Sedgwick
Overview
Sedgwick est l'un des principaux fournisseurs mondiaux de gestion de risques, de santé, de prévoyance et de solutions d’assurance intégrées. Dans le cadre de sa croissance et de son développement international, Sedgwick s’implante en France à travers ses activités d’expertise d’assurance. Nos 27 000 collègues présents dans 65 pays avancent dans un but commun : délivrer l’excellence pour nos clients et nos partenaires. En France, Sedgwick compte parmi les leaders du marché de la gestion des risques et nos 800 collègues sont répartis sur 30 sites. Nous favorisons la créativité, l’innovation et le développement des compétences dans un environnement propice à l’épanouissement personnel. Nos valeurs fondamentales sont Empathie, Responsabilité, Collaboration, Croissance et Intégration et guident notre quotidien. Complex Claims Advisor | Commercial GL and Auto | Remote Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands? Are you an ideal candidate?
Are you an experienced attorney or examiner with a strong background in insurance coverage analysis? We’re seeking an experienced attorney or senior level examiner with a strong background in insurance coverage analysis to support insurance carriers by evaluating claims and loss complaints, interpreting policy language, and drafting Reservation of Rights and disclaimer letters. This role offers the opportunity to apply your expertise in commercial general liability and auto policies, endorsements, exclusions, and litigation support, while delivering clear, actionable coverage opinions and collaborating with claims professionals and managers. If you thrive in a detail-oriented, analytical environment and have a passion for coverage law, we’d love to hear from you. Experience in claims handling or underwriting is a strong plus. Primary Purpose
To develop targeted solutions and provide added technical guidance and oversight. To evaluate insurance claims and loss complaints for coverage applicability, draft Reservation of Rights and disclaimer letters, and provide expert coverage opinions to insurance carriers. This role supports litigation and policy interpretation ensuring accurate and timely guidance on complex coverage issues. Essential Functions and Responsibilities
Proactively and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional expertise to provide oversight, and directs the handling to achieve the best possible resolution. Acts as the organizational subject matter expert for line of business and key jurisdictions on complex claim issues. Uses knowledge of all aspects of claims handling in evaluating exposure; recommends and directs action plans for issue or case resolution. Articulates and documents clear and concise file notes to allow stakeholders to understand the issues and path to resolution. Ability to clearly and effectively communicate complex coverage analyses to clients, claim examiners, and managers, translating technical policy language into actionable insights. Exceptional written communication skills with demonstrated expertise in drafting clear, accurate coverage disclaimers and Reservation of Rights letters. Facilitates roundtables with groups/teams; engages appropriate internal and external resources as needed. Provides technical leadership on and maintains co-ownership of complex claim issues; through further influence creates a culture of continual quality improvement. Additional Functions and Responsibilities
Performs other duties as assigned. Supports the organization’s quality program(s). Travel as required. Qualifications
Education & Licensing Bachelor’s degree from an accredited college or university preferred. Industry designation(s) preferred. Licenses as required for specific jurisdictions. Experience Eight (8) years of casualty claims experience or equivalent combination of education and experience required to include three (3) to five (5) years of experience handling complex claims and experience in negotiation, mediation, arbitration or ADR skills on higher value complex claims. Supervisory experience a plus. Specific jurisdictional expertise preferred. Skills & Knowledge
Subject matter expertise in worker’s compensation claims and/or liability claims processing Ability to obtain and maintain appropriate licensing Ability to manage claims across multiple jurisdictions Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Excellent analytical and interpretive skills Strong organizational skills Ability to work in a team environment Ability to meet or exceed Service Expectations Work Environment
When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: 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; and ability to meet deadlines. Physical: computer keyboarding, travel as required. Auditory/Visual: hearing, vision and talking. Compensation and Benefits
As noted in this job posting, the range of starting pay for this role is $100,000 - $110,000 USD annual salary. A comprehensive benefits package is offered including medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other voluntary benefits. The statements contained in this document describe the general nature and level of work being performed and are not intended to constitute a comprehensive list of functions, duties, or local variances. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. Si ce poste vous intéresse mais que votre expérience ne correspond pas parfaitement à toutes les qualifications de sa description, envisagez de postuler quand même ! Sedgwick construit un lieu de travail diversifié, équitable et inclusif et considère que chaque personne possède une combinaison unique de compétences, de connaissances et d’expérience. Vous êtes peut-être le bon candidat pour ce poste ou pour d’autres. Senioriy level
Mid-Senior level Employment type
Full-time Job function
Finance and Sales Industries Insurance Referrals increase your chances of interviewing at Sedgwick by 2x Sign in to set job alerts for “Claims Consultant” roles. #J-18808-Ljbffr
Sedgwick est l'un des principaux fournisseurs mondiaux de gestion de risques, de santé, de prévoyance et de solutions d’assurance intégrées. Dans le cadre de sa croissance et de son développement international, Sedgwick s’implante en France à travers ses activités d’expertise d’assurance. Nos 27 000 collègues présents dans 65 pays avancent dans un but commun : délivrer l’excellence pour nos clients et nos partenaires. En France, Sedgwick compte parmi les leaders du marché de la gestion des risques et nos 800 collègues sont répartis sur 30 sites. Nous favorisons la créativité, l’innovation et le développement des compétences dans un environnement propice à l’épanouissement personnel. Nos valeurs fondamentales sont Empathie, Responsabilité, Collaboration, Croissance et Intégration et guident notre quotidien. Complex Claims Advisor | Commercial GL and Auto | Remote Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands? Are you an ideal candidate?
