Environmental Claims Advisor

Sedgwick

About The Position

The Environmental Claims Advisor analyzes complex or technically difficult environmental and liability claims, resolves highly complex or severe-injury claims, coordinates case management according to company standards, industry best practices, and client requirements, and manages total claim costs while delivering strong customer service. The role handles claims from investigation through resolution, including evaluating coverage, setting and monitoring reserves, negotiating settlements, coordinating legal defense, and identifying opportunities to reduce costs or recover funds. It also involves client communication, claim-file documentation, representing the company in legal proceedings as needed, and mentoring assigned staff.

Requirements

Eight years of claims management experience or an equivalent combination of education and experience.
Licenses as required.
In-depth knowledge of environmental liability insurance principles and applicable laws for the line of business handled, recoveries, offsets and deductions, claim duration, cost-containment principles, and applicable procedures.
Excellent oral and written communication and presentation skills.
Computer literacy, including Microsoft Office products.
Analytical and interpretive skills.
Strong organizational skills.
Excellent negotiation skills.
Good interpersonal skills.
Ability to work in a team environment.
Ability to meet or exceed Performance Competencies.
Ability to perform computer keyboarding and meet the role's hearing, vision, talking, clear and conceptual thinking, judgment, discretion, and deadline requirements.

Nice To Haves

Bachelor's degree from an accredited college or university.
Professional certification applicable to the line of business.

Responsibilities

Analyze and process complex or technically difficult environmental liability claims by investigating and gathering information to determine claim exposure, and manage claims through action plans to timely, appropriate resolution.
Conduct or assign full investigations and provide investigation reports concerning new events, claims, and legal actions.
Analyze applicable complex liability insurance coverage and policies.
Negotiate claim settlements up to the designated authority level.
Calculate and assign timely, appropriate reserves and monitor their adequacy throughout the claim life.
Recommend settlement strategies and develop structured settlement proposals as needed to maximize settlement.
Coordinate legal defense by assigning attorneys, supporting investigations, reviewing attorney invoices, and monitoring counsel compliance with client guidelines.
Use cost-containment techniques, including strategic vendor partnerships, to reduce overall client claim costs.
Identify and investigate potential fraud, subrogation, contribution, recovery, and case-management opportunities to reduce total claim costs.
Represent the company in depositions and mediations, and monitor trials as needed.
Communicate claim activity and processing to clients and maintain professional client relationships.
Ensure claim files are properly documented and claim coding is correct.
Refer cases to supervisors and management as appropriate.
Delegate work and mentor assigned staff.
Support the organization's quality programs.
Perform other duties as assigned.