Claim System Specialist

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

Claim System Specialist

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

• Configure new client accounts within the CTABS claims management system.
• Establish and maintain account structures, banking information, service level agreements (SLAs), policies, locations, and related system configurations.
• Perform account modifications and updates to support client and business requirements.
• Validate configuration accuracy and troubleshoot setup issues.
• Monitor and maintain data quality and system integrity across client accounts.
• Support implementation of new programs and operational initiatives within CTABS.
• Administer role-based security and system permissions in accordance with company policies and internal controls.
• Conduct periodic user access reviews and maintain documentation supporting compliance requirements.
• Coordinate and support SOC audit activities, including testing, documentation collection, evidence preparation, and remediation tracking.
• Assist in maintaining governance and control processes related to system access and data management.
• Participate in operational, technology, and process improvement projects.
• Perform data cleanup and data integrity initiatives involving client records, account information, and system databases.
• Analyze operational requests, identify appropriate solutions, and escalate complex issues when necessary.
• Assist with system enhancement efforts, testing, implementation activities, and change management initiatives.
• Support ad hoc reporting, operational analysis, and strategic projects.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.

QUALIFICATIONS

Education & Licensing

High school diploma or GED required

Licenses as needed.

Experience

Three (3) years of related experience or equivalent combination of education and experience required. 

Skills & Knowledge

• Knowledge of claims management systems, account configuration, or similar enterprise applications.
• Understanding of user security administration and role-based access controls.
• Ability to analyze business requests and determine appropriate system configurations.
• Strong critical thinking and problem-solving skills.
• Ability to exercise independent judgment and escalate issues appropriately.
• Experience supporting audit, compliance, or internal control activities.
• Knowledge of database concepts and data relationships.
• Basic understanding of SQL queries, scripts, system integrations, or data structures preferred.
• Ability to communicate technical concepts to non-technical stakeholders.
• Strong attention to detail and commitment to data accuracy.

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

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.