Sedgwick

Claims Specialist

• Analyze complex or technically difficult general liability claims to determine damages
• Work with high exposure claims involving litigation
• Ensure ongoing adjudication of claims within service expectations, industry best practices and client service requirements
• Identify risk transfer opportunities and negotiate settlements
• Manage claims through well-developed action plans to resolution
• Assess liability and resolve claims within evaluation
• Negotiate settlement of claims
• Calculate and assign timely and appropriate reserves to claims
• Manage the litigation process and ensure timely claims resolution
• Coordinate vendor referrals for additional investigation and/or litigation management
• Use cost containment techniques to reduce overall claims cost
• Report claims to the excess carrier and respond to requests
• Communicate claim activity with the claimant and client

Claims Examiner – Construction

• Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim;
• manages claims through well-developed action plans to an appropriate and timely resolution.
• Assesses liability and resolves claims within evaluation.
• Negotiates settlement of claims within designated authority.
• Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
• Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority level.
• Prepares necessary state fillings within statutory limits.
• Manages the litigation process; ensures timely and cost effective claims resolution.
• Coordinates vendor referrals for additional investigation and/or litigation management.
• Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.

Liability Claims Examiner – General Liability, Premise Liability, Litigation Experience

Consultant

• Administer employee benefit plans in accordance with plan documents, contracts, and applicable federal, state, and local regulations, including EBSA, ERISA and state paid leave requirements.
• Lead benefit compliance testing, reporting, and audit activities in partnership with Legal and Finance.
• Oversee the administration and ongoing compliance of the Paid Time Off (PTO) program, monitoring legislative changes and implementing required updates.
• Manage third-party vendors supporting retirement, health and welfare, and leave-related benefit programs to ensure accurate plan operation and colleague support.
• Oversee and administer all aspects of the organization’s 401(k) and Deferred Compensation (DCP) plans, including coordinating and funding colleague and employer contributions in accordance with plan provisions, payroll schedules and regulatory requirements.
• Collaborate with HRIS and Payroll to design, test, and maintain benefit system files and interfaces, ensuring data integrity and plan compliance.
• Audit benefit administration systems against HRIS data to confirm accuracy, timeliness, and compliance.
• Develop and maintain benefit communications, summary plan descriptions, and digital content within the benefits and Colleague Resources sites.
• Partner with Colleague Resources (CR) to support benefit education and resolve escalated colleague issues.
• Respond to colleague benefit inquiries and escalated issues in a timely, accurate, and professional manner, ensuring resolution aligns with plan provisions, regulatory requirements, and organizational service standards.
• Manage end-to-end administration of death-related benefits, coordinating life insurance, retirement, and extended benefits with vendors and internal partners.

Benefits Consultant

Executive Assistant

• Provides administrative support to the executive level positions within the company.
• Coordinates activities for the Executive including diaries, calendars, travel, expense reimbursement, and correspondence.
• Plans high level meetings.
• Coordinates with department heads Executive's participation in meetings, presentations, orientations, etc.
• Provides technical support for department.

Financial Planning and Analysis

• Perform in a support role as defined by the sponsoring department management
• Complete non-complex projects as assigned
• Report project results to the Operating Committee at the end of the internship

Finance Intern

Compliance

• To identify and resolve areas of concern regarding technical file handling skills
• Provide relevant legislative, regulatory, precedential case law information and carrier requirements and training
• Serve as workers’ compensation technical resource
• Research technical questions/issues involving workers compensation matters
• Provides communication to colleagues relative to jurisdictional changes and carrier requirements
• Coordinates state experts ensuring state sites are up to date and experts are current
• Identifies jurisdictional issues and develops and implements action plans
• Handles carrier and client technical issues as assigned
• Supports and provides assistance for company initiatives
• Assists with EDI issues as needed
• Works with management in designing training modules and in scheduling training
• Prepares training outline; delivers training to units; and monitors/reports training compliance
• Performs other duties as assigned
• Supports the organization's quality program(s)
• Travels as required

National Technical Compliance Manager

• To process low level general liability claims to determine benefits due.
• To ensure ongoing adjudication of claims within company standards and industry best practices.
• To identify subrogation of claims and negotiate settlements with general supervision.
• Processes low level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.
• Develops and coordinates low level general liability claims' action plans to resolution, return-to-work efforts, and approves claim payments.
• Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract.
• Administers subrogation of claims and negotiates settlements.
• Communicates claim action with claimant and client.

Claims Representative – Liability, GL/BI Experience

• Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
• Assesses liability and resolves claims within evaluation.
• Negotiates settlement of claims within designated authority.
• Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
• Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority level.

Claims Examiner – Liability

• To represent client employers at hearings before the Industrial Commission and the Department of Job and Family Services.
• Attends all levels of hearings before the Industrial Commission on behalf of clients with the exception of legal issues.
• Creates follow-up hearing letters; enters hearing results in the TEAM system.
• Reviews files online or via CD for upcoming hearings; prepares necessary documentation to represent employer's interests.
• Reviews state files.
• Performs other duties as assigned.
• Supports the organization's quality program(s).
• Travels as required.

