Complex Claims Advisor – Workers Compensation Expert, OSIP Licensing, Litigation Strategy & Resolution

🕒 October 21

🏄 California – Remote

🏄 California – Remote

💵 $95k - $100k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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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

• Act as a department subject matter expert for the complex claims team • Provide guidance to ensure consistency in resolving complex claims • Oversee complex claim inventory and assess highly complex claims issues • Utilize jurisdictional expertise and direct handling toward optimal resolution • Evaluate exposure and recommend or direct action plans for issue or case resolution • Document clear and concise file notes • Facilitate roundtables and engage internal and external resources • Provide technical leadership and co-own complex claim issues • Support evaluation and development of policies and procedures • Mentor complex claim consultants, adjusters, and team leads • Lead calibration exercises to ensure consistency

🎯 Requirements

• Bachelor's degree from an accredited college or university preferred • Industry designation(s) preferred • Licenses as required for specific jurisdictions • California expert with OSIP Certification • Specialization in litigation strategy and resolution • Clear and conceptual thinking ability • Excellent judgment, troubleshooting, problem solving, analysis, and discretion • Ability to handle work-related stress • Ability to handle multiple priorities simultaneously • Ability to meet deadlines • Computer keyboarding • Hearing, vision, and talking

🏖️ Benefits

• Flexible work schedule • Referral incentive program • Career development and promotional growth opportunities • Medical, dental, and vision coverage • 401K and matching • PTO • Disability and life insurance • Employee assistance • Flexible spending or health savings account • Other additional voluntary benefits • Reasonable accommodations where applicable and appropriate

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