Are you an experienced attorney or examiner with a strong background in insurance coverage analysis? We’re seeking an experienced attorney or senior level examiner with a strong background in insurance coverage analysis to support insurance carriers by evaluating claims and loss complaints, interpreting policy language, and drafting Reservation of Rights and disclaimer letters. This role offers the opportunity to apply your expertise in commercial general liability and auto policies, endorsements, exclusions, and litigation support, while delivering clear, actionable coverage opinions and collaborating with claims professionals and managers. If you thrive in a detail-oriented, analytical environment and have a passion for coverage law, we’d love to hear from you. Experience in claims handling or underwriting is a strong plus. Primary Purpose
To develop targeted solutions and provide added technical guidance and oversight. To evaluate insurance claims and loss complaints for coverage applicability, draft Reservation of Rights and disclaimer letters, and provide expert coverage opinions to insurance carriers. This role supports litigation and policy interpretation ensuring accurate and timely guidance on complex coverage issues. Essential Functions and Responsibilities
Proactively and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional expertise to provide oversight, and directs the handling to achieve the best possible resolution. Acts as the organizational subject matter expert for line of business and key jurisdictions on complex claim issues. Uses knowledge of all aspects of claims handling in evaluating exposure; recommends and directs action plans for issue or case resolution. Articulates and documents clear and concise file notes to allow stakeholders to understand the issues and path to resolution. Ability to clearly and effectively communicate complex coverage analyses to clients, claim examiners, and managers, translating technical policy language into actionable insights. Exceptional written communication skills with demonstrated expertise in drafting clear, accurate coverage disclaimers and Reservation of Rights letters. Facilitates roundtables with groups/teams; engages appropriate internal and external resources as needed. Provides technical leadership on and maintains co-ownership of complex claim issues; through further influence creates a culture of continual quality improvement. Additional Functions and Responsibilities
Performs other duties as assigned. Supports the organization’s quality program(s). Travel as required. Qualifications
Education & Licensing Bachelor’s degree from an accredited college or university preferred. Industry designation(s) preferred. Licenses as required for specific jurisdictions. Experience Eight (8) years of casualty claims experience or equivalent combination of education and experience required to include three (3) to five (5) years of experience handling complex claims and experience in negotiation, mediation, arbitration or ADR skills on higher value complex claims. Supervisory experience a plus. Specific jurisdictional expertise preferred. Skills & Knowledge
Subject matter expertise in worker’s compensation claims and/or liability claims processing Ability to obtain and maintain appropriate licensing Ability to manage claims across multiple jurisdictions Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Excellent analytical and interpretive skills Strong organizational skills Ability to work in a team environment Ability to meet or exceed Service Expectations Work Environment
When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: 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; and ability to meet deadlines. Physical: computer keyboarding, travel as required. Auditory/Visual: hearing, vision and talking. Compensation and Benefits
As noted in this job posting, the range of starting pay for this role is $100,000 - $110,000 USD annual salary. A comprehensive benefits package is offered including medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other voluntary benefits. The statements contained in this document describe the general nature and level of work being performed and are not intended to constitute a comprehensive list of functions, duties, or local variances. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. Si ce poste vous intéresse mais que votre expérience ne correspond pas parfaitement à toutes les qualifications de sa description, envisagez de postuler quand même ! Sedgwick construit un lieu de travail diversifié, équitable et inclusif et considère que chaque personne possède une combinaison unique de compétences, de connaissances et d’expérience. Vous êtes peut-être le bon candidat pour ce poste ou pour d’autres. Senioriy level
Mid-Senior level Employment type
Full-time Job function
Finance and Sales Industries Insurance Referrals increase your chances of interviewing at Sedgwick by 2x Sign in to set job alerts for “Claims Consultant” roles. #J-18808-Ljbffr