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

Sedgwick; Memphis (TN); Remote; USD 115,000 - 130,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401k and matching

Paid time off

Disability insurance

Life insurance

Flexible spending account

Job summary

Sedgwick is hiring a Claims Advisor, Professional Liability; this role focuses on analyzing and processing complex D&O, EPL and E&O claims, with responsibility for investigation, reporting, and settlement decisions. You will coordinate legal defense and manage reserves while upholding client expectations.

The position requires extensive claims management experience, professional designations are preferred, and the company offers a comprehensive benefits package.

Qualifications

• Ten years of complex claims management experience or equivalent.
• Masters or JD preferred.
• Licenses and professional designations encouraged.
• Strong knowledge of D&O, EPL, E&O and cyber liability.

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

Analytical skills

Negotiation skills

Communication skills

Teamwork

Attention to detail

Education

10+ years claims management

Masters or JD preferred

Licenses as required

Professional designations (AIC, CPCU, ARM, AIC) preferred

Tools

Microsoft Office

Job description

Sedgwick is hiring a Claims Advisor, Professional Liability; this role focuses on analyzing and processing complex D&O, EPL and E&O claims, with responsibility for investigation, reporting, and settlement decisions. You will coordinate legal defense and manage reserves while upholding client expectations.

The position requires extensive claims management experience, professional designations are preferred, and the company offers a comprehensive benefits package.