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Claims Representative, Recovery
SedgwickClaims Representative at Sedgwick analyzing and processing complex claims and pursuing subrogation. Collaborating with internal and external stakeholders to resolve claims while maximizing recovery efforts.
About the role
Key responsibilities & impact- Analyzes and processes complex claims, works with high exposure claims involving litigation, and ensures ongoing claims within service expectations, industry best practices and specific client service requirements.
- Identifies and pursues potential third-party subrogation recoveries associated with highest exposure/complexity claims, all lines of business across all jurisdictions.
- Reviews high exposure, complex multi-jurisdictional claims to establish potential for third party subrogation recovery by investigating and gathering information based on feasibility of recovery analysis and employment of strategies to manage the claim through timely resolution.
- Provides subrogation guidance and direction to both internal and external stakeholders to maximize recovery efforts in alignment with client, financial and jurisdictional strategy, and guidelines.
- Develops and pursues third party subrogation, refers assignments to subrogation counsel as dictated by statute or timeline, and discusses any compromised or negotiation of the claimed subrogation interest.
- Gathers information necessary to support viable subrogation claims; documents claim notes with appropriate information.
- Maintains a diary on active claims with subrogation potential and claims that meet excess reporting criteria; ensures claim files are properly documented and claims coding is correct.
Requirements
What you’ll need- Six (6) years of multi-jurisdictional liability (general liability, auto liability, products), subrogation and/or workers compensation claims handling 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.
- Excellent oral and written communication, including presentation skills.
- PC literate, including Microsoft Office products.
- Analytical and interpretive skills.
- Strong organizational skills.
- Good interpersonal skills.
- Ability to work in a team environment.
- Ability to meet or exceed Service Expectations.
Benefits
Comp & perks- health insurance
- retirement plans
- paid time off
- flexible work arrangements
- professional development
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims analysissubrogation recoverymulti-jurisdictional claims handlingliability claimsworkers compensation claimsnegotiation strategiesclaims documentationclaims codingfeasibility analysistimely resolution
Soft Skills
oral communicationwritten communicationpresentation skillsanalytical skillsinterpretive skillsorganizational skillsinterpersonal skillsteamworkservice expectationsguidance and direction
Certifications
professional certificationlicenses