Pipeline Operator - Coverage

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

PRIMARY PURPOSE :

Effective adjudication of specialized multi line general liability claims of various complexities within company standards and industry best practices.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Manage all aspects of general liability claims to include establishing coverage whether through primary or excess policies.
• Complete investigation to include any statutory or contractual requirements to assess liability and exposure.
• Evaluate damages and manage reserves based on recent developments of the file for most probable outcomes.
• Manage any subrogation or tender opportunities.
• Provide high level of quality customer service by communication with the client and the parties involved.
• Ensure claim files are properly documented.
• Manage litigated claims by attending virtually to any legal proceedings. Securing budgets and case evaluations.
• Negotiate and settle claims within the delegated authority.
• Complete any reporting that is required.
• Maintain professional client relationships.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Perform other duties as assigned.
• Support the organization's quality program(s).
• Travel as required.

QUALIFICATION

Education & Licensing

Bachelor's degree or college diploma preferred.

Experience

Four (4) years of claims management experience or equivalent combination of education and experience required.

Skills & Knowledge

• Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles.
• Excellent oral and written communication.
• PC literate, including Microsoft Office products.
• Analytical and interpretive skills.
• Strong organizational skills.
• Good interpersonal skills.
• Ability to work in a team environment.
• Ability to meet or exceed Service Expectations.

We are committed to inclusive, barrier-free recruitment and selection processes. If contacted for an employment opportunity, please advise Colleague Resources if you require accommodation.

Sedgwick is an Equal Opportunity Employer.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Sedgwick retains the discretion to add or to change the duties of the position at any time.