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By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top CompaniesCertified as a Great Place to Work®Fortune Best Workplaces in Financial Services &amp; InsuranceRegional General Adjuster, Field - Large Loss Property (Sacramento, CA) As an adjuster at Sedgwick, you’ll have the opportunity to take on new challenges and help solve complex problems. <ul> <li>Enjoy flexibility and autonomy in your daily work and your career path. </li> <li>Must reside in the greater Sacramento area -Sacramento/Roseville/Elk Grove. This role is home based with travel for field work.</li> <li>Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. </li> <li>Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights. </li> </ul> PRIMARY PURPOSE: To handle losses or claims regionally unassisted up to $10M, including having the ability to address most complex adjustment issues pertaining to damages and coverage; to assist on even larger losses and manage smaller and non-complex National Accounts. ESSENTIAL FUNCTIONS and RESPONSIBILITIES <ul> <li>Examines claim forms and other records to determine insurance coverage.</li> <li>Administers and reconciles complex catastrophic claims for property.</li> <li>Interviews, telephones, or corresponds with claimant and witnesses regarding claim.</li> <li>Consults police and hospital records; and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance.</li> <li>Estimates cost of repair, replacement, or compensation.</li> <li>Prepares report of findings and negotiates settlement with claimant.</li> <li>Recommends litigation by legal department when settlement cannot be negotiated.</li> <li>Attends litigation hearings.</li> <li>Revises case reserves in assigned claims files to cover probable costs.</li> <li>Prepares loss experience reports to help determine profitability and calculates adequate future rates.</li> <li>Interacts with excess carrier to determine coverages, excess insurance levels, and potential reimbursements.</li> </ul> ADDITIONAL FUNCTIONS and RESPONSIBILITIES <ul> <li>Performs other duties as assigned.</li> <li>Travels as required.</li> </ul> QUALIFICATIONS Education &amp; Licensing Bachelor's degree from an accredited college or university preferred. Must have earned the IIA-AIC designation and be actively pursuing another professional insurance designation. Appropriate state adjuster license is required. Experience Five (5) years of related experience or equivalent combination of education and experience required. Skills &amp; Knowledge <ul> <li>Strong oral and written communication, including presentation skills</li> <li>PC literate, including Microsoft Office products</li> <li>Strong customer service skills</li> <li>Attention to detail and accuracy</li> <li>Good time management and organizational skills</li> <li>Ability to work independently or in a team environment</li> <li>Ability to meet or exceed Performance Competencies</li> </ul> WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: <ul> <li>Must be able to stand and/or walk for long periods of time.</li> <li>Must be able to kneel, squat or bend.</li> <li>Must be able to work outdoors in hot and/or cold weather conditions.</li> <li>Have the ability to climb, crawl, stoop, kneel, reaching/working overhead</li> <li>Be able to lift/carry up to 50 pounds</li> <li>Be able to push/pull up to 100 pounds</li> <li>Be able to drive up to 4 hours per day.</li> <li>Must have continual use of manual dexterity</li> </ul> Auditory/Visual: Hearing, vision and talking As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $99,000 - $129,000 USD annual salary. Commission eligible position. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.<h2>If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. </h2>

Sedgwick Claims Management Services

Regional General Adjuster, Field - Large Loss Property (Sacramento, CA)

