Remote Claims Advisor – Professional Liability (D&O/E&O)

Sedgwick; Miami (FL); Remote; USD 115,000 - 130,000; Full time

Job summary

Sedgwick seeks a seasoned Claims Advisor, Professional Liability | E&O, D&O to manage complex claims and coordinate legal defenses from a remote, telecommuter setup across multiple states. The role emphasizes investigation, negotiation, and cost reduction through strategic reserves and settlements.

The ideal candidate has extensive claims management experience, professional designations, and strong analytical and communication skills to maintain client relationships and ensure timely resolutions.

Qualifications

• Ten years of complex claims management experience or equivalent.
• Masters or Juris Doctorate degree preferred.
• Licenses and/or designations such as AIC, CPCU, ARM, AIC preferred.

Responsibilities

• Analyzes and processes complex D&O, EPL and E&O liability claims; investigates and determines exposure.
• Conducts full investigations and provides reports on events and claims.
• Negotiates settlements up to designated authority levels.
• Calculates reserves and monitors them throughout claim life.
• Recommends settlement strategies and structured settlements as needed.
• Performs coverage analysis and correspondence related to claims.
• Coordinates legal defense and reviews attorney invoices; monitors counsel.
• Identifies fraud, subrogation, recovery opportunities to reduce costs.
• Represents company in depositions, mediations, and trial monitoring.

Skills

Complex claims management

D&O/E&O liability knowledge

Negotiation skills

Analytical ability

Communication skills

Team collaboration

Cost containment

Investigation

Deposition/Trial experience

Education

Masters or JD preferred

Licenses as required

Professional designations: AIC/CPCU/ARM/AIC preferred

Tools

Microsoft Office

PC literate

Job description

Sedgwick seeks a seasoned Claims Advisor, Professional Liability | E&O, D&O to manage complex claims and coordinate legal defenses from a remote, telecommuter setup across multiple states. The role emphasizes investigation, negotiation, and cost reduction through strategic reserves and settlements.

The ideal candidate has extensive claims management experience, professional designations, and strong analytical and communication skills to maintain client relationships and ensure timely resolutions.