Complex Claims Analyst

🕒 June 25

🇺🇸 United States – Remote

💵 $50k - $62k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

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Sedgwick

WebsiteLinkedInAll Job Openings

10,000+ employees

🏗️ Construction

💼 Consulting

🏥 Healthcare

Construction • Consulting • Healthcare

Sedgwick is a global provider of technology-enabled risk, benefits, and integrated business solutions. They help people and organizations by managing and mitigating risk with solutions in accident, health, disability, unemployment compensation, and liability claims administration, among others. Sedgwick offers services such as claims administration, building consulting, forensic accounting, and forensic engineering. Their specialties include property restoration, brand protection, and loss prevention across several industries, including agriculture, construction, and environmental sectors. The company emphasizes diversity, equity, and inclusion (DEI) as well as environmental, social, and governance (ESG) practices.

📋 Description

• Analyze mid- and higher-level general auto claims to determine scope of damages • Ensure ongoing adjudication of claims within company standards and industry best practices • Identify subrogation of claims and negotiate settlements • Manage mid-level and higher-level auto commercial and personal lines claims • Assess liability and resolve claims within evaluation • Approve and process assigned claims, determine benefits due, and manage action plan pursuant to the claim or client contract • Communicate claim action with claimant and client • Ensure claim files are properly documented and claims coding is correct • Maintain professional client relationships

🎯 Requirements

• Bachelor’s degree from an accredited college or university preferred • Four (4) years of claims management experience or equivalent combination of education and experience required • Subject matter expert of appropriate insurance principles and laws • Excellent oral and written communication skills • PC literate, including Microsoft Office products • Analytical and interpretive skills • Strong organizational skills • Excellent interpersonal skills • Excellent negotiating skills

🏖️ Benefits

• medical, dental, vision • 401k and matching • PTO • disability and life insurance • employee assistance • flexible spending or health savings account