As a Claims Team Lead | Auto | Property Damage & Bodily Injury, your primary purpose will be to supervise the operation of multiple teams of examiners and technical staff for liability claims for clients. You will monitor colleagues' workloads, provide training, and monitor individual claim activities. You will also provide technical/jurisdictional direction to examiner reports on claims adjudication and maintain a diary on claims in the teams, including frequent diaries on complex or high exposure claims.

Key responsibilities include:

• Supervising multiple teams of examiners and technical staff
• Identifying and advising management of trends, problems, and issues, as well as recommending courses of action
• Providing technical/jurisdictional direction to examiner reports on claims adjudication
• Compiling, reviewing, and analyzing management reports and taking appropriate action
• Performing quality reviews on claims in compliance with audit requirements, service contract requirements, and quality standards
• Acting as a second level of appeal for client and claimant issues regarding claim-specific, procedural, or special requests
• Reviewing reserve amounts on high-cost claims and claims over the authority of the individual examiner
• Maintaining contact with clients on claims and promoting a professional client relationship
• Assuring that direct reports are properly licensed in the jurisdictions serviced
• Ensuring claims files are coded correctly and adequate documentation is made by claims examiners

As a supervisor, you will:

• Administer company personnel policies and follow company staffing standards and training recommendations
• Interview, hire, and establish colleague performance development plans
• Conduct colleague performance discussions
• Provide support, guidance, leadership, and motivation to promote maximum performance

To qualify for this role, you will need:

• Six years of claims experience or an equivalent combination of education and experience, including two years of claims supervisor experience
• A bachelor's degree from an accredited college or university (preferred)
• Licenses as required
• Professional certifications as applicable to the line of business (preferred)
• Thorough knowledge of claims management processes and procedures for multiple product lines
• Excellent oral and written communication, including presentation skills
• PC literacy, including Microsoft Office products
• Leadership, management, and motivational skills
• Analytical and interpretive skills
• Strong organizational skills
• Excellent interpersonal skills
• Excellent negotiation skills
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies

Job Data by YubHub.

As a Claims Examiner, Auto | Bodily Injury, you will analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability, and evaluating the scope of damages.

Essential Responsibilities May Include

• Process complex auto commercial and personal line claims, including bodily injury and ensure claim files are properly documented and coded correctly.
• Be responsible for litigation process on litigated claims.
• Coordinate vendor management, including the use of independent adjusters to assist the investigation of claims.
• Report large claims to excess carrier(s).
• Develop and maintain action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution.
• Identify and pursue subrogation and risk transfer opportunities; secure and dispose of salvage.
• Communicate claim action/processing with insured, client, and agent or broker when appropriate.
• Perform other duties as assigned.
• Support the organization's quality program(s).

Qualifications

• Education & Licensing: Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws.
• Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.
• Skills: strong oral and written communication, including presentation skills, PC literate including Microsoft Office products, and ability to work in a team environment.
• Secure and maintain the State adjusting licenses as required for the position.

Taking Care of You

• Flexible work schedule.
• Referral incentive program.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

The range of starting pay for this role is $80,000.

Job Data by YubHub.

The Assistant Vice President Client Services role is responsible for the administrative, managerial, and client relationships associated with Client Services within the assigned area.

Responsibilities:

• Ensures contract compliance with company guidelines within an assigned area.
• Handles financials, including accounts receivable, invoicing, and pricing support within an assigned area.
• Responsible for client knowledge, including threatened status and relationship with the company.
• Handles renewal process timely; negotiates new contracts within an assigned area.
• Responsible for business planning and budgeting within an assigned area.
• Plans for staffing needs, including succession, bench-strength, and new business within an assigned area.
• Supports client relationships; builds executive relationships; supports internal relationships.
• Supports business development.

Additional Responsibilities:

• Performs other duties as assigned.
• Supports the organization's quality program(s).
• Travels as required.

Supervisory Responsibilities:

• Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
• Interviews, hires, and establishes colleague performance development plans; conducts colleague performance reviews.
• Provides support, guidance, leadership, and motivation to promote maximum performance.

Qualifications:

• Bachelor's degree from an accredited college or university with major in Risk Management, Business Administration, or Finance preferred. Advanced degree and/or professional designations (CPCU, AIC, ARM) preferred.
• Ten (10) years of related experience or equivalent combination of education and experience required, including three (3) years of Account Executive on national accounts experience and five (5) years of claims/supervisory experience.

Skills & Knowledge:

• In-depth understanding of workers compensation, liability, and disability
• Excellent oral and written communication, including presentation skills
• PC literate, including Microsoft Office products
• Leadership/management/motivational skills
• Analytical and interpretive skills
• Strong organizational skills
• Excellent interpersonal skills
• Excellent negotiation and facilitation skills
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies

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:

• Computer keyboarding, travel as required.

Auditory/Visual:

• Hearing, vision, and talking.

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.

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 $130,000.00 - $155,000.00 USD Annual. 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.

Job Data by YubHub.

The Claims Examiner - Bodily Injury role involves analyzing and processing complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability, and evaluating the scope of damages.

Key Responsibilities:

• Process complex auto commercial and personal line claims, including bodily injury, and ensure claim files are properly documented and coded correctly.
• Handle litigation process on litigated claims.
• Coordinate vendor management, including the use of independent adjusters to assist the investigation of claims.
• Report large claims to excess carrier(s).
• Develop and maintain action plans to ensure state-required contact deadlines are met and to move the file towards prompt and appropriate resolution.
• Identify and pursue subrogation and risk transfer opportunities; secure and dispose of salvage.
• Communicate claim action/processing with insured, client, and agent or broker when appropriate.
• Perform other duties as assigned.
• Support the organization's quality program(s).

Qualifications:

• Five (5) years of claims management experience or equivalent combination of education and experience required, including in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws.
• Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.
• Strong oral and written communication, including presentation skills, PC literate including Microsoft Office products, and ability to work in a team environment.
• Secure and maintain the State adjusting licenses as required for the position.

Benefits:

• Flexible work schedule.
• Referral incentive program.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

The salary range for this role is $80,000 to $85,000.

Job Data by YubHub.

As a Claims Examiner, Auto | Bodily Injury, you will analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability, and evaluating the scope of damages.

Key Responsibilities:

• Process complex auto commercial and personal line claims, including bodily injury, and ensure claim files are properly documented and coded correctly.
• Handle the litigation process on litigated claims.
• Coordinate vendor management, including the use of independent adjusters to assist in the investigation of claims.
• Report large claims to excess carrier(s).
• Develop and maintain action plans to ensure state-required contact deadlines are met and to move the file towards prompt and appropriate resolution.
• Identify and pursue subrogation and risk transfer opportunities; secure and dispose of salvage.
• Communicate claim action/processing with insured, client, and agent or broker when appropriate.
• Perform other duties as assigned.
• Support the organization's quality program(s).

Requirements:

• Five (5) years of claims management experience or equivalent combination of education and experience required, including in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws.
• Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to the line of business preferred.
• Strong oral and written communication, including presentation skills, PC literate including Microsoft Office products, and ability to work in a team environment.
• Secure and maintain the State adjusting licenses as required for the position.

Work Environment Requirements:

• Physical: Computer keyboarding.
• Auditory/visual: Hearing, vision, and talking.
• Mental: Clear and conceptual thinking ability; excellent judgment and discretion; ability to meet deadlines.

Job Data by YubHub.