Develop and execute account management strategies to ensure client retention, satisfaction, and revenue growth. Oversee complex service models for jumbo clients and supervise local client services staff.
Sedgwick
174 Remote Job Openings at Sedgwick
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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3 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.
The Product Manager acts as the voice of the client by maintaining and prioritizing the product backlog to maximize business value. They translate client needs into actionable requirements and collaborate with development teams to ensure technical feasibility and predictable delivery.
The Senior Business Analyst translates business needs into actionable requirements and manages the product backlog in partnership with Product Managers. They are responsible for defining user stories, validating delivered functionality through UAT, and tracking delivery outcomes.
Develop and execute strategic marketing collateral and digital campaigns to acquire and retain clients. Collaborate with stakeholders to create high-impact content and optimize marketing efforts using data analytics.
The role focuses on the retrieval and resolution of hotel folios and general hotel administrative tasks. Key duties include confirming checkouts, reconciling folios, and assisting with reservations and extensions.
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.
The VP of Applications Portfolio Management provides executive leadership for the strategy, governance, and health of the application portfolio and RUN services. This role focuses on aligning technology investments with business priorities while managing strategic vendor relationships and operational excellence.
Lead a team of Regional Business Development Directors to accelerate market presence and revenue growth across the US. Develop and implement annual sales plans while maintaining strategic partnerships with prospective clients.
The Auto Claims Adjuster is responsible for investigating insurance claims and negotiating settlements to the satisfaction of all parties. This includes managing desktop investigations, determining coverage validity, and maintaining accurate records using custom computer systems.
The SVP is responsible for creating innovative operational planning processes and workload models based on analytics to support business initiatives. They provide strategic recommendations to executives to improve operational efficiency and track financial impacts.
Manage a complex portfolio of high-risk accounts to ensure timely recovery of payments and minimize bad debt exposure. Act as a subject matter expert to resolve escalated billing disputes and implement process improvements for the collections function.
The Senior Collections Representative manages a portfolio of customer accounts to recover outstanding payments and minimize bad debt. This includes resolving billing discrepancies, analyzing aging reports, and collaborating with internal teams to ensure effective cash flow.
Handle national insurance losses and complex catastrophic property claims regardless of size. This includes examining policies, estimating repair costs, and negotiating settlements with claimants.
Workers Compensation Claims Representative | NY Jurisdiction & NY Licensing Required
Sedgwick
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Full Time
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4 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.
The role involves processing medical referrals by coordinating between patients, vendor partners, claims adjusters, and nurse case managers. Key duties include confirming patient demographics, procuring vendors, and ensuring billing information is accurate and compliant with state regulations.
Coordinate medical referrals by communicating with patients, vendor partners, and claims adjusters to ensure service delivery. Manage quotes, verify billing information, and ensure compliance with state regulations and workers compensation guidelines.
Manage the end-to-end handling of complex third-party bodily injury and property damage claims under commercial general liability policies. This includes conducting liability investigations, managing litigated files, and pursuing risk transfer and subrogation opportunities.
The role involves performing quality audits of case files and client records to ensure data accuracy and compliance with service level agreements. It also requires identifying service efficiency trends and collaborating with stakeholders to maintain accurate data in the CRM system.
Analyze and process Workers Compensation claims to determine benefits due while ensuring timely resolution. This includes investigating claim exposure, negotiating settlements, and communicating activity to claimants and clients.
Claims Advisor, Professional Liability | Medical Malpractice
Sedgwick
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Full Time
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5 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.
Design and develop comprehensive training courses, including storyboards and facilitator guides, using eLearning tools. Manage the full learning lifecycle from needs analysis and content creation to assessment and quality assurance.
Analyze and process low to mid-level auto and transportation claims, including property damage and lower-level injury. Manage claim files, pursue subrogation opportunities, and maintain professional relations with clients and insured parties.
Product Manager, Bill ReviewIQ (Maintenance and Reporting)
Sedgwick
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Full Time
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6 days ago
Sedgwick
The Product Manager maintains and prioritizes the product backlog to maximize business value and translate client needs into actionable requirements. They collaborate with development teams and stakeholders to define the product vision, roadmap, and OKRs while overseeing the delivery of functional outcomes.