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top CompaniesCertified as a Great Place to Work®Fortune Best Workplaces in Financial Services &amp; InsuranceLoss Adjuster - Agriculture and Rural NetworksGet up close with the unique world of Agriculture and the Rural community.<h3> Job Location: North East England</h3><h3> Job Type: Permanent</h3><h3> Remuneration: Competitive salary taking into account skills, experience and qualifications</h3><h1>We have a fantastic opportunity for a Property Loss Adjuster within our Agriculture and Rural Network team based in the North East of England.</h1>At Sedgwick, our Agriculture and Rural Network deals with a wide range of property claims coming from the rural community.Imagine stepping into farmers' lives during their toughest moments: From peril related damage to an isolated farmhouse, a hailstorm wrecking crops, a barn fire destroying a barn and farm equipment, livestock lost to disease and a wide range of diverse activities as the rural community reacts and evolves to modern times and ways of working You'll be the reassuring presence amidst the chaos, building relationships with customers agricultural agencies and brokers then returning to your desk at Sedgwick or your laptop at home to compile a comprehensive reports, managing claims from cradle to grave in accordance with client requirements.We will consider candidates with no loss adjusting experience but with the right attributes and qualifications.The role may especially appeal to claims handlers currently in office based/desktop roles who wish to expand and develop their skills, experience and career.<h1>The skills you will have when you apply:</h1><ul> <li>A full UK Driving Licence: It is essential you can travel by car</li> <li>Experience with or knowledge of Insurance Claims</li> <li>Excellent communication skills: You'll speak with and write to policyholders, insurers, contractors, and more. You’ll explain complex details clearly and negotiate fair settlements for all.</li> <li>Problem-solving abilities: You should be able to identify and solve problems efficiently as you’ll be dealing with property damage claims often involves complex situations and challenges.</li> <li>Time management: As you’ll be planning your own week you must effectively manage your time, prioritise tasks, and meet deadlines. You will be required to handle multiple claims simultaneously.</li> </ul>What is helpful, but not vital, in your application:<ul><li>A willingness to pursue professional qualifications through the chartered Institute of Loss Adjusters. Full support is provided.</li></ul>The skills that will be developed once working:<ul><li>We will provide all the Sedgwick specific training you need to thrive in this role</li></ul><h1>What we’ll give you for this role:</h1>Remuneration &amp; more<ul> <li>Competitive salary taking into account skills, experience and qualifications</li> <li>A Self Invested Personal Pension Scheme (SIPP)</li> <li>You will join an appropriate incentive (bonus) scheme</li> <li>Fully funded company vehicle or cash in lieu allowance</li> <li>Holiday allowance of 25 days plus bank holidays</li> <li>Flexible working from our office or your home</li> </ul>Health &amp; support<ul> <li>Private healthcare plan (including pre-existing conditions)</li> <li>Life assurance</li> <li>Employee assistance programme for employee wellbeing </li> <li>Group Income Protection </li> </ul>Other benefits<ul> <li>Voluntary benefits – dental cover, cycle to work scheme, season ticket loan, welling and digital GP applications</li> <li>Discounts on various products and services</li> </ul>This isn't just a position, it's a pivotal role in shaping our industryAt Sedgwick, you won't just build your career; you'll cultivate a team of experts. Our Sedgwick University offering empowers you to excel as well as your team members, with the most comprehensive training program in the industry which includes more than 15,000 courses on demand, training specific to roles, and opportunities to continue formal education.Together, we're not only reshaping the insurance landscape, we’re building a legacy of talent. Come and be a catalyst for change within our industry.<h1>Next steps for you:</h1>Think we'd be a great match? Apply now – we want to hear from you.If you’re unsure whether you have all the skills needed then do apply – we are looking for all backgrounds from seasoned professionals to those returning to the workforce, and everyone in-between.Not only that, we are proud to have a zero tolerance policy towards discrimination of any kind regardless of age, disability, gender identity, marital/ family status, race, religion, sex or sexual orientation.After the closing date we will review all applications and may select some applicants for an interview (which may be virtual, or in-person).#LI-HybridSedgwick is an Equal Opportunity Employer.The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Sedgwick retains the discretion to add or to change the duties of the position at any time.

Loss Adjuster - Agriculture and Rural Networks

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work® Most Loved Workplace® Forbes Best-in-State EmployerSenior Estimate Review SpecialistPRIMARY PURPOSE: To review all estimates and supporting documentation submitted by contractors/adjusters, using various estimating applications; to ensure estimates follow client and regulatory requirements and meet Property guidelines; to serve as a subject matter expert on property restoration scope.ESSENTIAL FUNCTIONS and RESPONSIBILITIES<ul> <li> Conducts quality reviews of contractor documentation for repair estimates to ensure it meets local area codes, industry and manufacturer requirements, and is within the guidelines of the carrier and Property Repair Solutions. </li> <li>Negotiates with adjusters, contractors, and others as necessary to reach agreement on final scope. </li> <li>Creates, reviews, and sends fair and accurate estimates through various platforms. </li> <li>Records data around initial estimates reviewed, number of reviews, and rejections on all files.</li> <li>Identifies any differences and validates that any differences are justified in accordance with standard industry practices or code.</li> <li>Reviews justifications and uses independent judgment and discretion</li> <li>Aides contractors on how to handle specific types of repairs.</li> <li>Writes estimates including but not limited to: supporting items to meet safety and/or other local/state/federal agency requirements, type and content of supporting documentation for accounts receivable, and scope differences. </li> <li>Receives and responds to e-mails/communications from Contractors or from Carriers regarding questions.</li> <li>Provides input for the establishment and update of storm guidelines. </li> <li>Determines if emergency repairs are appropriate to be made (met technical requirements for temporary repairs) and authorizes Contractors to perform the justified services.</li> <li>Monitors, assists, tracks, and provides approval for all claims that are re-inspected by the Carrier.</li> </ul>ADDITIONAL FUNCTIONS and RESPONSIBILITIES<ul> <li>Performs other duties as assigned.</li> <li>Supports the organization's quality program(s).</li> <li>Travels as required.</li> </ul>QUALIFICATIONSEducation &amp; Licensing Bachelor's degree in building construction from an accredited college or university preferred.Experience Five (5) years of experience in insurance adjusting or construction background or equivalent combination of education and experience required. Experience using Xactimate estimating software preferred.Skills &amp; Knowledge<ul> <li>Strong working knowledge of repair practices/construction estimating</li> <li>Excellent oral and written communication skills</li> <li>PC literate, including proficiency in Microsoft Office products</li> <li>Analytical and interpretive skills</li> <li>Good interpersonal skills</li> <li>Ability to perform multiple tasks and set priorities</li> <li>Strong customer service skills</li> <li>Ability to work independently or in a team environment</li> <li>Ability to meet or exceed Performance Competencies</li> </ul>WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations.Mental: Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlinesPhysical:<ul> <li>Must be able to stand and/or walk for long periods of time.</li> <li>Must be able to kneel, squat or bend.</li> <li>Must be able to work outdoors in hot and/or cold weather conditions.</li> <li>Have the ability to climb, crawl, stoop, kneel, reaching/working overhead,</li> <li>Be able lift/carry up to 50 pounds</li> <li>Be able to push/pull up to 100 pounds. </li> <li>Be able to drive up to 4 hours per day.</li> </ul>Auditory/Visual: Hearing, vision and talkingThe statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($50,000 - $70,00). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.<h2>If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. </h2>

