Remote Senior Claims Specialist: E&O, D&O, EPL

Sedgwick; Augusta (ME); Remote; USD 100,000 - 125,000; Full time

Benefits offered by this job

Medical insurance

Dental coverage

Vision coverage

401k and matching

Paid time off (PTO)

Disability and life insurance

Employee assistance program

Flexible spending account / Health SAV

Other voluntary benefits

Job summary

Sedgwick is hiring a Senior Claims Specialist in Professional Liability to work remotely in the United States. You will analyze complex E&O, D&O, and EPL claims, coordinate case management, and manage total claim costs while delivering high levels of service.

The role requires six years of claims management experience, excellent communication and negotiation skills, and proficiency with Microsoft Office. A Bachelor's degree is preferred; professional licensing where applicable is advantageous.

Qualifications

• Bachelor's degree from a college or university preferred.
• Six (6) years of claims management experience or equivalent.
• Excellent oral and written communication; strong negotiation and analytical skills.
• Ability to work in a team environment and meet deadlines.
• PC literate with Microsoft Office proficiency.

Responsibilities

• Analyze and process complex professional liability claims and manage to resolution.
• Conduct full investigations and provide investigation reports.
• Negotiate settlements up to designated authority level.
• Calculate and assign reserves; monitor reserve adequacy.
• Coordinate legal defense and review attorney invoices; ensure client guidelines compliance.
• Identify cost containment opportunities and potential fraud or subrogation cases.
• Represent company in depositions, mediations, and trial monitoring as needed.
• Maintain client relationships and ensure proper documentation of claim files.

Skills

Excellent oral and written

Microsoft Office

Analytical skills

Organizational skills

Negotiation skills

Interpersonal skills

Teamwork

Performance competencies

Education

Bachelor's degree preferred

Professional certification/licensing as applicable

Tools

Microsoft Office

Job description

Sedgwick is hiring a Senior Claims Specialist in Professional Liability to work remotely in the United States. You will analyze complex E&O, D&O, and EPL claims, coordinate case management, and manage total claim costs while delivering high levels of service.

The role requires six years of claims management experience, excellent communication and negotiation skills, and proficiency with Microsoft Office. A Bachelor's degree is preferred; professional licensing where applicable is advantageous.