Evaluate prescribed medications and physician prescribing patterns to ensure patient safety and alignment with best practice standards. Negotiate levels of care and pharmacy plans with providers while acting as a clinical resource for claims examiners and clients.
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.
Investigate fire events to determine origin, cause, and responsibility for clients and legal counsel. Conduct witness interviews and research public records to identify potential third-party liability for subrogation.
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.
Handle property and casualty insurance losses by examining policies, interviewing claimants, and inspecting damages. Estimate repair costs and negotiate settlements or recommend litigation when necessary.
Create comprehensive reporting and analysis of statistical data to monitor processing issues and support performance initiatives. Provide technical support, training, and coaching to colleagues while presenting results to management and clients.
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.
The role involves triaging, assigning, and processing utilization review requests while maintaining data integrity in clinical management systems. It also requires handling telephone inquiries and managing correspondence to support clinical staff.
Supervise multiple teams of claims examiners and technical staff to ensure efficient liability claims operations. Provide technical guidance on adjudication, monitor workloads, and maintain professional client relationships.
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 standards.
Liability Claims Representative | GL, BI, Auto & Premise Liability Experience | Nationwide jurisdictions | Home State Licensing | Remote
Sedgwick
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Full Time
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12 days 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.
Provide administrative support to claims staff by entering new claims and managing notes in the claims management system. Handle office tasks including payment processing, mail handling, and coordinating medical appointments.
Provide administrative support to the commercial automobile liability PIP department by managing mail, medical bills, and documents. Handle claim entry, payment processing, and customer service inquiries via telephone.
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.
The role focuses on completing the implementation of client programs and facilitating the transition to field operations and account management. Key duties include managing project plans, assigning team responsibilities, and ensuring a smooth handover of program design and processes.
Claims Examiner Workers Compensation I CA experience required
Sedgwick
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Full Time
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14 days 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.
Design and maintain scalable global security architecture for cloud and on-premise systems. Provide technical leadership and guidance to ensure security solutions align with business strategies and security postures.
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.
Provide strategic leadership and oversight for the Large National Client General Liability program to ensure high-quality claim outcomes and operational excellence. Manage non-litigation and litigation claims teams while translating operational data into actionable strategic recommendations.
Claims Team Lead I Workers Compensation I NV experience required
Sedgwick
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Full Time
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17 days ago
Sedgwick
Supervise multiple teams of claims examiners and technical staff specializing in workers compensation. Monitor workloads, provide technical jurisdictional direction, and maintain professional client relationships while ensuring quality audit compliance.
Claims Examiner Workers Compensation I SE jurisdictions I Remote
Sedgwick
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Full Time
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17 days 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
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Full Time
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17 days 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 - Liability | Auto, GL Non Lit and Lit BIJurisdiction: All states | Licensing: Home State Preferred
Sedgwick
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Full Time
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17 days ago
Sedgwick
Analyze and process liability claims to determine benefits due while ensuring adherence to service expectations and industry best practices. Responsibilities include investigating exposures, negotiating settlements, and communicating activity to claimants and clients.
Determine account management strategies to ensure client retention, customer satisfaction, and revenue growth. Oversee complex service models for jumbo clients and provide stewardship reporting on program trends.
Supervise multiple teams of examiners and technical staff handling complex bodily injury liability claims. Monitor workloads, provide technical jurisdictional direction, and maintain professional client relationships.
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 personal and commercial property claims by scoping damages and completing estimates. Manage the litigation process, coordinate vendors, and pursue subrogation opportunities to ensure prompt claim resolution.
Liability Claims Associate | Remote (Central or Eastern Time Zone) | NY or HI Licensing Preferred
Sedgwick
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Full Time
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18 days ago
Sedgwick
Analyze and adjudicate lower-level general liability claims to determine benefits due while ensuring compliance with company standards. Maintain professional client relationships and ensure all claim files are accurately documented and coded.
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
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19 days 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
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19 days 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
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20 days 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.
Provide support for the retrieval and resolution of hotel folios and general administrative tasks. Responsibilities include confirming checkouts, reconciling folios, and assisting housing coordinators with reservations and extensions.
Workers Compensation Claims Adjuster | MO & Lost-Time Experience | FL Jurisdiction & FL Licensing | Dedicated Client
Sedgwick
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Full Time
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20 days 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.
Technische Sachverständige (m/w/d) Schaden / Versicherungen im Großraum Berlin - 100% Home-Office
Sedgwick
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Full Time
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20 days 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.
