Sedgwick

Claims Specialist

• Analyze low-level claims on behalf of our valued clients to determine benefits due.
• Ensure ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Claims Associate – Workers Compensation, Northeast States Preferred

Accounts Payable

• Provide Accounting and Clerical Support to the Accounting Team through Accounts payable and some accounts receivable as needed
• Post and prepare Accounts payable invoices, Monthly postings, and Office overhead invoices
• Process daily check requests and payments to landlords for new housing move ins
• Verify and post monthly corporate apartment bills into financial management system
• Ensure all payments are made in a timely manner

Accounts Payable Specialist

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Workers' Compensation Claims Examiner, NY Lost-Time Experience, NY Licensing

• Analyze complex general liability claims
• Manage claims through action plans
• Negotiate settlements
• Manage litigation processes
• Communicate claim activity with clients
• Document claims properly

Claims Examiner – Public Entity Liability

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution.
• Investigating and gathering information to determine the exposure on the claim.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Workers Compensation Claims Examiner

Customer Support

• Provide exceptional customer support on Sedgwick’s primary temporary housing line
• Assist policyholders, adjusters, and partners with housing-related inquiries
• Handle inbound calls and process hotel extensions
• Support billing-related questions and perform administrative tasks
• Accurately enter new housing claims into the system
• Monitor inbound email for claim questions and new housing requests
• Extend hotel stays for clients currently in-house
• Audit hotel folios for billing accuracy and compliance

Customer Service Specialist

Operations

• Analyze low- and mid-level workers compensation claims to determine benefits due.
• Ensure ongoing adjudication of claims within company standards and industry best practices.
• Adjust medical-only claims and low- to mid-level lost-time workers compensation claims under close supervision.
• Support other claims staff with larger or more complex claims as necessary.
• Process workers compensation claims reviewing compensability, benefits due, and files necessary documentation with state agency.
• Communicate claim action/processing with appropriate parties including claimant, client, state agency, managed care organization, and appropriate medical contact.
• Ensure claims files are properly documented and claims coding is correct.
• Maintain professional client relationships.
• Coordinate actuarial/settlement issues impacting employers with rate and settlement departments.

Specialty Operations Coordinator

• Analyzes reported lower-level workers compensation claims to determine benefits due.
• Ensures ongoing adjudication of claims within company standards and industry best practices.
• Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision.
• Supports other claims representatives, examiners and leads with larger or more complex claims as necessary.
• Processes workers compensation 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.

Claims Associate – Work Compensation Medical Only

Manager

• To manage CAT Repair Solution Sites.
• Ensure CAT site is up and running within 72 hours
• Open/Closing of Location
• Security of Location
• OSHA Compliance
• Managing Onsite staff
• Escalation Resolution
• Distribution of Work
• Quality Assurance
• Daily Production Meeting
• New Hire Training
• Coaches and mentors CAT contractors on processes and systems.
• Monitors CAT contractors Service Level Agreement (SLA) performance objectives.
• Prioritizes CAT contractor needs for the CAT Repair Solutions Team.
• Provides feedback to Leadership Team on process challenges facing CAT Sites.
• Manage Repair Solutions network's core business.
• Pricing research/development.
• Develops and delivers CAT site training and performance reviews
• Provides on boarding assistance to the Business Development department for new carriers seeking CAT Repair Solutions.
• Cross trains inter-departmental employees and cross-company employees
• Performs quality assurance inspections on completed repairs
• Drive Production and Repair Cycle Time
• Serves as subject matter expert and/or project leader on the following industry systems: Mitchell, CCC and Audatex
• Performs other duties as assigned
• Supports the organization's quality program(s).

CAT Repair Solution Site Manager

Consultant

• Drive strategic transformation initiatives that shape Sedgwick’s future operating model
• Own scoped workstreams from design and analysis through iterative build and adoption, with a focus on AI-enabled solutions, digital process redesign, and enterprise value creation
• Collaborate with Business, AI, IT, and Data teams to evaluate options, architect solutions, and deliver measurable impact on customer experience and EBITDA growth
• Lead strategic assessments of current-state processes and design future-state operating models aligned to growth and efficiency goals
• Conduct AI discovery and feasibility analysis; identify automation opportunities and quantify business impact
• Drive build vs. buy analysis; prepare business cases and vendor scorecards with clear ROI and EBITDA implications
• Facilitate discovery workshops with Business, AI, IT, and Data teams to confirm architecture, integration points, and data readiness
• Document technical requirements and dependencies for implementation
• Translate business requirements into tiered work structures; contribute to roadmap development and feature prioritization
• Manage agile delivery: backlog prioritization, sprint planning, and UAT coordination
• Execute change strategy: stakeholder engagement, training plans, and communication cadence
• Monitor adoption metrics and adjust interventions to ensure sustained impact
• Prepare executive-ready updates: dashboards, risk logs, and benefit realization tracking
• Ensure compliance with data governance and security standards

Consultant – Business Transformation

• To analyze workers' compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

• Manage mid-level general liability claims by gathering information to determine liability exposure;
• Assign reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.
• Assess liability and resolve claims within evaluation.
• Approve and process assigned claims, determine benefits due, and manage action plan pursuant to the claim or client contract.
• Manage subrogation of claims and negotiate settlements.
• Communicate claim action with claimant and client.
• Ensure claim files are properly documented and claims coding is correct.
• Process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
• Maintain professional client relationships.

Claims Adjuster – Bodily Injury, Jurisdiction: All States, Licensing: FL, TX, GA preferred

• Utilise a range of tools, including our technology solutions to gather information and documentation in respect of a claim
• Liaise with insurers, broker, policyholders, claimants and other stakeholders as needed
• Make recommendations on claims
• Manage and resolve the claim to agreed timeframes

Liability Claims Consultant

• To analyze reported lower-level workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices.
• Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision.
• Supports other claims representatives, examiners and leads with larger or more complex claims as necessary.
• Processes workers compensation 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.

Workers Compensation Claims Associate

Project Manager

• To develop and manage project assignments through completion;
• to communicate results;
• to make recommendations to management;
• and to provide training.
• Identifies required resources; researches project data, procedures and history for a thorough understanding of project direction.
• Generates and analyzes statistical data reports.
• Develops, prepares and manages project plan through completion.
• Communicates activity progress to involved parties.
• Resolves issues that arise involving client, when appropriate.
• Transitions program to management personnel.
• Participates in oral presentations.
• Develops and provides training to management and colleagues as needed.

Claims Associate – Workers Compensation, Northeast States Preferred

Accounts Payable Specialist

Workers' Compensation Claims Examiner, NY Lost-Time Experience, NY Licensing

Claims Examiner – Public Entity Liability

Workers Compensation Claims Examiner

Customer Service Specialist

Specialty Operations Coordinator

Claims Associate – Work Compensation Medical Only

CAT Repair Solution Site Manager

Consultant – Business Transformation

Workers Compensation Claims Examiner

Claims Adjuster – Bodily Injury, Jurisdiction: All States, Licensing: FL, TX, GA preferred

Liability Claims Consultant

Workers Compensation Claims Associate

Project Manager – Auto & General Liability