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

PRIMARY PURPOSE: Leads the recovery team which pursues potential subrogation recoveries arising from claims across all jurisdictions and lines of business. 

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Ensures compliance with established recovery procedures and standards.
• Maintains quality control.
• Conducts periodic file reviews of team members' files.
• Acts as first-line authorization for litigation, including appeals, on any recovery claim.
• Authorizes payment of bills over the delegated authority of the reviewer.
• Provides guidance to colleagues on how to handle subrogation counsel for high complex cases and handles escalations.
• Schedules client file reviews and actively participates in discussions of subrogation resolution.
• Provides guidance on claim payments as needed and conducts audits to ensure colleagues are adhering to specified guidelines.
• Provides subrogation guidance and direction to both internal and external stakeholders in order to maximize recovery efforts in alignment with client, financial and jurisdictional strategy and guidelines. 
• Oversees colleague preparation of client status report. Handles escalations and provides additional layer subrogation expertise as needed to the colleagues.
• Provides team guidance regarding the litigation process to ensures timely and cost-effective resolution.
• Develops training material and leads department training opportunities.
• Provides team guidance to ensure appropriate cost containment techniques, including strategic vendor partnerships, to reduce overall cost of claims for our clients.
• Conducts supervisory claim reviews in accordance with service expectations.
• Supports leadership and team inventory initiative by conducting ongoing reviews of colleague workloads; notes trends and suggests adjustments when necessary.
• Leads team meetings and assigns accountability for follow-up items.
• Assists in gathering important compliance/claims processing information to be presented at team meetings.

ADDTIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.

SUPERVISORY RESPONSIBILITIES

• Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
• Assists with interviews, hires and establishes colleague performance development plans; conducts colleague performance reviews.
• Provides support, guidance, leadership and motivation to promote maximum performance.

QUALIFICATIONS

Education & Licensing
Bachelor's degree from an accredited college or university preferred. Licenses as required.

Experience
Six (6) years of claims experience or equivalent combination of experience and education required.

Skills & Knowledge

• Technical knowledge of recovery requirements
• Excellent oral and written communication, including presentation skills
• PC literate, including Microsoft Office products
• Analytical and interpretive skills
• Strong organizational skills
• Excellent interpersonal skills
• Excellent negotiation skills
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT
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, travel as required

Auditory/Visual: Hearing, vision and talking

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. Management retains the discretion to add or to change the duties of the position at any time.

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.