Ingenieure (m/w/d) gesucht: Karriere im Schadenmanagement - 100% Home-Office
Sedgwick
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Full Time
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20 days 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 / Versicherung im Großraum Stuttgart-Ulm-München gesucht! – 100% Home-Office
Sedgwick
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Full Time
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20 days 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.
Workers Compensation Claims Team Lead | MD, VA, DC, WV, DE Jurisdictional Knowledge | WV & DE Licensing
Sedgwick
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Full Time
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21 days ago
Sedgwick
Supervise multiple teams of claims examiners and technical staff to ensure accurate workers compensation claims adjudication. Monitor workloads, provide technical jurisdictional guidance, and maintain professional relationships with clients regarding high-exposure claims.
Develop and provide vocational services for individuals with occupational and non-occupational injuries via virtual and telephonic platforms. Analyze medical data to assist employers and employees in the return-to-work process and develop community job opportunities.
Loss Adjuster / Sachverständige (m/w/d) im Großraum Hamburg gesucht! – 100% Home Office
Sedgwick
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Full Time
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24 days 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
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24 days 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 NE jurisdiction experience required
Sedgwick
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Full Time
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24 days 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 TX experience required
Sedgwick
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Full Time
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24 days 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
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Full Time
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24 days 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 NV experience required
Sedgwick
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Full Time
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24 days 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.
Workers Compensation Claims Representative | Dedicated Client | Multiple Jurisdictions & Licensing Required | Remote - Central or Eastern Time Zone
Sedgwick
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Full Time
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25 days 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.
Analyzes and processes complex, high-exposure claims to identify and pursue third-party subrogation recoveries across multiple jurisdictions. Manages the litigation process and coordinates with subrogation counsel to ensure cost-effective and timely claim resolutions.
Analyze and process complex general liability claims to determine benefits and negotiate settlements. Manage the litigation process and implement cost containment techniques to reduce overall claim costs for clients.
Claims Examiner Workers Compensation I NE jurisdictions I Remote
Sedgwick
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Full Time
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25 days 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 Examiner | Dedicated Client | NY Jurisdiction Knowledge & NY Licensing Required
Sedgwick
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Full Time
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25 days ago
Sedgwick
Analyze and process lost-time workers compensation claims to determine benefits and ensure timely resolution. This includes negotiating settlements, investigating claim exposure, and communicating activity to claimants and clients.
Manage a caseload of Workers' Compensation claims by collecting data and facilitating treatment services. Coordinate return-to-work status through routine communication with claim parties and documentation in the 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.
The role involves processing medical referrals by coordinating between patients, vendor partners, claims adjusters, and nurse case managers. Responsibilities include confirming patient demographics, procuring vendors, and ensuring billing information is accurate for daily processing.
Workers Compensation Claims Adjuster | NY Jurisdictional Knowledge & NY Licensing Required | Dedicated Public Entity Client & Capped Caseloads
Sedgwick
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Full Time
·
a month 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.
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.
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.
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.
Gestionnaire sinistres – Assurance voyage – 100% Home Office
Sedgwick
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Full Time
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a month ago
Sedgwick
Manage and process travel insurance claims for the French market, including baggage loss and medical expenses. Coordinate with policyholders and partners internationally while ensuring administrative updates and process improvements.
Schadensachbearbeiter:in Reiseversicherung Frankreich – 100% Home Office
Sedgwick
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Full Time
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a month ago
Sedgwick
Process and review travel insurance claims for the French market, including luggage loss and medical emergencies. Communicate with customers and partners internationally to determine eligibility and authorize benefit payments.
Claims Adjuster - Liability | Bodily Injury & General Liability | Multi State Jurisdiction | Licensing: Reciprocal Required - Remote
Sedgwick
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Full Time
·
a month ago
Sedgwick
Analyze and manage complex bodily injury and general liability claims to determine benefits and negotiate settlements. Ensure claims are adjudicated within service expectations while managing high-exposure litigation and subrogation processes.
Claims Examiner - Workers Compensation | Southeast Jurisdictions | Remote
Sedgwick
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Full Time
·
a month ago
Sedgwick
Analyze and adjudicate complex water damage and liability claims to determine benefits and negotiate settlements. Manage the full claim lifecycle, including reserve assignment, documentation, and maintaining professional client relationships.
