Jobs at Sedgwick

Directs operational and technical functions across assigned offices, ensuring compliance, service quality, staffing, training, budgeting, and profit-and-loss performance. Establishes policies, business plans, and performance goals; monitors management reports; supports sales and client service efforts; and leads hiring, employee development, performance management, and personnel policy administration. Requires strong claims knowledge, leadership, communication, analytical, organizational, negotiation, and interpersonal skills, along with substantial claims management and supervisory experience.

Entry-level claims trainee who completes structured training before adjusting claims under supervision. Responsibilities include investigating claims, reviewing medical and employer records, communicating with stakeholders, determining coverage and benefits, documenting files, coding claim activity, preparing reports, and maintaining compliance with jurisdictional requirements. The role offers mentorship, career development, and hybrid, onsite, or limited remote work opportunities.

Leads enterprise workforce management as a strategic decision-support function. Oversees forecasting, capacity planning, staffing, scheduling, analytics, scenario planning, technology improvements, and cross-functional operational problem solving. Translates workforce data into executive recommendations, manages risks and financial implications, and develops workforce leaders across multiple organizational levels. Requires extensive contact center workforce management experience, executive communication, leadership of leaders, and expertise with automated WFM platforms.

Manages basic to highly complex insurance claims within authority limits, including investigation, evaluation, litigation coordination, financial exposure assessment, regulatory compliance, and resolution. Handles subrogation and related specialized services, maintains client and stakeholder relationships, mentors account representatives and specialists, reviews claim strategies and trends, and supports compliance reporting, audits, and claim transfer projects.

Entry-level trainee role preparing candidates for claims adjusting through comprehensive training, mentoring, and supervised claim handling. Responsibilities include investigating claims, reviewing medical and employer records, communicating with stakeholders, determining coverage and benefits, documenting claim activity, preparing reports, and ensuring compliance with jurisdictional requirements. The position is onsite in California and offers career development opportunities.

Manages full-cycle recruiting for assigned roles using AI-enabled tools, sourcing strategies, talent pipelines, structured selection practices, and recruiting analytics. Partners with hiring managers, validates AI-generated recommendations, coordinates candidate communications and offers, maintains accurate recruiting records, and ensures compliance with employment laws, privacy requirements, responsible AI principles, bias mitigation, and audit standards.

Evaluates auto claims involving injured parties, interprets policy coverage, assesses medical treatment and bills, investigates potential fraud, establishes reserves, documents claim activity, communicates with claimants and providers, and negotiates claim resolutions. Requires a state adjuster license and three years of PIP, medical payment, workers compensation, or equivalent experience.

Supervises multiple auto claims examination teams, directing claims adjudication, quality reviews, workload management, appeals, reserves, audits, and complex or litigated claim oversight. Maintains client relationships, reviews management reports, ensures licensing and documentation compliance, and supports process improvement. Leads hiring, training, performance management, and colleague development while providing technical, jurisdictional, and operational guidance.

Analyze and adjudicate Pennsylvania workers compensation lost-time and litigated claims. Investigate exposures, gather information, determine benefits, negotiate settlements within authority, communicate claim activity to claimants and clients, and report claims to excess carriers while meeting service and regulatory expectations.

Manages basic to highly complex insurance claims within assigned authority, including investigation, evaluation, litigation coordination, compliance, financial exposure assessment, and resolution. Builds customer relationships, applies medical and jurisdictional knowledge, identifies trends, minimizes liability, and ensures timely regulatory documentation. Mentors account representatives and specialists, supports team projects, and assists with claims transfers and quality initiatives.

Audits investigative case files and client records for accuracy, consistency, compliance, and service-level adherence. Identifies quality and efficiency trends, validates data in CRM systems, compiles audit findings, supports stewardship reporting, tracks action items and project plans, and updates vendor resources. The role collaborates with internal, client, and vendor stakeholders while supporting organizational quality programs.

Manage Personal Accident and Travel insurance claims from notification through settlement. Review evidence, interpret policy wordings, make accurate coverage decisions, process payments, maintain records, and meet service levels. Handle claimant and broker communications, identify fraud, recovery, referral, and complaint cases, and escalate where appropriate. The role requires APA qualification, insurance and claims lifecycle knowledge, strong analytical and communication skills, attention to detail, and independent judgment.

Manage mid- and higher-level auto commercial and personal lines claims: determine exposure, set reserves, approve payments, negotiate subrogation and settlements, document files, and communicate with claimants and clients while maintaining client relationships.

Performs quality audits of investigative case files, client records, vendors, and internal resources to verify accuracy, consistency, compliance, and service-level performance. Identifies quality trends, compiles audit findings, supports stewardship reporting, tracks action items and project plans, and maintains vendor mapping resources. The role requires analytical judgment, strong organization, communication skills, and approximately four years of investigative experience.

Manages mid- and higher-level commercial and personal auto claims by evaluating damages, liability, exposure, reserves, benefits, and settlements. Handles claim payments, documentation, coding, subrogation, recoveries, and settlement negotiations within assigned authority. Communicates with claimants and clients, maintains action plans and professional relationships, and ensures compliance with insurance standards, laws, and client contracts.

Provides administrative and operational support to senior leadership and the Global Specialty Energy team. Responsibilities include claims management system support, billing and invoicing administration, expense processing, documentation management, executive assistance, event coordination, IT troubleshooting, and onboarding support. The role liaises with internal teams, insurers, brokers, clients, and other stakeholders to maintain accurate records and efficient business operations.

Provides administrative and clerical support for workers compensation claims, including entering new claims, updating notes and diaries, processing payments and mail, preparing correspondence, scheduling medical appointments, answering calls, and generating reports. Requires strong communication, organization, computer skills, and the ability to manage multiple priorities. A high school diploma or GED and six months of clerical or customer service experience are required. An on-site work arrangement and credit background check are required.

Examines and adjudicates California workers compensation claims, determining compensability, benefits, reserves, payments, and required documentation. Manages claim action plans through resolution, coordinates return-to-work efforts, handles subrogation, negotiates settlements, and processes complex medical claims. Communicates with claimants and clients, maintains accurate claim files and coding, supports quality programs, and maintains professional client relationships.

Analyzes lower-level general liability and physical damage claims under supervision, determines compensability and benefits, monitors reserves, processes documentation and payments, communicates with claimants and clients, and maintains accurate claim files and coding. The role requires strong communication, analytical, organizational, interpersonal, and computer skills, along with a high school diploma or GED and one year of general office experience. Claims experience is preferred.

Entry-level role training the associate to analyze workers compensation claims, determine compensability and benefits, adjust medical-only and minor lost-time claims, maintain accurate documentation and coding, process routine payments, communicate with claimants and clients, and support claims representatives handling complex cases. The position is hybrid in Hunt Valley or Largo, Maryland, with two office days and three remote days weekly.