Senior Claims Advisor: D&O & E&O (Remote)

Sedgwick; Tampa (FL); Remote; USD 115,000 - 130,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401k with matching

PTO

Disability insurance

Life insurance

Employee assistance program

FSA/HSA

Job summary

Sedgwick is seeking a Claims Advisor to analyze and manage complex D&O, EPL, and E&O liability claims with an emphasis on thorough investigations, accurate reserves, and strategic settlements. The role supports client relations and cross-functional teams across multiple jurisdictions.

Ideal candidates bring 10+ years in complex claims, professional designations, and strong negotiation and communication skills; a comprehensive benefits package is provided for a full-time telecommuter position in

Qualifications

• Ten years of complex claims management experience or equivalent education and experience.
• Masters or Juris Doctorate degree from an accredited college or university preferred.
• Licenses as required.
• Designations and licensing including AIC, CPCU, ARM and AIC preferred.

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

D&O liability

EPL/E&O claims

Negotiation skills

Client communication

Analytical skills

Team mentoring

Education

JD or Master's degree preferred

Licenses as required

Professional designations: AIC/CPCU/ARM/AIC

Tools

Microsoft Office

Job description

Sedgwick is seeking a Claims Advisor to analyze and manage complex D&O, EPL, and E&O liability claims with an emphasis on thorough investigations, accurate reserves, and strategic settlements. The role supports client relations and cross-functional teams across multiple jurisdictions.

Ideal candidates bring 10+ years in complex claims, professional designations, and strong negotiation and communication skills; a comprehensive benefits package is provided for a full-time telecommuter position in