Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Complex Claims Analyst Advisor

Sedgwick

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

Complex Claims Analyst Advisor

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?

  • Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.

  • Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations.

  • Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.

  • Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights.

  • Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.

  • Enjoy flexibility and autonomy in your daily work, your location, and your career path.

  • Access diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs.

ARE YOU AN IDEAL CANDIDATE? To develop targeted solutions and provide added technical guidance and oversight to ensure matters are resolved optimally while creating a culture of continual quality improvement designed to elevate the overall claim handling to benefit our stakeholders.

PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

  • Proactively and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional expertise to provide oversight, and directs the handling to achieve the best possible resolution.

  • Acts as the organizational subject matter expert for line of business and key jurisdictions on complex claim issues.

  • Uses knowledge of all aspects of claims handling in evaluating exposure; recommends and directs action plans for issue or case resolution.

  • Articulates and documents clear and concise file notes to allow stakeholders to understand the issues and path to resolution.

  • Facilitates roundtables with groups/teams; engages appropriate internal and external resources as needed.

  • Provides technical leadership on and maintains co-ownership of complex claim issues; through further influence creates a culture of continual quality improvement.

QUALIFICATIONS

  • Education & Licensing: 5 years of claims management experience or equivalent combination of education and experience required.

  • High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.

  • Professional certification as applicable to line of business preferred.

TAKING CARE OF YOU

Flexible work schedule.

Referral incentive program.

Career development and promotional growth opportunities.

A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

WORK ENVIRONMENT REQUIREMENTS INCLUDE

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental:?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; and ability to meet deadlines

Physical:?Computer keyboarding

Auditory/Visual: Hearing, vision and talking

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

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Complex Claims Analyst Advisor in Pittsburgh, PA vacancy
  •  ...Foreclosure Claims Specialist Once foreclosure representative completes the foreclosure steps, the file is then given to the claims...  ...and FHLMC. This position requires the application of various complex methods, procedures, and knowledge of the business unit's product... 
    Suggested
    Full time
    Local area
    Shift work

    Citizens Financial Group, Inc.

    Pittsburgh, PA
    1 day ago
  • $67k - $110.6k

     ...Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range...  ...will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials... 
    Suggested
    Contract work
    Local area
    Relocation package

    Travelers Insurance

    Pittsburgh, PA
    22 hours ago
  •  ...thriving organization! We are seeking an experienced Casualty Claims Specialist! The Casualty Claims Specialist will be...  ...settlement of automobile bodily injury claims. They will settle complex liability claims which require greater investigation and verification... 
    Suggested
    Full time
    Work at office

    First Chicago Insurance Company

    Pittsburgh, PA
    4 days ago
  •  ...Above average communication skills (written and verbal) Ability to write reports and compose correspondence Ability to resolve complex issues Continually develop product knowledge through participation in approved educational programs Benefits Auto-... 
    Suggested
    Traineeship
    Local area
    Work from home

    Auto-Owners Insurance Group

    Pittsburgh, PA
    2 days ago
  • $55k - $157.3k

     ...Exercises some exception and elevated approval authority. Prepares loan offerings for all types of transactions at any level of complexity or in management of a portfolio as assigned. Interacts with internal/external customers. Provides recommendations for credit structuring... 
    Suggested
    Full time
    Temporary work
    Part time
    Work experience placement
    Work at office

    PNC

    Pittsburgh, PA
    1 day ago
  •  ...oversight. Exercises exception and elevated approval authority. Prepares loan offerings for all types of transactions at any level of complexity or in management of a portfolio as assigned. Interacts with internal/external customers. Serves as a subject matter expert for... 
    Full time
    Temporary work
    Part time
    Work experience placement
    Work at office
    Remote work
    Work from home

    PNC

    Pittsburgh, PA
    2 days ago
  •  ...incumbent provides the highest quality of service to every customer. The incumbent typically works on loans/portfolios of medium complexity as the incumbent's work requires some oversight. Primary Responsibilities: Analyzes the creditworthiness of borrowers, identifies... 
    Work at office