Hearing Consultant

Director

• Leads enterprise or business unit-wide transformation programs aligned with strategic objectives.
• Shapes transformation strategy and translates enterprise priorities into executable roadmaps.
• Sponsors large-scale AI-enabled process redesign and technology enablement initiatives.
• Partners with VPs and executive leaders to align priorities, resources, and outcomes.
• Establishes enterprise-level governance, success metrics, and benefit realization frameworks.
• Drives cultural adoption of data-driven decision-making and continuous improvement.
• Ensures transformation outcomes are embedded into operating models.
• Serves as a trusted advisor with executive presence and strategic insight.

Director, Business Transformation

• Analyze reported lower-level level general liability claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices.
• Handles lower-level liability and/or physical damage claims under close supervision.
• Supports other claims representatives, examiners and leads with larger or more complex claims as necessary.
• Processes general liability claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency.
• Communicates claim action/processing with claimant, client and appropriate medical contact.
• Ensures claim files are properly documented and claims coding is correct.
• May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims.
• Maintains professional client relationships.

Liability Claims Associate

Product Manager

• Responsible for end-to-end ownership of AI initiatives for a specific Line of Business or claims domain
• Partner with business stakeholders to define AI-enabled improvements
• Develop structured, sprint-ready execution plans
• Collaborate with AI engineers and data scientists for practical solutions
• Monitor adoption, operational metrics, and user feedback to adjust priorities

Product Manager/Owner, AI

• The AI Product Lead defines and continuously evolves the enterprise AI strategy in alignment with operational transformation goals across claims intake, adjudication, medical management, fraud detection, litigation management, subrogation, and client reporting.
• They ensure AI initiatives contribute to scalable, reusable platforms rather than siloed solutions tailored to a single client or program.
• They design and operate a structured intake and prioritization framework that evaluates AI demand based on business impact, indemnity reduction potential, cycle time improvement, compliance risk, client contractual obligations, and technical feasibility.
• They facilitate cross-LOB trade-off discussions, making capacity constraints and sequencing decisions transparent to leadership.
• The AI Product Lead partners closely with Business Transformation Leads within each Line of Business to shape initiatives before they enter delivery.
• They challenge unclear problem definitions, ensure expected outcomes are measurable, and align initiatives with operational KPIs such as claim duration, leakage reduction, customer satisfaction, regulatory adherence, and adjuster productivity.
• They maintain a rolling roadmap across multiple quarters, balancing near-term operational wins with longer-term platform investments such as document intelligence, predictive modeling frameworks, or generative AI copilots for adjusters and examiners.
• They establish a value realization framework to track financial impact, operational efficiency gains, model performance, adoption rates, and client satisfaction post-deployment.
• When initiatives fail to produce expected outcomes, they lead reassessment and course correction.
• The AI Product Lead ensures consistency in product governance practices across squads, mentors Product Managers/Owners, and works closely with AI technology leadership to ensure roadmap sequencing aligns with data governance standards, model risk management requirements, auditability, and enterprise architecture constraints common in regulated insurance environments.
• They serve as the primary AI portfolio voice in executive forums, providing clear reporting on roadmap status, risk exposure, value realization, and capacity allocation across Lines of Business.

AI Product Lead

Data Scientist

• Define and lead Sedgwick’s enterprise data science strategy aligned to claims optimization, risk management, fraud detection, and client performance analytics.
• Build and scale a high-performing team of data scientists, quantitative analysts, and ML practitioners supporting global operations.
• Drive development of predictive and prescriptive models for claims severity, reserving, subrogation, litigation risk, recovery optimization, and fraud detection.
• Oversee statistical modeling, machine learning, and advanced analytics initiatives from ideation through production deployment.
• Partner with AI Engineering to transition research models into scalable, production-grade systems.
• Establish modeling standards, validation protocols, and reproducibility requirements across the organization.
• Lead experimentation frameworks including A/B testing, causal inference analysis, and performance measurement methodologies.
• Ensure model explainability, transparency, and fairness for analytics that influence claim decisions or financial outcomes.
• Collaborate with Claims Operations, Finance, Actuarial, and IT teams to identify high-value analytical opportunities.
• Guide development of feature engineering strategies using structured and unstructured claims data.
• Oversee creation of enterprise data assets, analytical datasets, and model-ready pipelines in partnership with data engineering.
• Implement governance processes for model validation, drift monitoring, recalibration, and lifecycle management.
• Provide thought leadership in advanced analytics including time-series forecasting, anomaly detection, NLP, and risk scoring.
• Translate complex analytical findings into actionable business insights for senior leadership.
• Develop KPI frameworks to measure operational improvements driven by analytics initiatives.
• Ensure compliance with regulatory requirements and internal data governance standards.
• Evaluate external data sources and analytics partnerships that enhance predictive capabilities.
• Manage budgets, vendor relationships, and analytical tooling investments.
• Present data-driven insights and modeling outcomes to executive leadership and client stakeholders.
• Foster a culture of analytical rigor, innovation, and continuous improvement.

Director, Data Science

Data Engineer

• Design and implement ETL/ELT pipelines
• Build and maintain Feature Stores and specialized datasets
• Develop data pipelines required for Generative AI
• Act as the technical lead for the Snowflake data warehouse
• Manage complex, cross-platform data workflows
• Partner with IT and Security for data flow connectivity
• Implement automated validation for data quality
• Optimize storage and query performance in Snowflake and cloud environments
• Collaborate with MLOps and Data Science teams