Remote Liability Claims Advisor — D&O/E&O Expert

Sedgwick; Coralville (IA); Remote; USD 115,000 - 130,000; Full time

Benefits offered by this job

Medical benefits

Dental & Vision

401k with match

Paid time off

Disability insurance

Life insurance

Employee assistance

HSA/FSA

Job summary

Sedgwick is seeking a Claims Advisor for Professional Liability (E&O, D&O) in a remote role across the United States. The ideal candidate has extensive complex claims management experience and advanced licenses/designations.

You will analyze and settle high-stakes liability claims, coordinate defense, and drive cost containment while mentoring teammates. Strong negotiation, communication, and solid knowledge of malpractice insurance principles are essential, with a toolkit including MS Office.

Qualifications

• Ten years of complex claims management experience or equivalent.
• Masters or JD preferred.
• Licenses and/or designations such as AIC, CPCU, ARM preferred.
• Strong knowledge of medical malpractice insurance principles and laws.

Responsibilities

• Analyzes and processes complex D&O, EPL and E&O liability claims and determines exposure.
• Conducts full investigations and provides investigation reports.
• Negotiates settlements up to designated authority level.
• Calculates reserves and monitors adequacy throughout claim life.
• Recommends settlement strategies and structured proposals.
• Performs coverage analysis and necessary correspondence.
• Coordinates legal defense and reviews invoices.
• Uses cost containment techniques including vendors.
• Identifies fraud, subrogation and recovery opportunities.
• Represent company in depositions, mediations and trial monitoring.
• Communicates claim activity with clients and maintains relationships.
• Ensures proper documentation and coding of claims.
• Refers cases to supervisor and management.
• Delegates work and mentors others.

Skills

Medical malpractice knowledge

Insurance coverage understanding

E&O/D&O claims

Negotiation

Communication

Office software

Education

Masters or JD preferred

Licenses as required

AIC/CPCU/ARM/AIC preferred

Tools

Microsoft Office

Job description

Sedgwick is seeking a Claims Advisor for Professional Liability (E&O, D&O) in a remote role across the United States. The ideal candidate has extensive complex claims management experience and advanced licenses/designations.

You will analyze and settle high-stakes liability claims, coordinate defense, and drive cost containment while mentoring teammates. Strong negotiation, communication, and solid knowledge of malpractice insurance principles are essential, with a toolkit including MS Office.