Sedgwick

Operations

• Set up and assign new claims, tasks and requests into the claims management system
• Enter and review claims data into claims management system upon request, ensuring accuracy and completeness
• Review claim notes and documentation to determine appropriate assignment, urgency and next steps
• Make outbound calls to carriers, adjusters or internal partners to obtain required information, approvals or clarification
• Find opportunities to refer claims within the organization based on established assignment processes and resource guidelines
• Assign claims using the tools provided, considering workload distribution, service expectations and priority level
• Support claims staff by providing accurate information during the claim set up and assignment process
• Use multiple platforms to review, route and adjust claim assignments as needed
• Ensure all parties have the required information in order to successfully manage a claim, including loss location, first notice of loss (FNOL), scheduled date and urgency indicators
• Monitor open items and follow up on outstanding tasks to ensure timely progression of claim activity
• Escalate urgent issues, delays or discrepancies to leadership as appropriate

Operations Dispatch Coordinator

Civil Engineer

• Inspect and assess the condition of existing buildings and structures to determine the cause of damage.
• Identifying design and construction defects with reference to code and damage causation
• Collecting data using photographic equipment
• Accurate and detailed recording of data whilst on-site
• Preparation of detailed computations for the repair small to medium structures
• Delivering design documentation including drawings, specifications, and reports.
• Providing construction-phase support on a wide array of projects.

Senior Forensic Structural Engineer

Forensic Structural Engineer

Consultant

• Manage and resolve claims related to liability issues
• Collaborate with clients and stakeholders to assess risk
• Provide expert advice and guidance on claims processes
• Develop and implement strategies for claim resolution

Senior Liability Claims Consultant

Claims Specialist

• Analyzes and processes complex or technically difficult workers' compensation 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.
• 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.
• Manages the litigation process; ensures timely and cost effective claims resolution.
• Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
• Ensures claim files are properly documented and claims coding is correct.

Claims Examiner – Workers Compensation, TX, OK, LA

• Manages mid-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.
• Assesses liability and resolves claims within evaluation.
• Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
• Manages subrogation of claims and negotiates settlements.
• Communicates claim action with claimant and client.
• Ensures claim files are properly documented and claims coding is correct.
• May 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.
• Maintains professional client relationships.
• Performs other duties as assigned.
• Supports the organization's quality program(s).

Claims Adjuster – Liability

Vice President

• Leads transformation initiatives for business unit growth
• Partners with divisional and functional leaders for enterprise-critical initiatives
• Designs and delivers transformation programs with cross-functional teams
• Accelerates deployment of innovative solutions
• Applies analytical rigor for diagnosing root causes
• Drives adoption and cultural alignment for change management

Vice President – Business Transformation

Client Services Representative

• To manage accounts of multiple client service programs or single large national program
• To maintain client, client broker and key vendor relationships
• To manage program procedures and processes that impact customer satisfaction ensuring consistency in process within the account as well as client retention
• Performs client renewal and Client Service Instruction preparation for assigned clients
• Coordinates pricing and completes location coding parameters; prepares and distributes stewardship and other reports
• Coordinates client invoicing, audits and accounts receivable follow-up for assigned clients
• Educates the client on loss data - drivers of cost impacting assigned programs
• Coordinate project activity
• Acts as primary client contact with focus on maintaining and improving overall customer satisfaction
• Identifies issues that impact customer satisfaction
• Identifies and solicits cross selling opportunities
• Coordinates client contracts.
• Performs other duties as assigned
• Supports the organization's quality program(s)

Client Services Manager

• To analyze mid- and higher-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.
• Manages mid-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.
• Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
• Communicates claim action with claimant and client.
• Ensures claim files are properly documented and claims coding is correct.
• May 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.

Claims Examiner – Liability, GL/Complex Bodily Injury Exp

• 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

• To analyze mid- and higher-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

Manager

• The CR Learning Technology Manager is responsible for scoping, building, and delivering relevant, compelling, and scalable learning experiences for global colleagues across business units, teams, and geographies.
• Aligns learning solutions to the global learning strategy through a blended set of modalities (virtual instructor-led training, train-the-trainer, documentation, digital learning, and light video).
• Owns and optimizes core learning technologies and related global processes to enable an effective, measurable, and continuously improving colleague learning experience.
• Manages Workday Learning support workflows (e.g., ServiceNow tickets) by responding to user issues, resolving requests requiring administrator action, and removing/reviewing required learning when needed.
• Produces and shares learning reporting for leaders; educates leaders on self-service reporting and request processes to improve efficiency and adoption.
• Owns the annual global compliance learning program end-to-end, including planning with Legal and Compliance, course updates and sourcing (internal learning team and/or Percipio compliance suite), campaign launch, global tracking, and executive reporting.
• Ensures coverage for non-Workday learning audiences (e.g., temporary staff, Asia, and other populations) through alternate systems or processes; maintains data integrity and audit readiness.
• Owns the Skillsoft Percipio relationship and contract in partnership with the learning and development team; manages vendor performance across compliance, business, leadership, and tech & development catalogs and oversees Workday Learning integration .

Learning Technology Manager

Claims Examiner – Workers Comp, Southeast State Exp Needed

QA Engineer

• Reviewing and auditing auto damage estimates for both repairable and total loss claims to ensure accuracy, consistency, and compliance with client guidelines
• Evaluating estimates prepared by 1099 and staff appraisers, validating estimating practices, documentation, and adherence to established standards
• Identifying discrepancies, providing quality feedback, and supporting overall estimating integrity across the program
• Compiling audit results and submitting to manager for review
• Providing audit results for quarterly stewardship reports
• Monitoring ongoing action items logs and project plans with appropriate stakeholders
• Updating vendor resources to mapping program

Quality Assurance Specialist

Attorney

• To analyze mid- and higher-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.

Operations Dispatch Coordinator

Senior Forensic Structural Engineer

Forensic Structural Engineer

Senior Liability Claims Consultant

Claims Examiner – Workers Compensation, TX, OK, LA

Claims Adjuster – Liability

Vice President – Business Transformation

Client Services Manager

Claims Examiner – Liability, GL/Complex Bodily Injury Exp

Workers Compensation Claims Examiner

Claims Adjuster – Liability

Learning Technology Manager

Claims Examiner – Workers Comp, Southeast State Exp Needed

Quality Assurance Specialist

Claims Adjuster – Liability, Needs License, Experience Handling Attorney-Repped Claims