Remote Environmental Claims Advisor

Sedgwick; Santa Fe (NM); Remote; USD 140,000 - 171,000; Full time

Job summary

Sedgwick is seeking an Environmental Claims Advisor to analyze complex environmental liability claims and manage cost outcomes. The role involves investigating claims, coordinating with legal defense, and applying cost-containment strategies to reduce overall claim costs while delivering strong client service.

Ideal candidates have extensive claims management experience, a bachelor's degree (preferred), and appropriate licenses.

Qualifications

• Eight (8) years of claims management experience or equivalent combination of education and experience required.
• Bachelor's degree from an accredited college or university preferred.
• Licenses as required.
• Professional certification as applicable to line of business preferred.

Responsibilities

• Analyzes and processes complex or technically difficult environmental liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
• Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions.
• Analyzes applicable complex liability insurance coverage and policies.
• Negotiates claim settlement up to designated authority level.
• Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life.
• Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement.
• Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines.
• Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients.
• Identifiers and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost.
• Represents Company in depositions, mediations, and trial monitoring as needed.
• Communicates claim activity and processing with the client; maintains professional client relationships.
• Ensures claim files are properly documented and claims coding is correct.
• Refers cases as appropriate to supervisor and management.
• Delegates work and mentors assigned staff.
• Performs other duties as assigned.
• Supports the organization's quality program(s).

Skills

Env liability knowledge

Communication skills

MS Office

Analytical thinking

Organizational skills

Negotiation skills

Interpersonal skills

Teamwork

Performance skills

Education

Bachelor's degree preferred

8+ years claims management experience

Job description

Sedgwick is seeking an Environmental Claims Advisor to analyze complex environmental liability claims and manage cost outcomes. The role involves investigating claims, coordinating with legal defense, and applying cost-containment strategies to reduce overall claim costs while delivering strong client service.

Ideal candidates have extensive claims management experience, a bachelor's degree (preferred), and appropriate licenses.