Complex Claims Advisor
PRIMARY PURPOSE OF THE ROLE To develop targeted solutions and provide added technical guidance and oversight to ensure complex commercial trucking claims matters are resolved optimally while creating a culture of continual quality improvement designed to elevate the overall claim handling to benefit our stakeholders.
ESSENTIAL RESPONSIBILITIES MAY INCLUDE- Proactively and strategically manages a complex claim inventory by assessing complex commercial trucking claims issues, utilizing jurisdictional expertise to provide oversight, and directs the handling to achieve the best possible resolution.
- Acts as the organizational subject matter expert for line of business and key jurisdictions on complex claim issues.
- Uses knowledge of all aspects of claims handling in evaluating exposure; recommends and directs action plans for issue or case resolution.
- Articulates and documents clear and concise file notes to allow stakeholders to understand the issues and path to resolution.
- Facilitates roundtables with groups/teams; engages appropriate internal and external resources as needed.
- Provides technical leadership on and maintains co-ownership of complex claim issues; through further influence creates a culture of continual quality improvement.
QUALIFICATIONS- Education & Licensing: Bachelor's degree from an accredited college or university preferred. Industry designation(s) preferred. Licenses as required for specific jurisdictions.
- Experience: Eight (8) years of casualty claims experience or equivalent combination of education and experience required to include three (3) to five (5) years of experience handling complex claims and experience in negotiation, mediation, arbitration or ADR skills on higher value complex claims.
- Skills: subject matter expertise in Commercial Trucking bodily injury liability claims, maintain appropriate licensing, ability to manage claims across multiple jurisdictions, excellent oral and written communication, including presentation skills, PC literate, including Microsoft Office products, and ability to meet or exceed Service Expectations
Work environment requirements include -Physical: Computer keyboarding
Auditory/visual: Hearing, vision and talking
Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.
When applicable and appropriate, consideration will be given to reasonable accommodations.
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
$90,000- $105,000. 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.