Senior Estimate Review Specialist

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.Great Place to Work® Top 100 Most Loved Workplace® Forbes Best-in-State EmployerLiability Desktop AdjusterJob Description Liability Adjusters Have a front row seat at the human side of insurance Job Location: Anywhere in the UK, hybrid working Job Type: Permanent Remuneration: Competitive salary taking into account skills, experience and qualifications We have a fantastic opportunity for Liability Adjusters to work anywhere in the UK. This is a technical, customer-facing role focused on investigating and handling property damage claims of differing values, working both independently and under referral. You will handle property claims for utility companies, using your skills to investigate and assess the claims, and instruct appropriate experts when needed. Soft skills and proactivity are important. With experience in claims, you will identify suspicious information, follow procedures to prevent fraud, and evaluate evidence. The client is very customer-focused. You will answer correspondence, handle calls, update clients, and maintain diary processes promptly and proactively. Experience with utility or wet peril claims is a plus but not required. Many colleagues work flexibly between the office and home, supporting a healthy work/life balance. The office offers bright, open spaces for collaboration and desk work, ideal for interacting with colleagues. The skills you will have when you apply: <ul><li>Excellent understanding of the claims process. </li></ul> <ul><li>Strong investigation skills and ability to evaluate evidence. </li></ul> <ul><li>Excellent communication skills and customer service skills. </li></ul> What we’ll give you for this role: Remuneration &amp; more <ul><li>Competitive salary taking into account skills, experience and qualifications </li></ul> <ul><li>A Self Invested Personal Pension Scheme (SIPP) </li></ul> <ul><li>Holiday allowance of 25 days plus bank holidays </li></ul> <ul><li>Flexible working from our office or your home </li></ul> Health &amp; support <ul><li>Private healthcare plan (including pre-existing conditions) </li></ul> <ul><li>Life assurance </li></ul> <ul><li>Employee assistance programme for employee wellbeing </li></ul> <ul><li>Group Income Protection </li></ul> Other benefits <ul><li>Voluntary flexible benefits – green car scheme, travel insurance, dental cover, cycle to work scheme, season ticket loan, welling and digital GP applications </li></ul> <ul><li>Discounts on various products and services </li></ul> This isn't just a position, it's a pivotal role in shaping our industry At Sedgwick, you won't just build your career; you'll cultivate a team of experts. Our Sedgwick University offering empowers you to excel as well as your team members, with the most comprehensive training program in the industry which includes more than 15,000 courses on demand, training specific to roles, and opportunities to continue formal education. Together, we're not only reshaping the insurance landscape, we’re building a legacy of talent. Come and be a catalyst for change within our industry. Next steps for you: Think we'd be a great match? Apply now – we want to hear from you. As part of our commitment to you, we are proud to have a zero tolerance policy towards discrimination of any kind regardless of age, disability, gender identity, marital/ family status, race, religion, sex or sexual orientation. After the closing date we will review all applications and may select some applicants for an interview (which may be virtual, or in-person). Sedgwick is an Equal Opportunity Employer.The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Sedgwick retains the discretion to add or to change the duties of the position at any time.

