Description
By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected.
We're looking for a Complex Claims Advisor to join our team in California, with expertise in workers' compensation and OSIP licensing.
Primary Purpose of the Role To act as a department subject matter expert by providing guidance to the complex claims team to ensure consistency resolving matters optimally while creating a culture of continual quality improvement.
Essential Responsibilities May Include
- Proactively and strategically oversee a complex claim inventory by assessing highly complex claims issues, utilizing jurisdictional expertise, providing oversight, and helping direct the handling to achieve the best possible resolution.
- Assist the claims team as their subject matter expert to assist in addition to lines of business and key jurisdictions on complex claim issues.
- Use knowledge of all aspects of claims handling in evaluating exposure; recommend and direct action plans for issue or case resolution.
- Articulate and document clear and concise file notes to allow stakeholders to understand the issues and path to resolution.
- Facilitate roundtables with groups/teams; engage appropriate internal and external resources as needed.
- Provide technical leadership on and maintain co-ownership of complex claim issues; create a culture of continual quality improvement through further influence.
- Assist in the evaluation and development of policies and procedures.
- Mentor and provide guidance to the complex claim consultants, adjusters and team leads.
- Lead calibration exercises ensuring consistency through the exchange of ideas and strategies.
Qualifications Bachelor's degree from an accredited college or university preferred. Industry designation(s) preferred. Licenses as required for specific jurisdictions.
Requirements
- California expert with OSIP Certification.
- Specializing in litigation strategy and resolution.
Benefits
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
The salary range for this role is $95,000 - $100,000 per year.