Senior Complex Claims Strategist - CA OSIP Expert

Sedgwick; Sacramento (CA); Hybride; USD 95 000 - 100 000; Plein temps

Avantages offerts par ce poste

Flexible work schedule

Referral incentive program

Career development and promotional 성장

Medical, dental, vision, 401K on day 1

Résumé du poste

Sedgwick seeks a California expert in workers’ compensation to act as a department subject matter expert, guiding the complex claims team and elevating quality. You will adjudicate highly complex claims, provide technical leadership, and mentor claim consultants, adjusters, and team leads while driving continual improvement.

The role offers a hybrid work model, extensive development opportunities, and a comprehensive benefits package, including OSIP-related requirements.

Qualifications

• Bachelor's degree preferred.
• Industry designation(s) preferred.
• Licenses as required for specific jurisdictions.
• California expert with OSIP Certification.
• Specializing in litigation strategy and resolution.

Responsabilités

• Proactively and strategically oversee a complex claim inventory by assessing highly complex claims issues, utilizing jurisdictional expertise, providing oversight, and helping direct the handling to achieve the best possible resolution.
• Assists the claims team as their subject matter expert to assist in addition to lines 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; creates a culture of continual quality improvement through further influence.
• Assists in the evaluation and development of policies and procedures.
• Mentors and provides guidance to the complex claim consultants, adjusters and team leads
• Leads calibration exercises ensuring consistency through the exchange of ideas and strategies.

Connaissances

Complex claims handling

Jurisdictional expertise

Leadership/mentorship

OSIP familiarity

Formation

Bachelor's degree

Outils

OSIP Certification

Description du poste

Sedgwick seeks a California expert in workers’ compensation to act as a department subject matter expert, guiding the complex claims team and elevating quality. You will adjudicate highly complex claims, provide technical leadership, and mentor claim consultants, adjusters, and team leads while driving continual improvement.

The role offers a hybrid work model, extensive development opportunities, and a comprehensive benefits package, including OSIP-related requirements.