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 on the East Coast States. As a Complex Claims Advisor, you will address and handle high-end cases with serious injuries, complex coverage scenarios, and legal inquiries or disputes. You will develop a strategy to bring a case to a satisfactory resolution.
Responsibilities:
- Review and act on reports/forms; respond to inquiries; seek legal opinion and early resolution; and communicate resolution to appropriate parties.
- Handle high-end cases with serious injuries and/or complex coverage scenarios.
- Respond to decisions, agreements, and/or court orders; create action plans; determine the need for examinations; gain client authorization.
- Identify cases for settlements/redemptions.
- Gather/document additional information and coordinate with client designees.
- Request legal/private investigations; assign to and coordinate with local counsel; monitor local counsel performance.
- Respond to plaintiff's counsel, union, employee, or client requests.
- Identify issues and formulate defense strategies.
- Establish/adjust accrued liability and approve administrative expenses.
- Identify subrogation opportunities and manage the process.
- Attend and participate in mediations, trials, arbitrations, or hearings as needed.
- Work with partners to affect early return-to-work.
Requirements:
- Bachelor's degree from an accredited college or university preferred; Juris Doctorate (JD) preferred.
- 10 years of experience handling litigation, including 5 years of claims management experience or equivalent combination of education and experience required.
- Jurisdiction knowledge: East Coast - NJ, PA & FL.
- Home state licensing preferred.
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 $90,000 - $100,000 per year.