Liability Desktop Adjuster

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.Great Place to Work® Top 100 Most Loved Workplace® Forbes Best-in-State EmployerAviation Surveyor and Loss AdjusterEmbark on an Exciting Career Journey with Sedgwick Aviation<h3> Job Location: United Kingdom or International offices </h3><h3> Job Type: Permanent </h3><h3> Remuneration: Competitive salary taking into account skills, experience and qualifications </h3><h1>We have a number of fantastic opportunities for Aviation Surveyors and Loss Adjusters across the UK and International offices</h1>The role would suit experienced Aircraft Engineers or established Surveyors working within the Aviation insurance industry.The role will involve handling Hull insurance claims, conducting surveys and meetings internationally, working closely with policy holders, insurers, brokers, and service providers to investigate and report on claims, whilst building and maintaining client relationships. As a member of the Sedgwick Aviation team, you will have the opportunity to:<ul> <li>Work with a diverse range of clients internationally, handling complex cases and claims</li> <li>Collaborate with a talented and supportive team of professionals who are dedicated to delivering exceptional results</li> <li>Utilise state-of-the-art technology and resources to streamline processes and enhance efficiency</li> <li>Receive ongoing training and development opportunities to further enhance your skills and knowledge in the aviation industry</li> <li>Opportunity to travel or work internationally </li> <li>Enjoy a flexible work arrangement that allows you to maintain a healthy work-life balance while contributing to our global success</li> </ul><h1> You will have/will be: </h1><ul> <li> Qualified: Significant Aviation Engineering experience <ul><li>Aviation insurance claims experience is desirable but not essential as training will be provided</li></ul> </li> <li>Great communicator: you will be constantly working with clients and other parties, so ability to communicate accurately both verbally and in writing is important </li> <li> Commercially minded: <ul> <li>Aviation engineering management experience would be an advantage, but not essential.</li> <li>Develop a deep understanding of how aviation claims are managed and delivered </li> <li>Being able to negotiate complex repair contracts and requirements </li> </ul> </li> </ul><h1>What we’ll give you for this role:</h1>Remuneration &amp; more<ul> <li>Competitive salary taking into account skills, experience and qualifications</li> <li>A Self Invested Personal Pension Scheme (SIPP)</li> <li>You will join an appropriate incentive (bonus) scheme</li> <li>Holiday allowance of 25 days plus bank holidays</li> <li>Flexible working from our office and your home</li> </ul>Health &amp; support<ul> <li>Private healthcare plan (including pre-existing conditions)</li> <li>Life assurance</li> <li>Employee assistance programme for employee wellbeing </li> <li>Group Income Protection </li> </ul>Other benefits<ul> <li>Voluntary benefits – dental cover, cycle to work scheme, wellbeing and digital GP applications</li> <li>Discounts on various products and services</li> </ul><h1>This isn't just a position, it's a pivotal role in shaping our industry</h1>At Sedgwick, you won't just build your career; you'll cultivate a team of experts. Our Sedgwick University offering empowers you to excel as well as your team members, with the most comprehensive training program in the industry which includes more than 15,000 courses on demand, training specific to roles, and opportunities to continue formal education. Together, we're not only reshaping the insurance landscape, we’re building a legacy of talent. Come and be a catalyst for change within our industry.<h1>Next steps for you:</h1>Think we'd be a great match? Apply now – we want to hear from you.If you’re unsure whether you have all the skills needed then do apply – we are looking for all backgrounds from seasoned professionals to those returning to the workforce, and everyone in-between. Not only that, we are proud to have a zero tolerance policy towards discrimination of any kind regardless of age, disability, gender identity, marital/ family status, race, religion, sex or sexual orientation. After the closing date we will review all applications and may select some applicants for an interview (which may be virtual, or in-person).Sedgwick is an Equal Opportunity Employer.The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Sedgwick retains the discretion to add or to change the duties of the position at any time.

