Sedgwick

Complex Claims Advisor

Sedgwick
Posted 10/20/2026full-timeUnited StatesSeniorLead💰 $90,000 - $100,000 per yearWebsite
Apply

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates extensive experience in litigation and claims management, with a strong ability to develop strategies for case resolution and manage complex legal inquiries. Proficient in coordinating with legal counsel and stakeholders while maintaining excellent judgment and problem-solving skills.

Highest-signal resume keywords
Litigation ManagementClaims ManagementLegal Strategy DevelopmentEast Coast Jurisdictions KnowledgeJuris Doctorate (JD)

About the role

Key responsibilities & impact
  • Address and handle high-end cases involving serious injuries, complex coverage scenarios, and legal inquiries or disputes
  • Develop strategies to bring cases to satisfactory resolution
  • Review and act on reports/forms and respond to inquiries
  • Seek legal opinions and early resolution, and communicate resolutions to appropriate parties
  • Respond to decisions, agreements, and/or court orders
  • Create action plans, determine the need for examinations, and gain client authorization
  • Identify cases for settlements/redemptions
  • Gather and document additional information and coordinate with client designees
  • Request legal/private investigations
  • Assign work to and coordinate with local counsel, and monitor local counsel performance
  • Respond to plaintiff's counsel, union, employee, or client requests
  • Identify issues and formulate defense strategies
  • Establish/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

Requirements

What you’ll need
  • Bachelor's degree from an accredited college or university preferred
  • Juris Doctorate (JD) preferred
  • Ten (10) years of experience handling litigation, including 5 years of claims management experience, or equivalent combination of education and experience required
  • Knowledge of East Coast jurisdictions: NJ, PA & FL
  • Home state licensing preferred
  • Clear and conceptual thinking ability
  • Excellent judgment, troubleshooting, problem-solving, analysis, and discretion
  • Ability to handle work-related stress
  • Ability to handle multiple priorities simultaneously
  • Ability to meet deadlines
  • Computer keyboarding
  • Hearing, vision, and talking

Benefits

Comp & perks
  • Flexible work schedule
  • Referral incentive program
  • Career development and promotional growth opportunities
  • Medical, dental, and vision benefits
  • 401K on day one
  • 401K matching
  • Paid time off (PTO)
  • Disability insurance
  • Life insurance
  • Employee assistance
  • Flexible spending or health savings account
  • Other additional voluntary benefits
  • Hybrid/remote work flexibility
  • Reasonable accommodations where applicable

ATS Keywords

✓ Tailor your resume
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
LitigationClaims ManagementLegal AnalysisCase Resolution StrategiesSubrogation ManagementAccrued Liability AssessmentLegal InvestigationsMediation ParticipationTrial PreparationCourt Order Compliance
Soft Skills
Excellent JudgmentProblem-SolvingClear ThinkingDiscretionStress Management
Tools & Technologies
Computer Keyboarding
Certifications & Qualifications
Juris Doctorate (JD)Home State Licensing
Industry Keywords
East Coast JurisdictionsNew JerseyPennsylvaniaFloridaLegal InquiriesComplex CoverageClient CoordinationPlaintiff's Counsel InteractionMediationsArbitrations