
Sedgwick
Remote Jobs
650 Jobs
• Selbstständige Bearbeitung und Regulierung von Sach- und Haftpflichtschäden mit dem Schwerpunkt: Gebäudeschäden (Hoch- und Tiefbau). • Durchführung von Besichtigungen vor Ort sowie Schadenaufnahmen. • Sicherstellung einer qualitäts- und kundenorientierten Schadenbearbeitung. • Steuerung und Abstimmung mit allen relevanten Parteien (Versicherer, Versicherungsnehmer, Dienstleister, Gutachter etc.).
• Independent handling and settlement of property and liability claims, with a focus on building/property damage • Conducting on-site inspections and damage assessments • Preparation of expert reports, assessments and statements • Evaluation of causes of damage and estimation of repair/restoration costs • Coordination and communication with relevant parties (insurers, policyholders, service providers, experts) • Ensuring quality- and customer-oriented claims handling
• To analyze complex or technically difficult California workers' compensation claims to determine benefits due. • To work with high exposure claims involving litigation and rehabilitation. • To ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements. • To identify subrogation of claims and negotiate settlements.
• To partner with stakeholders to identify, scope, and execute advanced analytics and data science projects • to design data modeling processes, create algorithms, and predictive models • and to share insights that inform and enable business decisions • Builds, prototypes, and deploys machine learning models in production environments • Collaborates with product, technology, and other stakeholders to identify and scope data science projects • Communicates modeling challenges, findings, and outcomes to technical and non-technical stakeholders • Designs and implements end-to-end ETL (extract, transform, load) data pipelines integrating data from multiple data sources • Explores new internal and external data sources and assesses their commercial benefit • Mentors team members and serves as a subject matter expert in cross-functional discussions
Role Description To manage implementation of existing technology platforms, including JURIS, iVOS, IFN, SIR, OneTeam and other ancillary applications needed for new client start-ups. - Works with Implementation Manager and client to identify necessary technology components for new programs. - Develops and prepares information necessary for setup of appropriate systems to include: - JURIS parameters, structure and policy setup - Disability parameters - FMLA and Leave parameters - Benefit Plan matrix setup - Call Center setup including dissemination matrix - iVOS parameters - OneTeam Managed Care - SIR imaging - StrataWare bill review - VSR setup - viaOne Product Suite and OSHA - Additional ancillary or systems needed for the specified project - Works with Implementation Manager to engage project manager for custom projects. - Communicates activity progress to involved parties. - Alerts Implementation Manager to issues involving clients as appropriate. - Transitions program to Client Support Services (CSS) after implementation for ongoing maintenance. - Coordinates reverse implementation of systems technology upon loss of client. Qualifications - Bachelor's degree or equivalent from an accredited college or university preferred. - Major in business administration, statistics, information technology or quantitative analysis preferred. - Six (6) years of related experience required or equivalent combination of education and experience to include five (5) years of insurance-related experience (i.e. claims management, managed care). - Thorough knowledge of insurance-related procedures and/or managed care systems and operations. - Strong project management skills. - Strong statistical analysis skills. - Excellent oral and written communication, including presentation skills. - PC literate, including Microsoft Office products. - Analytical and interpretive skills. - Strong organizational skills. - Excellent negotiation skills. - Ability to work in a team environment. - Ability to meet or exceed Performance Competencies. Requirements - Physical: Computer keyboarding. - Auditory/visual: Hearing, vision and talking. - Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. Benefits - Career development and promotional growth opportunities. - A diverse and comprehensive benefits offering including medical, dental vision, 401k, PTO and more.
• Lead the Company’s IT Internal Audit program, including risk assessment, planning, execution, reporting, and follow-up. • Oversee and enhance Sedgwick’s IT SOX program, including testing strategy and assurance over IT general controls, automated controls, interfaces, reports, and other key technology-dependent controls. • Drive a risk-based IT audit plan focused on areas such as ERP systems, cybersecurity, infrastructure, cloud environments, third-party technology risk, and major system implementations. • Provide direct leadership over IT audit testing strategy, including approach, methodology, evidence expectations, and quality of execution. • Serve as a senior subject matter leader for SAP controls, including security, logical access, segregation of duties, privileged access, change management, configuration, interfaces, key reports, and automated controls. • Partner closely with Internal Audit leadership to ensure technology and SAP risks are appropriately addressed in broader financial, operational, and compliance audits. • Play an active role in Internal Audit’s involvement in Sedgwick’s global SAP S/4HANA transformation, helping assess: program governance, controls readiness, role design and access models, segregation of duties and mitigating controls, data migration and integration risks, testing and cutover readiness, post-implementation control sustainability. • Lead and directly review remediation validation for IT and SAP-related findings to ensure corrective actions are practical, effective, and sustainable. • Collaborate with management and external auditors on IT SOX and SAP controls, including testing coordination, issue resolution, and reliance discussions. • Communicate technology and controls risks clearly and effectively to senior leadership, with a practical, business-oriented perspective. • Help strengthen and modernize Internal Audit’s approach to auditing ERP transformation, digital risk, and enterprise technology change. • Build, mentor, and develop a high-performing team and foster strong collaboration across Internal Audit, IT, Finance, and business leadership.
