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

Sedgwick; Providence (RI); Remote; USD 115.000 - 130.000; Vollzeit

Benefits dieser Stelle

Medical insurance

Dental insurance

Vision insurance

401k with company matching

Paid time off

Disability insurance

Life insurance

Employee assistance program

Flexible spending accounts

Zusammenfassung

Sedgwick, a global leader in risk and claims management, seeks a seasoned Claims Advisor responsible for handling complex D&O, EPL, and E&O liability claims. You will lead investigations, determine exposures, and direct settlements with a focus on client service, cost containment, and compliance.

The role emphasizes mentorship, documentation rigor, and collaboration across legal and client teams. The ideal candidate brings a decade of complex claims experience, professional licenses or

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 as required; designations such as AIC, CPCU, ARM, AIC preferred

Aufgaben

• Analyzes and processes complex or technically difficult D&O, EPL and E&O liability claims by investigating and gathering information to determine 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.

Jobbeschreibung

Sedgwick, a global leader in risk and claims management, seeks a seasoned Claims Advisor responsible for handling complex D&O, EPL, and E&O liability claims. You will lead investigations, determine exposures, and direct settlements with a focus on client service, cost containment, and compliance.

The role emphasizes mentorship, documentation rigor, and collaboration across legal and client teams. The ideal candidate brings a decade of complex claims experience, professional licenses or