    First National Bank of Pennsylvania

    Pittsburgh, PA
    1 day ago
  •  ...oversight. Exercises exception and elevated approval authority. Prepares loan offerings for all types of transactions at any level of complexity or in management of a portfolio as assigned. Interacts with internal/external customers. Serves as a subject matter expert for... 
    Full time
    Temporary work
    Part time
    Work experience placement
    Work at office

    PNC

    Pittsburgh, PA
    7 days ago
  • $99k - $232k

     ...to 60% The Opportunity As a Property & Casualty Insurance Claims Operations Consultant, Manager, you will play a pivotal role in...  ...Implementing technology solutions in insurance operations Managing complex projects with a focus on client satisfaction Leading teams... 
    Full time
    H1b

    PwC

    Pittsburgh, PA
    1 day ago
  • $50k - $55k

     ...Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto PRIMARY PURPOSE OF THE ROLE: To analyze...  ...unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com
    Contract work
    Work at office
    Flexible hours

    Sedgwick

    Pittsburgh, PA
    2 days ago
  • $67k - $110.6k

     ...for handling Personal and Business Insurance Auto Bodily Injury claims from the first notice of loss through resolution/settlement and...  ...for multiple state jurisdictions. Claim types include moderate complexity Bodily Injury claims. Provides quality claim handling... 
    Contract work
    Relocation package

    VetJobs

    Pittsburgh, PA
    8 days ago
  • $98.5k - $215k

     ...Director - Construction Professional Liability you will handle complex new and renewal domestic Construction Professional Liability accounts...  ...or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR Zurich Certified Insurance Apprentice... 
    Full time
    Apprenticeship
    Work at office
    Local area
    Remote work
    Visa sponsorship

    Zurich NA

    Pittsburgh, PA
    16 hours ago
  • $72k - $82k

     ...Workers Comp Senior Claims Representative National Interstate is a member of Great American Insurance Group. As one of the leading...  ...arbitrations, mediations, depositions, or trials. Conveys moderately complex information regarding coverage and settlements to insureds,... 
    Full time
    Part time
    Seasonal work
    Live out
    Work at office
    Local area
    Remote work

    National Interstate

    Pittsburgh, PA
    5 days ago
  • $52.6k - $86.8k

     ...Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range...  ...will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials... 
    Work experience placement
    Internship
    Local area

    Travelers Insurance

    Pittsburgh, PA
    22 hours ago
  • Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job schedules surgeries, tests, procedures, and office visits; obtains authorizations from insurance carriers. ESSENTIAL RESPONSIBILITIES: Schedules and coordinates...
    For contractors
    Work at office
    Local area

    Highmark Health

    Coraopolis, PA
    6 days ago
  •  ...Pharmacy Benefits /Insurance Claims Specialist | Onsite- Pittsburgh Pittsburgh, PA Blink Health is the fastest growing healthcare...  ...functionally Strong technical aptitude and ability to learn complex new software Location/Hours: ~ On-site: 5 Penn Center... 
    Shift work
    Rotating shift

    Blink Health

    Pittsburgh, PA
    3 days ago
  •  ...curiosity, proactivity, and a strong desire to solve problems, learn quickly, and make a meaningful impact on patients navigating complex healthcare systems; regardless of career stage. This is a fully On-site role in Robinson Township, Pittsburgh What You’ll Do... 
    Hourly pay
    Full time
    Monday to Friday
    Shift work
    Rotating shift

    BlinkRx

    Pittsburgh, PA
    3 days ago
  •  ...Strategic Technical Underwriting Independently underwrite complex middle market risks across multiple lines of business, including...  ...decisions. Collaborate with internal partners such as Loss Control, Claims, and Actuarial to incorporate technical insights into account-... 
    Full time
    Night shift

    Berkley

    Sewickley, PA
    7 days ago
  • $58.98k - $88.46k

     ...multiple priorities in a dynamic research environment. Job Summary: Performs pre- and post-award accounting duties for very complex grants and contracts. Prepares, negotiates, and monitors very complex grants, contracts, subcontracts, and budgets. Prepares complex... 
    Full time
    Work at office
    Relocation
    Visa sponsorship
    Free visa
    Monday to Friday

