Remote Claims Advisor – E&O & D&O Specialist

Sedgwick; Jackson (MS); Remote; USD 115,000 - 130,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401k matching

PTO

Disability insurance

Life insurance

Employee assistance

FSA/HSA

Job summary

Sedgwick, a global risk and claims handling leader, seeks a Claims Advisor for complex D&O, EPL and E&O liabilities. Remote-friendly, you’ll analyze, investigate, negotiate settlements, and coordinate defense teams to resolve claims efficiently.

The role demands extensive claims experience, strong analytical and negotiation skills, and a client-focused approach. Sedgwick offers comprehensive benefits and a supportive culture.

Qualifications

• Ten (10) years of complex claims management experience or equivalent combination of education and experience required
• Masters or Juris Doctorate degree from an accredited college or university preferred.
• Licenses as required.
• Designations and/or licensing including but not limited to Associate in Claims (AIC), Chartered Property and Casualty Underwriter (CPCU), Associate in Risk Management (ARM), Associate in Insurance Claims (AIC) preferred.

Responsibilities

• Analyzes and processes complex or technically difficult D&O, EPL and E&O liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
• Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions.
• Negotiates claim settlement up to designated authority level.
• Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life.
• Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement.
• Performs coverage analysis and opinion as part of the claim process including all necessary correspondence.
• Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines.
• Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients.
• Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost.
• Represents company in depositions, mediations, and trial monitoring as needed.
• Communicates claim activity and processing with the client; maintains professional client relationships.
• Ensures claim files are properly documented and claims coding is correct.
• Refers cases as appropriate to supervisor and management.
• Delegates work and mentors others.

Skills

Claims handling

Negotiation skills

Analytical skills

Team collaboration

Microsoft Office

Education

Ten years of complex claims management experience

Master's or JD preferred

Licenses as required

Designations: AIC, CPCU, ARM preferred

Tools

Microsoft Office

Job description

Sedgwick, a global risk and claims handling leader, seeks a Claims Advisor for complex D&O, EPL and E&O liabilities. Remote-friendly, you’ll analyze, investigate, negotiate settlements, and coordinate defense teams to resolve claims efficiently.

The role demands extensive claims experience, strong analytical and negotiation skills, and a client-focused approach. Sedgwick offers comprehensive benefits and a supportive culture.