and coordinating care for injured workers and ensuring effective communication among all parties involved.
Claims Adjuster - Transportation/Cargo / Expert(e) en sinistres - Camionnage et cargaisons
Sedgwick
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Full Time
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8 months ago
Sedgwick
The claims adjuster is responsible for investigating, evaluating, and quantifying insurance claims. They will determine coverage, liability, and settlement amounts while maintaining accurate records and managing client relationships.
You will be responsible for processing claims in the area of motor vehicle liability, handling both property and personal injury claims. This includes proactive damage regulation, negotiation with claimants and legal parties, and overseeing the entire claims process.
Field Case Managers work face to face with injured workers and medical providers to facilitate advocacy, progressive medical treatment, and timely return-to-work. They serve as patient advocates to support and coordinate care for injured workers as they navigate through the recovery process.
Claims Examiner - Workers Comp (REMOTE - Louisiana experience HIGHLY preferred)
Sedgwick
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Full Time
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10 months ago
Sedgwick
Analyze complex workers' compensation claims to determine benefits due and manage claims through action plans to resolution. Negotiate settlements and ensure timely claim payments while managing the litigation process.
