Environmental Claims Advisor

Job not on LinkedIn

🔥 2 hours ago

🇺🇸 United States – Remote

💵 $155k / year

⏰ Full Time

🟠 Senior

🔴 Lead

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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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 and process complex or technically difficult environmental liability claims • Investigate and gather information to determine claim exposure • Manage claims through action plans to timely and appropriate resolution • Conduct or assign full investigations and provide investigation reports for new events, claims, and legal actions • Analyze complex liability insurance coverage and policies • Negotiate claim settlements up to designated authority level • Calculate and assign timely and appropriate claim reserves and monitor reserve adequacy • Recommend settlement strategies and bring structured settlement proposals as necessary • Coordinate legal defense, assign attorneys, support investigations, and review attorney invoices • Monitor counsel compliance with client guidelines • Use cost containment techniques and strategic vendor partnerships to reduce claim costs • Identify and investigate fraud, subrogation, contribution, recovery, and case management opportunities • Represent the company in depositions, mediations, and trial monitoring as needed • Communicate claim activity and processing with clients • Maintain professional client relationships • Ensure claim files are properly documented and claim coding is correct • Refer cases to supervisors and management as appropriate • Delegate work and mentor assigned staff • Support the organization's quality programs • Perform other duties as assigned

🎯 Requirements

• Eight (8) years of claims management experience or equivalent combination of education and experience required • Bachelor's degree from an accredited college or university preferred • Licenses as required • Professional certification as applicable to line of business preferred • In-depth knowledge of appropriate environmental liability insurance principles and laws for line-of-business handled • Knowledge of recoveries, offsets and deductions, claim duration, and cost containment principles and application procedures • Excellent oral and written communication, including presentation skills • PC literate, including Microsoft Office products • Analytical and interpretive skills • Strong organizational skills • Excellent negotiation skills • Good interpersonal skills • Ability to work in a team environment • Ability to meet or exceed Performance Competencies • Ability to perform computer keyboarding • Hearing, vision and talking ability • Clear and conceptual thinking ability • Excellent judgement and discretion • Ability to meet deadlines

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • 401k and matching • PTO • Disability insurance • Life insurance • Employee assistance • Flexible spending or health savings account • Other additional voluntary benefits • Work-life balance • Caring culture • Equal Opportunity Employer • Drug-Free Workplace

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