Remote Claims Advisor - Professional Liability

Sedgwick; Fargo (ND); Remote; USD 115.000 - 130.000; Vollzeit

Benefits dieser Stelle

Medical benefits

Dental benefits

Vision benefits

401k with match

Paid time off

Zusammenfassung

Sedgwick is hiring a Claims Advisor for Professional Liability (D&O/E&O) to manage complex claims, negotiate settlements, and coordinate legal defense. The role emphasizes rigorous analysis, precise documentation, and cost containment within a national remote-capable framework.

Ideal candidates have extensive claims experience, professional licenses, and relevant designations, with a track record of effective vendor and client communication.

Qualifikationen

• 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 and designations such as AIC/CPCU/ARM/AIC preferred

Aufgaben

• Analyzes and processes complex D&O, EPL and E&O liability claims by investigating and gathering information to determine exposure on the claim; develops action plans for timely resolution.
• Conducts or assigns full investigations and provides reports pertaining to new events, claims and legal actions.
• Negotiates claim settlements up to designated authority level.
• Calculates and assigns reserves; monitors reserve adequacy throughout claim life.
• Recommends settlement strategies; presents structured settlement proposals to maximize outcomes.
• Performs coverage analysis and provides written opinions as part of the claim process.
• Coordinates legal defense by assigning attorneys and reviewing invoices; monitors counsel for compliance.
• Uses cost containment techniques including vendor partnerships to reduce claim costs.
• Identifies fraud, subrogation, recovery opportunities to reduce total claim cost.
• Represents company in depositions, mediations, and trial monitoring as needed.
• Communicates claim activity with clients; maintains professional relationships.
• Ensures proper documentation and coding of claim files.
• Refers cases to supervisor as needed; delegates work and mentors others.

Kenntnisse

Negotiation skills

Communication skills

Team collaboration

Analytical thinking

Claims knowledge

PC literacy

Ausbildung

Juris Doctorate or advanced degree preferred

Licenses as required

Industry designations (AIC, CPCU, ARM) preferred

Tools

Microsoft Office

Jobbeschreibung

Sedgwick is hiring a Claims Advisor for Professional Liability (D&O/E&O) to manage complex claims, negotiate settlements, and coordinate legal defense. The role emphasizes rigorous analysis, precise documentation, and cost containment within a national remote-capable framework.

Ideal candidates have extensive claims experience, professional licenses, and relevant designations, with a track record of effective vendor and client communication.