    University of Pittsburgh

    Pittsburgh, PA
    4 days ago
  •  ...Description Property Adjusters investigate commercial property claims, evaluate damages, determine coverage, set accurate loss cost...  ...requirements. Negotiate settlement of claims with varying complexity and perils. Training is a critical component to your success... 
    Local area

    Liberty Mutual Insurance

    Pittsburgh, PA
    16 hours ago
  • $80k - $110k

     ...for current and prospective clients with complex benefit programs. Financial deliverables...  ...include financial and contractual analysis, claims utilization analysis and modeling,...  ...Mentor and assist with training junior analysts/account managers Set priorities for analytical... 
    Immediate start
    Flexible hours

    Acrisure

    Pittsburgh, PA
    2 days ago
  •  ...Location Remote Who We Are EHS Support is a specialty environmental consulting firm that provides solutions to complex environmental, health, and safety challenges across a range of market sectors and industries. With experts located throughout the United... 
    Temporary work
    Remote work
    Flexible hours

    EHS Support

    Pittsburgh, PA
    4 days ago
  • $24.5 - $26 per hour

     ...Come join our amazing team and work remote from home! The Default FHA Claims QA Analyst II will work under moderate supervision, responsible for reviewing FHA mortgage insurance claims for accuracy and submitting the claim form for filing. Performs all duties in accordance... 
    Remote work
    Work from home

    Carrington

    Coraopolis, PA
    4 days ago
  •  ...Gallagher Bassett Claims Adjuster At Gallagher Bassett, we're there when it matters most because helping people through challenging...  ...our job, it's our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real... 
    Live out
    Work at office
    Local area
    Remote work
    Flexible hours

    Arthur J. Gallagher & Co.

    Pittsburgh, PA
    4 days ago
  •  ...Location: Tarentum, PA Department: Claims Department At Blackburn's Physicians Pharmacy, our mission is simple: People first, Be kind, & Work together, for our patients, our employees, and our community . We are seeking a detail-oriented and motivated Claims... 

    BLACKBURN'S

    Indianola, PA
    3 days ago
  •  ...UPMC WorkPartners is hiring a full-time Lost Time Claims Specialist II! This role will predominantly work remotely, Monday - Friday daylight hours. The selected candidate for this role will need to have their West Virginia workers comp adjuster license. The UPMC... 
    Full time
    Remote work
    Monday to Friday

    UPMC Senior Communities

    Pittsburgh, PA
    4 days ago
  • $225k - $270k

     ...in our dynamic Pittsburgh office. The ideal candidate will have substantial experience counseling and representing policyholders in complex insurance coverage litigation, including arbitrations. Qualifications: • Juris Doctor (J.D.) degree from an accredited law... 
    Full time
    Temporary work
    Work at office
    Local area
    Remote work
    Relocation
    Flexible hours

    K&L Gates LLP

    Pittsburgh, PA
    16 hours ago
  •  ...Insurance Reimbursement Specialist Help turn insurance complexities into patient access as an Insurance Reimbursement Specialist. In this role, you’ll help clear the path between coverage, approval, and critical treatment to help make sure patients receive the medications... 
    Work at office
    Shift work

    HRT Solutions

    Sewickley, PA
    2 days ago
  •  ...is based in Pittsburgh, PA. Accountabilities: Lead large complex negotiations, across multiple sourcing requirements. Ensure...  ...skill, knowledge and experience in complex negotiations, including claims Strategic/critical thinking skills, including risk... 
    Contract work
    Temporary work
    For subcontractor
    Local area
    Flexible hours

    Hitachi

    Pittsburgh, PA
    2 days ago
  •  ...seeking a Grants & Contracts Specialist III (Pre & Post Award) employee who will: Perform pre and post award accounting duties for complex grants and contracts not limited to overseeing the processing of invoices, conducting complex cost analyses, re-budgeting projects,... 
    Full time
    Work at office
    Remote work
    Relocation
    Visa sponsorship
    Free visa
    Monday to Friday

    University of Pittsburgh

    Pittsburgh, PA
    16 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Complex Claims Analyst Advisor. Be the first to apply!