Senior Claims Specialist, Professional Liability Expert

Sedgwick; United States; Remote; USD 100,000 - 125,000; Full time

Benefits offered by this job

Medical, dental, vision

401(k) with matching

PTO

Disability and life insurance

Employee assistance program

FSAs/HSAs

Job summary

Sedgwick is seeking a Sr. Claims Specialist in the United States to analyze complex professional liability claims and coordinate case management according to client requirements and industry best practices.

The role involves investigating events, negotiating settlements, reserving appropriately, and coordinating defense with attorneys while maintaining strong client relationships. A bachelor's degree and industry licenses are preferred.

Qualifications

• Five years of claims management experience or equivalent.
• Bachelor's degree preferred; licenses as required.

Responsibilities

• Analyze complex professional liability claims and coordinate case management.
• Investigate events, claims and legal actions and prepare reports.
• Negotiate settlements up to designated authority level.
• Set reserves and monitor reserve adequacy throughout the claim life.
• Develop settlement strategies and propose structured settlements as needed.
• Coordinate legal defense and monitor attorney invoices for compliance.
• Represent the company in depositions, mediations, and trial monitoring.
• Communicate claim activity to clients and maintain relationships.
• Ensure proper documentation and claims coding across files.
• Perform other duties as assigned.

Skills

Communication

Presentation

MS Office

Negotiation

Teamwork

Performance standards

Education

Bachelor's degree preferred

Licenses as required

Professional certification preferred

Tools

Microsoft Office

Job description

Sedgwick is seeking a Sr. Claims Specialist in the United States to analyze complex professional liability claims and coordinate case management according to client requirements and industry best practices.

The role involves investigating events, negotiating settlements, reserving appropriately, and coordinating defense with attorneys while maintaining strong client relationships. A bachelor's degree and industry licenses are preferred.