Complex Claims Advisor | Dedicated Client | East Coast States

Sedgwick Claims Management Services Ltd; Marlton (NJ); Hybrid; USD 90,000 - 100,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k) on day one

PTO

Job summary

Sedgwick Claims Management Services Ltd in Marlton, NJ, seeks an experienced attorney to adjudicate complex customer claims and manage high-end litigation. You will develop strategies for satisfactory resolutions and collaborate across a national client network in a dynamic, supportive environment.

The role emphasizes flexible scheduling, potential remote work outside commutable distance, and opportunities for professional growth within a diverse benefits program.

Qualifications

• Ten or more years of litigation experience with five years in claims management.
• Knowledge of East Coast jurisdictions: NJ, PA, FL.
• Home state licensing preferred.
• Flexible work schedule and growth opportunities.
• Home state license preferred.

Responsibilities

• Review reports and forms, respond to inquiries, and seek appropriate resolutions.
• Handle high-end cases with serious injuries and complex coverage scenarios.
• Coordinate with client designees and local counsel as needed.
• Identify settlements, gather information, and monitor caseload.
• Participate in mediations, trials, arbitrations, or hearings when required.

Skills

Legal knowledge

Case management

Analytical thinking

Education

Bachelor's degree

Juris Doctorate (JD) preferred

Job description

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 Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Complex Claims Advisor | Dedicated Client | East Coast States

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands? Apply your litigation knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer‑facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations. Be a part of a rapidly growing, industry‑leading global company known for its excellence and customer service. Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights. Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. Enjoy flexibility and autonomy in your daily work, your location, and your career path. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

Are you an ideal candidate? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

WORK LOCATIONS Marlton, NJ - Hybrid schedule if within commutable distance to office Remote if outside of commutable distance to office

PRIMARY PURPOSE OF THE ROLE: To address and handle high end cases with serious injuries, complex coverage scenarios and legal inquiries or disputes; to develop a strategy to bring a case to satisfactory resolution.

Essential Responsibilities

• Reviews / acts on reports/forms; responds to inquiries; seeks legal opinion and early resolution; and communicates resolution to appropriate parties.
• Handles high end cases with serious injuries and/or complex coverage scenarios.
• Responds to decisions, agreement, and/or court order; creates action plan; determines need for examination; gains client authorization.
• Identifies cases for settlements/redemptions.
• Gathers/documents additional information and coordinates with client designees.
• Requests legal/private investigation; assigns to and coordinates with local counsel; monitors local counsel performance.
• Responds to plaintiff's counsel, union, employee, or client requests.
• Identifies issues and formulates defense strategy.
• Establishes/adjusts accrued liability and approves administrative expenses.
• Identifies subrogation opportunities and manages process.
• Attends and participates in mediations, trials, arbitrations or hearings as needed.
• Works with partners to affect early return-to-work.

Qualifications

• Education & Licensing: Bachelor's degree from an accredited college or university preferred.
• Juris Doctorate (JD) preferred.
• Experience: Ten (10) years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and experience required.
• Jurisdiction Knowledge: East Coast - NJ, PA & FL
• Licensing: Home state licensing preferred.
• 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.

Work Environment Requirements INCLUDE 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. Auditory/Visual: Hearing, vision and talking.

For the jurisdiction noted in this job posting only, the range of starting pay for this role is (90,000 - 100,000). 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.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.

#claimsexaminer #claims #hybrid #LI-REMOTE Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI‑enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com