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Sedgwick Claims Management Services

Sedgwick Claims Management Services

10,001+ employees

Claims management and risk solutions provider

Financial Services
Healthcare

Entry

Atlanta, GA, USA

Category
Insurance
Finance & Banking
Requirements
  • Bachelor's degree from an accredited college or university preferred.
  • Obtain IIA-AIC designation within 12 to 18 months.
  • Appropriate state adjuster license is required.
  • Strong oral and written communication, including presentation skills
  • PC literate, including Microsoft Office products
  • Demonstrated commitment to timely reporting
  • Strong customer service skills
  • Strong interpersonal skills
  • Attention to detail and accuracy
  • Good time management and organizational skills
  • Ability to work independently or in a team environment
  • Ability to meet or exceed Performance Competencies
  • Credit security clearance, confirmed via a background credit check, is required for this position.
Responsibilities
  • Examines insurance policies and other records to determine insurance coverage.
  • Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim.
  • Consults police and hospital records and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance.
  • Estimates cost of repair, replacement, or compensation.
  • Prepares report of findings and negotiates settlement with claimant.
  • Recommends litigation by legal department when settlement cannot be negotiated.
  • Attends litigation hearings.
  • Revises case reserves in assigned claims files to cover probable costs.
  • Assists in preparing loss experience report to help determine profitability and calculates adequate future rates.
  • Performs other duties as assigned.
  • Supports the organization's quality program(s).
  • Travels as required.
Sedgwick Claims Management Services

Sedgwick Claims Management Services

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Sedgwick specializes in claims management and risk solutions for the insurance and corporate sectors. The company assists organizations in efficiently managing and resolving various types of claims, including property damage and employee injuries. Sedgwick's services include clinical case management, where they oversee the medical care of injured employees, and provide networks to improve outcomes. They charge fees for their services, which range from initial claims assessment to ongoing case management, and also offer specialized services like home inspections and property appraisals. What sets Sedgwick apart from competitors is its strong emphasis on diversity, equity, and inclusion, which is a core value that enhances its service delivery. The company's goal is to provide comprehensive solutions that help clients reduce costs and improve efficiency in the claims process while caring for people.

Company Stage

Growth Equity (Non-Venture Capital)

Total Funding

$488.1M

Headquarters

Memphis, Tennessee

Founded

N/A

Simplify Jobs

Simplify's Take

What believers are saying

  • Sedgwick's expansion into global marine and aviation claims management demonstrates its ability to adapt and grow in specialized markets.
  • The launch of AI-powered care guidance applications showcases Sedgwick's commitment to leveraging technology for improved claims outcomes.
  • The company's strong leadership and strategic appointments, such as the promotion of Ronnie Adcock and the appointment of Paul Burns, indicate a focus on experienced and capable management.

What critics are saying

  • The retirement of long-time Executive Chairman Dave North could lead to a period of strategic uncertainty and transition challenges.
  • The complex and evolving legal landscape, as highlighted in Sedgwick's liability litigation report, poses ongoing challenges for effective claims management.

What makes Sedgwick Claims Management Services unique

  • Sedgwick's comprehensive managed care and cost containment solutions, including clinical case management, set it apart from competitors who may not offer such integrated services.
  • The company's strong emphasis on diversity, equity, and inclusion (DEI) enhances its ability to serve a wide range of clients and communities effectively.
  • Sedgwick's global reach and specialized services in sectors like marine and aviation claims management provide a unique competitive edge.

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