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.
Design and implement robust data pipelines to bridge legacy on-premise systems with modern Snowflake and multi-cloud AI stacks. Build specialized datasets, feature stores, and vectorization pipelines to support Generative AI and machine learning models.
Client Service Manager | Casualty Claims Experience Required (Auto, GL or WC) | Multi-Client
Sedgwick
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Full Time
·
a month 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.
Auto & Bodily Injury Litigation Claims Examiner | Commercial Auto | Dedicated Client & Capped Caseload License Required
Sedgwick
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Full Time
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a month ago
Sedgwick
Analyze and process complex Auto Bodily Injury Litigation claims to determine benefits and ensure timely resolution. This includes negotiating settlements, investigating claim exposure, and communicating activity to claimants and clients.
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.
Workers Compensation Claims Examiner | CT, MA, NH, RI, VT Jurisdictional Knowledge | Remote
Sedgwick
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Full Time
·
a month ago
Sedgwick
Analyze and process lost-time workers compensation claims to determine benefits and ensure timely resolution. This includes negotiating settlements, investigating claim exposure, and communicating activity to claimants and clients.
Claims Examiner, Commercial Trucking | Bodily Injury | Remote
Sedgwick
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Full Time
·
a month 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.
The associate is responsible for accurately setting up claims in the management system by collecting and verifying essential information from emails and verbal communications. This includes assigning claims using specialized tools and collaborating with parties to ensure accurate data entry and record-keeping.
Liability Claims Adjuster | General Liability, Bodily Injury & Property Damage Experience | CA, FL & NY Jurisdictional Knowledge
Sedgwick
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Full Time
·
a month 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.
Manage complex disability claims by analyzing medical documentation and determining benefit eligibility according to plan interpretations. Coordinate return-to-work strategies and manage relationships between claimants, providers, and employers.
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
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Full Time
·
a month 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.
Manage and adjudicate complex workers compensation claims to determine benefits and ensure compliance with industry standards. Coordinate return-to-work efforts, negotiate settlements, and maintain professional relationships with clients and claimants.
The Legal Auditor reviews law firm and vendor invoices to ensure compliance with customer-tailored billing guidelines. They collaborate with insurance defense lawyers and customers to enhance billing strategies and improve law firm practices.
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.
The Claims Adjuster will analyze mid- and higher-level workers compensation claims to determine benefits due and ensure ongoing adjudication of claims. Responsibilities include managing claims, developing action plans, negotiating settlements, and maintaining professional client relationships.
Workers Compensation Claims Examiner | NY Jurisdiction Experience Required | Dedicated Client
Sedgwick
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Full Time
·
a month 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 and clients.
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.
Partner with stakeholders to design and deploy machine learning models and predictive algorithms in production environments. Develop end-to-end ETL data pipelines and share data-driven insights to inform business decisions.
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.
Claims Examiner - Liability | GL, BI and Litigation Experience Required | Licensing: Required - Remote
Sedgwick
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Full Time
·
2 months ago
Sedgwick
Analyze and process complex liability claims to determine benefits and manage high-exposure cases involving litigation. Negotiate settlements, calculate reserves, and ensure adjudication aligns with industry best practices and client requirements.
Liability Claims Careers – Assistant, Associate, Representative, Examiner & Team Leads
Sedgwick
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Full Time
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2 months ago
Sedgwick
Manage and adjudicate liability claims across various levels of complexity, from entry-level administrative support to advanced technical analysis. Responsibilities include determining benefits, negotiating settlements, and supervising claims teams to ensure high-quality service.
Workers’ Compensation Claims Careers – Assistant, Associate, Representative, Examiner & Team Leads
Sedgwick
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Full Time
·
2 months ago
Sedgwick
Manage workers' compensation claims across various levels, from administrative support to complex litigation and supervisory oversight. Responsibilities include determining benefits, negotiating settlements, and ensuring adherence to industry best practices and client requirements.
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.
Workers Compensation Claims Adjuster | Dedicated Client | CO, UT, WY Jurisdictions | License Preferred
Sedgwick
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Full Time
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2 months ago
Sedgwick
Process low-level Workers Compensation claims to determine benefits and ensure adjudication follows industry best practices. This includes investigating claim exposure, negotiating settlements, and communicating activity to claimants and clients.
