Remote Claims Advisor – Professional Liability

Sedgwick; Santa Fe (NM); Remote; USD 115,000 - 130,000; Full time

Benefits offered by this job

Health benefits

401k with company match

PTO (paid time off)

Employee assistance program

Job summary

Sedgwick is seeking a Claims Advisor for Professional Liability (D&O, E&O, EPL) with extensive complex claims experience. The role supports remote work across the United States, handling investigations, settlements, and reserves while coordinating with legal teams and clients.

The ideal candidate brings strong negotiation, analytical, and communication skills, and knowledge of medical malpractice principles within line-of-business claims. A comprehensive benefits package accompanies the role.

Qualifications

• Ten (10) years of complex claims management experience or equivalent.
• Masters or Juris Doctorate degree preferred.
• Licenses as required; relevant professional designations valued.

Responsibilities

• Analyzes and processes complex or technically difficult D&O, EPL and E&O liability claims through investigation and planning.
• Conducts or assigns full investigation and provides reports of investigation.
• Negotiates settlements up to designated authority level.
• Calculates reserves and monitors reserve adequacy throughout claim life.
• Provides settlement strategies and structured proposals to reduce costs.
• Coordinates legal defense and monitors counsel for compliance with guidelines.
• Uses cost containment techniques to reduce overall claim cost.
• Identifies fraud/subrogation opportunities and drives recovery.

Skills

Negotiation

Communication

Analytical skills

Team collaboration

MS Office

Education

Master's degree/JD preferred

Licenses as required

Designations: AIC/CPCU/ARM/AIC preferred

Tools

MS Office

Job description

Sedgwick is seeking a Claims Advisor for Professional Liability (D&O, E&O, EPL) with extensive complex claims experience. The role supports remote work across the United States, handling investigations, settlements, and reserves while coordinating with legal teams and clients.

The ideal candidate brings strong negotiation, analytical, and communication skills, and knowledge of medical malpractice principles within line-of-business claims. A comprehensive benefits package accompanies the role.