Role Description The Senior DBA Advisor serves as the deep database technology advisor for strategic database work. The role focuses on: - Database engineering - Modernization planning - Technical design - Platform standards - Proof-of-concept execution - Migration strategy - Transition readiness for new or materially changed database solutions Operational production support and daily run activities are not the primary focus of this role; however, the role partners closely with operational/vendor database teams to ensure new solutions can be supported effectively after implementation. Qualifications - Bachelor's degree or equivalent preferred; computer-related major preferred - Associate degree in computer-related study plus two (2) years computer-related experience strongly preferred - Eight years of related experience or equivalent combination of education and experience required, including engineering or database architecture experience - Three or more years of experience in hands-on database administration on enterprise-scale Progress OpenEdge database - Experience with enterprise database platforms such as Oracle, SQL Server, Progress OpenEdge, PostgreSQL, MariaDB, Snowflake, SAP HANA, or similar technologies preferred - Experience supporting database modernization, cloud migration, platform transformation, application integration, high availability, disaster recovery, replication, automation, or data movement initiatives preferred - Excellent oral and written communication, including presentation skills - PC literate, including Microsoft Office products - Analytical and interpretive skills - Strong organizational skills - Good interpersonal skills - Ability to work in a team environment - Ability to meet or exceed Performance Competencies Requirements - Develops, implements, and maintains the database system ensuring stability and capability to meet ongoing business needs - Develops, revises, and implements policies, standards, procedures, and guidelines for database administration - Serves as the senior database subject matter expert for enterprise initiatives - Leads database design and engineering for new applications and major enhancements - Develops and recommends database platform patterns and implementation guidelines - Partners with various teams to translate business and technical requirements into database solution designs - Evaluates database technologies and recommends adoption strategies - Leads proof-of-concept activities and technical evaluations - Defines database migration and modernization approaches - Provides technical leadership for database-related components of strategic projects - Reviews and provides guidance on database designs and performance considerations - Identifies technical risks and communicates recommendations - Partners with vendor database teams for smooth transition of solutions into production support Benefits - Work-life balance - Caring culture - Opportunities for career growth
• Serve as a key coordination point between Clinical Operations, Legal, Compliance, Licensing, and business stakeholders. • Interpret regulatory updates and translate them into operational guidance. • Support utilization review and clinical pharmacy compliance activities. • Coordinate audit and accreditation readiness. • Ensure regulatory communications, documentation, appeals, complaints, and operational processes are accurate.
• The Sr Business Analyst supports product teams by translating business needs and product priorities into detailed, actionable requirements and execution plans. • Partnering closely with the Product Manager, this role refines and manages the product backlog, supports prioritization, and ensures delivery aligns with intended business outcomes. • The Business Analyst may execute delegated Product Manager activities when capacity or capability constraints exist and play a key role in validating delivered functionality, tracking outcomes, and supporting product execution. • Partners with Product Managers on backlog refinement and prioritization, including sequencing work based on value dependencies and capacity. • Defines the development-ready stories and requirements by breaking down epics and features into user stories, defines acceptance criteria, and documents high‑level non‑functional requirements. • Executes the delegated Product Managers’ responsibilities when the PM capacity or capability is limited, ensuring continuity of product execution. • Collaborates with development teams and Solution Architects to ensure stories are well understood and aligned with business outcomes. • Validates solutions aligned to the business units by participating in and supporting User Acceptance Testing to confirm delivered functionality meets defined requirements and acceptance criteria. • Measures visibility into delivery and outcomes by tracking and reporting on stakeholders to surface risks, dependencies, and performance insights.
Role Description To determine account management strategies related to client service plans; to be responsible for retention of existing clients, customer satisfaction, revenue growth, client surveys, and new business; to provide program management for jumbo clients requiring dedicated staff, multiple offices and complex service models; and to oversee the work of other local Client Services staff. Essential Functions and Responsibilities - Provides stewardship reporting to clients; identifying and educating clients on issues and trends impacting programs. - Conducts pre-renewal visits reviewing client loss experience and general company performance. Reviews and identifies areas of potential dissatisfaction prior to renewal meetings. - Performs client renewal, contract revision, and Client Service Instruction preparation for complex programs. - Negotiates changes or improvements to service plan. - Facilitates the reduction of process barriers, technology constraints, or resource constraints by directing and influencing the activities of other internal departments such as information technology, operations and business development. - Coordinates client invoicing, audits and accounts receivable follow up for assigned clients. - Resolves all major customer service issues. - Identifies and solicits cross-selling opportunities. - Participates in local insurance community through advanced education and affiliation memberships. - Supervises and directs personnel assigned to programs requiring multiple Account Representatives. - Ensures compliance with all applicable Quality initiatives. Additional Functions and Responsibilities - Performs other duties as assigned. - Supports the organization's quality program(s). - Travel as required. Supervisory Responsibilities - Provides support, guidance, leadership and motivation to promote maximum performance. - Administers company personnel policies in all areas and follows company staffing standards and training recommendations. - Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions. Qualifications - Bachelor's degree from an accredited college or university preferred. - CPCU, AIC and/or ARM or other related designation preferred. - Ten (10) years related experience or equivalent combination of education and experience required to include two (2) years account manager experience or five (5) years adjuster experience including two (2) years in a supervisory capacity. - 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 and facilitation skills. - Leadership/management/motivational skills. - Ability to work in a team environment. - Excellent account rounding ability. - Strong understanding of workers compensation, liability and disability claims management. - In-depth knowledge of client servicing. - Ability to handle conflict and confront challenging issues in a fast work environment. - Ability to meet or exceed Performance Competencies. Work Environment - 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.
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