Job DetailsJob Location: Allied Benefit Systems - CHICAGO, IL 60606Position Type: Full TimeSalary Range: $20.00 - $23.00 HourlyJob Category: ClaimsPOSITION SUMMARY: The Subrogation Analyst is responsible for reviewing third party liability claims referred by claims adjusters and analyze for liability and recovery potential. Review and understand relevant health benefit summary plan descriptions, along with state and federal regulations to pursue recovery from responsible third party and insurance carriers. The Subrogation Analyst interacts with claimants, attorneys, and third-party insurance carriers. Coordinates appropriate steps through the development and recovery of the claim following company guidelines. ESSENTIAL FUNCTIONS: Research claims referred to Subrogation to identify third-party potential. Utilizes skills, as well as Plan’s policies and procedures to perform timely resolution of subrogation cases. Provides weekly reports regarding the status of open subrogation claims. Logging and tracking of subrogation files. Interact with claimants, internal & external clients, insurance carriers, and attorneys to document the necessary information needed to close the claim file. Composes letters to client(s), attorneys, and claimants. Documents and tracks subrogation files through completion. Responds to inquiries in a prompt and concise manner. Support other projects as assigned by management. Performs other related duties as assigned EDUCATION High School Diploma or Equivalent Required EXPERIENCE AND SKILLS: Applicants must have 2 years or more of comprehensive insurance and subrogation experience, along with office and administrative skills. Strong customer service, organizational skills to efficiently manage cases. Good understanding of medical, claims. The applicant must be able to analyze claim situations, take appropriate actions and be great with communication and documentation. POSITION COMPETENCIES: Communication Customer Focus Accountability Functional/Technical Job Skills PHYSICAL DEMANDS: This is a standard desk role – long periods of sitting and working on a computer are required. WORK ENVIRONMENT: Remote Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive. The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend. Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.Qualifications

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.