Remote Claims Advisor - E&O & D&O Liability

Sedgwick; Newark (NJ); Remote; USD 115,000 - 130,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401k with match

PTO

Disability insurance

Life insurance

Employee assistance program

HSA/FSA

Job summary

Sedgwick is seeking a Claims Advisor for complex D&O, EPL, and E&O liability claims. This remote role requires investigating and negotiating settlements, and coordinating defense with attorneys across multiple jurisdictions.

Strong analytical, negotiation, and organizational skills are essential. Qualified candidates have extensive complex claims experience, advanced licensure or degrees preferred, and proficiency in MS Office.

Qualifications

• Ten years of complex claims management experience or equivalent combination of education and experience.
• Masters or Juris Doctorate degree preferred.
• Licenses as required.
• Designations and/or licensing including AIC, CPCU, ARM preferred.

Responsibilities

• Analyzes and processes complex D&O, EPL and E&O liability claims by investigating and gathering information to determine exposure.
• Conducts or assigns full investigations and provides reports on new events, claims and actions.
• Negotiates claim settlements up to designated authority level.
• Calculates and assigns reserves; monitors reserve adequacy throughout claim life.
• Recommends settlement strategies and presents structured proposals to maximize outcomes.
• Performs coverage analysis and related correspondence as part of the claim process.
• Coordinates legal defense by assigning attorneys and reviewing invoices.
• Uses cost containment techniques including vendor partnerships to reduce costs.
• Identifies fraud, subrogation, recovery opportunities to reduce total cost.
• Represents the company in depositions, mediations, and trial monitoring as needed.
• Maintains professional client relationships and ensures proper documentation.

Skills

Communication

Negotiation

Analytical skills

Team player

Interpersonal skills

Organizational skills

Education

Masters or JD preferred

Licenses as required

Professional designations preferred (AIC/CPCU/ARM)

Tools

MS Office

Job description

Sedgwick is seeking a Claims Advisor for complex D&O, EPL, and E&O liability claims. This remote role requires investigating and negotiating settlements, and coordinating defense with attorneys across multiple jurisdictions.

Strong analytical, negotiation, and organizational skills are essential. Qualified candidates have extensive complex claims experience, advanced licensure or degrees preferred, and proficiency in MS Office.