Complex Claims Analyst

🔥 0 minutes ago

🧀 Wisconsin – Remote

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⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

🦅 H1B Visa Sponsor

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👻 Ghost score 10%

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Logo of Sedgwick

Sedgwick

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

• Prospectively identify complex claims issues and complaints • Strategically triage referrals to the appropriate examiner or complex claims advisor • Independently handle and expedite resolution of less complex complaints and claim issues • Analyze data to identify complex claims requiring further intervention • Triage internal referrals, complaints from regulatory agencies, and complaints from external entities • Determine the most appropriate resource to resolve complex claim issues or complaints • Evaluate issues using knowledge of all aspects of claims handling • Expedite handling or assign claims for continued handling • Articulate and document clear, concise file notes • Provide technical direction, feedback, and resolution on specified claims • Support the organization's quality programs • Perform other duties as assigned

🎯 Requirements

• Five (5) years of liability claims experience or equivalent combination of experience and education required • Five or more years of trucking/transportation and litigation claims experience • Strong background in complex liability claims • Specific jurisdictional expertise preferred • Bachelor's degree from an accredited college or university preferred • Industry designation(s) preferred • Licenses as required for specific jurisdictions • Subject matter expertise in liability and transportation claims processing • Ability to obtain and maintain appropriate licensing • Ability to manage claims across multiple jurisdictions • Excellent oral and written communication skills • PC literate, including Microsoft Office products • Strong analytical and interpretive skills • Strong organizational skills • Strong time management skills • Excellent interpersonal skills • Ability to work in a team environment • Ability to meet or exceed Service Expectations • Ability to perform computer keyboarding • Hearing, vision, and talking abilities • Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines

🏖️ Benefits

• Work-life balance • Caring culture • Diversity, equity, and inclusion workplace • Equal Opportunity Employer • Drug-Free Workplace

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