Remote Claims Advisor, Professional Liability

Sedgwick; Dallas (TX); Remote; USD 115,000 - 130,000; Full time

Benefits offered by this job

Healthcare benefits

401k

PTO

Life insurance

Employee assistance

HSA/FSA

Job summary

Sedgwick is seeking a seasoned Claims Advisor for Professional Liability, E&O, and D&O claims. The role involves in-depth investigations, complex analysis of coverage, and strategic settlement negotiations.

You will coordinate with legal defense, manage reserves, and communicate with clients, ensuring rigorous documentation and adherence to client guidelines. A strong claims background is essential.

Qualifications

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

Skills

D&O liability

EPL

E&O liability

Negotiation

Client relations

MS Office

Education

Master's or JD preferred

Licenses as required

Designations (AIC, CPCU, ARM, AIC) preferred

Tools

MS Office

Job description

Sedgwick is seeking a seasoned Claims Advisor for Professional Liability, E&O, and D&O claims. The role involves in-depth investigations, complex analysis of coverage, and strategic settlement negotiations.

You will coordinate with legal defense, manage reserves, and communicate with clients, ensuring rigorous documentation and adherence to client guidelines. A strong claims background is essential.