Aviation Surveyor and Loss Adjuster

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work® Most Loved Workplace® Forbes Best-in-State EmployerSr. Disability RepresentativePRIMARY PURPOSE: Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; coordinates investigative efforts, thoroughly reviews contested claims, negotiates return to work with or without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors.ESSENTIAL FUNCTIONS and RESPONSIBILITIES <ul> <li>Makes independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan.</li> <li>Reviews and analyzes complex medical information (i.e. attending physician statements, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan.</li> <li>Oversees additional facets of complex claims including but not limited to comorbidities, concurrent plans, complex ADA accommodations, and claims outside of typical guidelines.</li> <li>Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians), as needed.</li> <li>Determines benefits due pursuant to a disability plan, makes timely claims payments/approvals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets.</li> <li>Informs claimants of documentation required to process claims, required time frames, payment information and claims status by phone, written correspondence and/or claims system.</li> <li>Communicates with the claimants’ providers to set expectations regarding return to work.</li> <li>Medically manages complex disability claims ensuring compliance with duration control guidelines and plan provisions.</li> <li>Communicates clearly and timely with claimant and client on all aspects of claims process by phone, written correspondence and/or claims system.</li> <li>Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims.</li> <li>Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and/or related disability activities.</li> <li>Negotiates return to work with or without job accommodations via the claimant’s physician and employer.</li> <li>Refers cases to team lead and clinical case management for additional review when appropriate.</li> <li>Maintains professional client relationships and provides excellent customer service.</li> <li>Meets the organization’s quality program(s) minimum requirements.</li> </ul>ADDITIONAL FUNCTIONS and RESPONSIBILITIES<ul><li>Performs other duties as assigned.</li></ul>QUALIFICATIONSEducation &amp; Licensing High School diploma or GED required. Bachelor's degree from an accredited university or college preferred. State certification or licensing in statutory leaves is preferred or may be required based on state regulations.Experience Three (3) years of benefits or disability case/claims management experience or equivalent combination of education and experience preferred.Skills &amp; Knowledge<ul> <li>Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures</li> <li>Knowledge of state and federal FMLA regulations</li> <li>Working knowledge of medical terminology and duration management</li> <li>Excellent oral and written communication, including presentation skills</li> <li>Proficient computer skills including working knowledge of Microsoft Office</li> <li>Analytical, interpretive, and critical thinking skills</li> <li>Ability to manage ambiguity</li> <li>Strong organizational and multitasking skills</li> <li>Ability to work in a team environment</li> <li>Ability to meet or exceed performance competencies as required by program</li> <li>Effective decision-making and negotiation skills</li> <li>Ability to exercise judgement autonomously within established procedures</li> </ul>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 deadlinesPhysical: Ability to sit at a desk for extended periods while operating a computer and phone system. Travel as required.Auditory/Visual: Hearing, vision and talkingAs required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $23.32 - $27.00. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.<h2>If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. </h2>

Sr. Disability Representative

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work® Most Loved Workplace® Forbes Best-in-State EmployerMarine Cargo Surveyor (Remote w/travel) This role is open to be based remote out of Chicago, IL, Seattle, WA, Charleston, SC, Los Angeles or San Francisco, CA, Detroit, MI and various locations in Florida and Ohio. Travel required. PRIMARY PURPOSE: To inspect cargo damaged in transit and determine the nature, cause, and extent of damages; to review documents to determine when the cargo was damaged; and to provide written reports to underwriters and other parties with his/her qualified opinion as to the cause of loss. ESSENTIAL FUNCTIONS and RESPONSIBILITIES <ul> <li>Oversees loading and unloading of cargo from ships and other forms of transit to document damages as they are loaded and/or unloaded.</li> <li>Inspects damaged ships to determine cause of the damage and amount of damage resulting from collisions or motor failures.</li> </ul> ADDITIONAL FUNCTIONS and RESPONSIBILITIES <ul> <li>Performs other duties as assigned.</li> <li>Supports the organization's quality program(s).</li> <li>Travels as required.</li> </ul> QUALIFICATIONS Education &amp; Licensing Bachelor's degree from an accredited college or university preferred. Experience Five (5) years of related experience or equivalent combination of education and experience required. Skills &amp; Knowledge <ul> <li>Good oral and written communication skills</li> <li>PC literate, including Microsoft Office products</li> <li>Good customer service skills</li> <li>Good organizational skills</li> <li>Ability to work independently and in a team environment</li> <li>Ability to meet or exceed Performance Competencies</li> </ul> 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: <ul> <li>Must be able to stand and/or walk for long periods of time.</li> <li>Must be able to kneel, squat or bend.</li> <li>Must be able to work outdoors in hot and/or cold weather conditions.</li> <li>Have the ability to: climb, crawl, stoop, kneel, and reaching/working overhead.</li> <li>Be able to push/pull up to 100 pounds.</li> <li>Be able to drive up to 4 hours per day.</li> <li>Must have continual use of manual dexterity</li> </ul> Auditory/Visual: Hearing, vision and talking NOTE: Credit security clearance, confirmed via a background credit check, is required for this position. As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $80,000.00 – $110,000.00 USD annual salary. Bonus eligible. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. #LI-REMOTE #LI-SC2 Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.<h2>If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. </h2>

7 Sedgwick Claims Management Services Jobs