Remote Senior Claims Specialist - E&O/D&O/EPL

Sedgwick; Lincoln (NE); Remote; USD 100,000 - 125,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401k and matching

PTO

Disability and life insurance

Employee assistance

Flexible spending or health savings

Job summary

Sedgwick is seeking a Sr. Claims Specialist in Professional Liability (E&O, D&O, EPL) with remote work options. Responsible for analyzing complex professional liability claims, coordinating investigations, and managing cost-containing strategies.

Requires a 6+ year claims background and a Bachelor's degree. Excellent communication and negotiation skills are essential, with experience in defending clients and managing reserve levels.

Qualifications

• Bachelor's degree from an accredited college or university preferred.
• Six (6) years of claims management experience or equivalent combination of education and experience required.
• Licenses as required. Professional certification as applicable to line of business preferred.

Responsibilities

• Analyzes and processes complex professional liability claims by investigating and gathering information to determine exposure.
• Conducts full investigations and provides reports of investigation for new claims and actions.
• Negotiates settlements up to designated authority level.
• Calculates and assigns reserves to claims and monitors reserve adequacy.
• Recommends settlement strategies and proposals to maximize settlement.
• Coordinates legal defense by assigning attorneys and reviewing invoices for compliance.
• Uses cost containment techniques to reduce claim costs.
• Identifies fraud, subrogation, and recovery opportunities to reduce total costs.
• Represents company in depositions, mediations, and trial monitoring as needed.
• Communicates claim activity with clients and maintains professional relationships.
• Ensures proper documentation and coding of claim files.
• Mentors assigned staff and delegates work.

Skills

Excellent communication

Analytical skills

Organizational skills

Negotiation skills

Teamwork

Interpersonal skills

Performance competencies

Education

Bachelor's degree

Tools

Microsoft Office

Job description

Sedgwick is seeking a Sr. Claims Specialist in Professional Liability (E&O, D&O, EPL) with remote work options. Responsible for analyzing complex professional liability claims, coordinating investigations, and managing cost-containing strategies.

Requires a 6+ year claims background and a Bachelor's degree. Excellent communication and negotiation skills are essential, with experience in defending clients and managing reserve levels.