Complex Claims Advisor; REMOTE - NC license

Complex Claims Advisor (REMOTE)

Sedgwick is seeking a Complex Claims Advisor to manage and resolve high‑complexity casualty claims from our global client portfolio. The role requires strategic oversight, subject‑matter expertise, and a commitment to quality improvement.

By joining Sedgwick, you’ll be part of a global leader in claims management, known for excellence and a caring culture. We value work‑life balance, continuous learning, and innovation.

• Proactively manage a complex claim inventory, assessing issues and directing resolution to achieve optimal outcomes.
• Serve as the organizational subject‑matter expert for line of business and jurisdictional claim issues.
• Evaluate exposure, recommend action plans, and document clear file notes for stakeholders.
• Facilitate round tables and engage internal/external resources as needed.
• Provide technical leadership, co‑ownership of claim issues, and drive continuous quality improvement.
• Perform additional duties as assigned and support the organization’s quality programs.
• Travel as required.

Education & Licensing

• Bachelor’s degree preferred; industry designation(s) preferred.
• Required licenses for specific jurisdictions.

Experience

• Eight (8) years of casualty claims experience or equivalent combination of education and experience.
• Three (3) to five (5) years of experience handling complex claims.
• Experience in negotiation, mediation, arbitration or ADR on higher‑value complex claims.
• Supervisory experience a plus; specific jurisdictional expertise preferred.

• Flexible remote work schedule.
• Referral incentive program.
• Career development and promotional growth opportunities.
• Comprehensive benefits including medical, dental, vision, and 401(k) from day one.

Sedgwick is an Equal Opportunity Employer and a Drug‑Free Workplace.