Manage and advance the IT security, risk, and audit compliance program, including the supervision and training of staff. Lead internal and external audits, develop security policies, and manage risk remediation plans to ensure enterprise-level compliance.
Workers Compensation Claims Representative | NY Jurisdictions & NY Licensing Required
Sedgwick
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Full Time
·
2 months ago
Sedgwick
Manage a capped caseload of workers' compensation claims from inception to resolution while ensuring compliance with New York state laws. Negotiate settlements and maintain comprehensive records within the claims management system.
AVP Client Services | Workers Compensation & Liability Background | Must Reside in GA
Sedgwick
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Full Time
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2 months ago
Sedgwick
Responsible for managing administrative and client relationships, focusing on account management strategies, client retention, and revenue growth. The role involves providing stewardship reporting, resolving major customer service issues, and supervising personnel.
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
·
2 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
·
2 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.
Sr. Claims Specialist, Medical Malpractice | Long Term Care | California
Sedgwick
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Full Time
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2 months ago
Sedgwick
Analyze and resolve complex medical malpractice and severe injury claims while managing total claim costs. Coordinate legal defense, establish settlement strategies, and maintain professional client relationships.
Complex Claims Advisor | General Liability & Auto Claims | License Required | NY Labor Law Knowledge Required
Sedgwick
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Full Time
·
2 months ago
Sedgwick
Strategically manage a complex inventory of general liability and auto claims while providing technical guidance to ensure optimal resolution. Act as a subject matter expert for key jurisdictions and lead quality improvement initiatives for claim handling.
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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2 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.
Supervise multiple teams of claims examiners to ensure efficient claims adjudication and high-quality service delivery. Monitor workloads, provide technical direction, and maintain professional relationships with clients while ensuring compliance with audit and jurisdictional standards.
Define and execute the enterprise AI engineering strategy while leading the architecture and deployment of applied and agentic AI solutions. Build and scale a high-performing AI engineering organization to support claims, risk, and client service transformation goals.
The General Adjuster is responsible for handling regional insurance claims up to $10M, including investigating damages, determining coverage, and negotiating settlements. They also manage case reserves, prepare loss reports, and provide support during litigation hearings.
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.
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 patient advocates to coordinate care and ensure resources are used in a 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.
The Environmental Principal will provide leadership and technical guidance for environmental projects while managing staff and driving profitable growth. They are responsible for overseeing site investigations, remediation programs, and maintaining key client relationships across the Texas and Gulf Coast regions.
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.
Claims Examiner Workers Compensation I CA experienced required I Remote
Sedgwick
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Full Time
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3 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 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.
The General Adjuster investigates complex insurance claims for personal, casualty, or property loss to determine company liability. They are responsible for estimating repair costs, negotiating settlements with claimants, and preparing detailed findings reports.
The General Adjuster investigates complex insurance claims to determine liability and extent of loss or damage. They are responsible for negotiating settlements, preparing detailed findings reports, and managing case reserves.
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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3 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.
The primary purpose is to handle losses and claims for property and casualty insurers by examining policies, interviewing involved parties, and inspecting property damage to determine liability. This involves estimating repair costs, preparing findings reports, negotiating settlements, and recommending litigation when necessary.
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.
Workers Compensation Claims Adjuster | Remote - Must Reside in Central Valley, CA
Sedgwick
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Full Time
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4 months ago
Sedgwick
The primary purpose is to analyze workers' compensation claims on behalf of clients to determine benefits due, ensuring ongoing adjudication meets service expectations and industry best practices. Essential responsibilities include analyzing and processing claims through action plans, investigating exposure, negotiating settlements within authority, and communicating claim activity to claimants and clients.
Workers Compensation Claims Examiner | Remote - Must Reside in Central Valley, CA
Sedgwick
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Full Time
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4 months ago
Sedgwick
The primary purpose is to analyze workers' compensation claims on behalf of clients to determine benefits due, ensuring ongoing adjudication meets service expectations and industry best practices. Essential responsibilities include analyzing and processing claims through well-developed action plans, negotiating settlements within authority, and communicating claim activity to claimants and clients.
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 primary purpose is to investigate claims for personal, casualty, or property loss or damages, attempting to effect out-of-court settlements with claimants. This involves examining claim forms, 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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5 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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7 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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9 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.
