Complex Claims Advisor | Dedicated Client | East Coast States

Sedgwick • Marlton, NJ

5d • $90,000 - $100,000 • Hybrid

About The Position

The Complex Claims Advisor handles high-end claims involving serious injuries, complex coverage scenarios, and legal inquiries or disputes, and develops strategies to bring cases to satisfactory resolution. The role applies litigation knowledge to adjudicate complex customer claims and deliver customer-facing solutions to clients. The position is hybrid for employees within commuting distance of the Marlton, New Jersey office and remote for those outside commuting distance.

Requirements

• Ten years of experience handling litigation, including five years of claims management experience, or an equivalent combination of education and experience.
• Knowledge of East Coast jurisdictions, specifically New Jersey, Pennsylvania, and Florida.

Nice To Haves

• Bachelor's degree from an accredited college or university.
• Juris Doctorate (JD).
• Home state licensing.

Responsibilities

• Review and act on reports and forms, respond to inquiries, seek legal opinions and early resolution, and communicate resolutions to appropriate parties.
• Handle high-end cases involving serious injuries and/or complex coverage scenarios.
• Respond to decisions, agreements, and court orders; create action plans; determine the need for examinations; and obtain client authorization.
• Identify cases for settlements or redemptions.
• Gather and document additional information and coordinate with client designees.
• Request legal counsel or private investigations; assign and coordinate work with local counsel; and monitor local counsel performance.
• Respond to requests from plaintiff's counsel, unions, employees, or clients.
• Identify issues and formulate defense strategies.
• Establish or adjust accrued liability and approve administrative expenses.
• Identify subrogation opportunities and manage the process.
• Attend and participate in mediations, trials, arbitrations, or hearings as needed.
• Work with partners to facilitate early return-to-work.

Benefits

• Flexible work schedule.
• Referral incentive program.
• Career development and promotional growth opportunities.
• Medical, dental, and vision benefits.
• 401(k) with matching.
• Paid time off (PTO).
• Disability and life insurance.
• Employee assistance.
• Flexible spending or health savings account.
• Additional voluntary benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed