This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Senior Claims Specialist works within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. This position primarily manages a caseload of commercial licensed veterinarian board complaints handled under the veterinary professional liability policy. The role also involves determining liability and compensability, assessing losses, and negotiating settlements for claims including agents’ errors and omissions, employment practices liability, sexual assault and molestation, human trafficking, and employee benefits liability. - Plans and conducts investigations of claims, including activities such as interviewing insureds, witnesses, and claimants, collecting and evaluating appropriate documentation, securing evidence, and protecting the chain-of-custody. - Analyzes and confirms coverage to determine liability, compensability, and damages; determines need for and engages independent adjusters, cause and origin experts, and independent medical examiners. - Refers claims to subrogation group or Special Investigations Unit as appropriate. - Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves as necessary during the processing of the claim. - Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims. - Coordinates the litigation activities associated with assigned claims to ensure a timely and cost-effective resolution; attends trials as a representative of the company. - Participates in conducting Roundtables, Arbitrations, Mediations, field investigations, and may assist in conducting closed file reviews. - Performs other duties as assigned. Qualifications - Excellent interpersonal skills to communicate and negotiate with customers and conduct investigations required. - Leadership ability and demonstrated time management skills to delegate work appropriately and organize resources effectively. - Demonstrates an advanced knowledge of claims case handling practices, legal liability, general insurance policy coverage, and the state’s tort laws as normally acquired through a bachelor’s degree (or equivalent training) plus 3 to 5 years directly related work experience. - Required to obtain and maintain all applicable licenses; Helmsman licenses are required. Benefits - Comprehensive benefits that support your life and well-being. - Workplace flexibility and professional development opportunities. - Opportunities provided through Employee Resource Groups.

• Investigate, evaluate, and negotiate auto claims, CPI and GAP • Determine the extent of liability by interpreting and calculating settlement • Issue settlement payments to the Named Insured • Perform functions associated with disposition and settlement of claims • Gather and assemble pertinent claim information by contacting lenders, auto dealers, borrowers, and/or agents • Ensure the completeness and accuracy of documentation for processing • Calculate claim proceeds in accordance with the Master Policy coverage • Refer non-payable claims to insurance carrier, as necessary • Enter all payments for settlements, expenses, and fees in the claims system • Resolve lender or borrower claims questions regarding claim status and resolution • Maintain an effective claims management diary • Produce claim activity reports for management

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 Claims Examiner, Auto | Bodily Injury PRIMARY PURPOSE: To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. ESSENTIAL FUNCTIONS and RESPONSIBILITIES - Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly. - Responsible for litigation process on litigated claims. - Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims. - Reports large claims to excess carrier(s). - Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution. - Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage. - Communicates claim action/processing with insured, client, and agent or broker when appropriate. ADDITIONAL FUNCTIONS and RESPONSIBILITIES - Performs other duties as assigned. - Supports the organization's quality program(s). - Travels as required. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Secure and maintain the State adjusting licenses as required for the position. Experience Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage’s, principles, and laws. Skills & Knowledge - In-depth knowledge of personal and commercial line auto policies, coverage’s, principles, and laws - Knowledge of medical terminology for claim evaluation and Medicare compliance - Knowledge of appropriate application for deductibles, sub-limits, SIR’s, carrier and large deductible programs. - Strong oral and written communication, including presentation skills - PC literate, including Microsoft Office products - Strong organizational skills - Strong interpersonal skills - Good negotiation skills - Ability to work in a team environment - Ability to meet or exceed Service Expectations 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. 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.

Multi-Line Claims Adjuster – Water Districts Program Do you have what it takes to match wits with attorneys? Can you analyze medical records, contracts, and repair estimates with confidence? Are you a skilled negotiator who thrives on complexity and challenge? If so, this opportunity may be perfect for you. We are looking for an experienced Multi-Line Claims Adjuster to join our Water Districts Program team. This role involves handling complex, high-value liability, property, and automobile claims nationwide—engaging with attorneys, attending settlement conferences, and managing litigation from start to finish. What You’ll Do - Manage claims from initial report through resolution following the Company’s Claims Handling Procedures. - Investigate incidents, assess liability, and determine exposure. - Analyze injury, damages, and coverage while preparing clear, detailed reports. - Oversee litigation in collaboration with outside counsel, ensuring compliance with company guidelines, approving litigation plans and budgets, and participating in mediations and trials as needed. - Evaluate settlement values and negotiate resolutions within delegated authority. - Maintain accurate claim files and documentation, ensuring timely communication with members, attorneys, reinsurers, and internal teams. - Collaborate with underwriting, risk control, and other departments to improve strategies and support continuous improvement. What You Bring - Bachelor’s degree or equivalent work experience. - Minimum five (5) years of progressive experience handling complex multi-line claims (liability, property, and auto) with litigation oversight. - Understanding of commercial liability and property coverages related to municipal or public entity risks. - Active Adjuster’s License (or commitment to obtain within six months). - Professional designation such as CPCU, AIC, or ARM strongly preferred. - Valid driver’s license and ability to travel as needed. - Exceptional analytical skills, communication abilities, and sound judgment. The Tokio Marine HCC Group of Companies offers a competitive salary and employee benefit package. We are a successful, dynamic organization experiencing rapid growth and are seeking energetic and confident individuals to join our team of professionals. The Tokio Marine HCC Group of companies is an equal opportunity employer. Please visit www.tokiomarinehcc.com for more information about our companies. #LI-NL1 #LI-Remote