Claims Advisor, Professional Liability – E&O, D&O

🕒 4 days ago

🦌 Connecticut, Florida, +37 more states – Remote

🦌 Connecticut – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🦞 Maine – Remote 🦬 Montana – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🌶️ New Mexico – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🌾 North Dakota – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote ⚓ Rhode Island – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote 🍁 Vermont – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

💵 $115k - $130k / year

⏰ Full Time

🟠 Senior

🔴 Lead

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Sedgwick

WebsiteLinkedInAll Job Openings

10,000+ employees

🏗️ Construction

💼 Consulting

🏥 Healthcare

Construction • Consulting • Healthcare

Sedgwick is a global provider of technology-enabled risk, benefits, and integrated business solutions. They help people and organizations by managing and mitigating risk with solutions in accident, health, disability, unemployment compensation, and liability claims administration, among others. Sedgwick offers services such as claims administration, building consulting, forensic accounting, and forensic engineering. Their specialties include property restoration, brand protection, and loss prevention across several industries, including agriculture, construction, and environmental sectors. The company emphasizes diversity, equity, and inclusion (DEI) as well as environmental, social, and governance (ESG) practices.

📋 Description

• Analyze and process complex or technically difficult D&O, EPL and E&O liability claims • Investigate and gather information to determine claim exposure • Manage claims through action plans to timely and appropriate resolution • Conduct or assign full investigations and provide investigation reports for new events, claims and legal actions • Negotiate claim settlements up to designated authority level • Calculate and assign timely and appropriate reserves and monitor reserve adequacy • Recommend settlement strategies and bring structured settlement proposals as necessary • Perform coverage analysis and provide opinions and correspondence • Coordinate legal defense, assign attorneys, support investigations, review attorney invoices, and monitor counsel compliance with client guidelines • Use cost containment techniques and strategic vendor partnerships to reduce claim costs • Identify and investigate fraud, subrogation, contribution, recovery, and case management opportunities • Represent the company in depositions, mediations, and trial monitoring as needed • Communicate claim activity and processing with clients and maintain professional client relationships • Ensure claim files are properly documented and claim coding is correct • Refer cases to supervisors and management as appropriate • Delegate work and mentor others

🎯 Requirements

• Ten (10) years of complex claims management experience or equivalent combination of education and experience required • Masters or Juris Doctorate degree from an accredited college or university preferred • Licenses as required • Designations and/or licensing including Associate in Claims (AIC), Chartered Property and Casualty Underwriter (CPCU), Associate in Risk Management (ARM), Associate in Insurance Claims (AIC) preferred • In-depth knowledge of appropriate medical malpractice insurance principles and laws for line-of-business handled • Knowledge of recoveries, offsets and deductions, claim and disability duration, and cost containment principles including medical management practices and Social Security application procedures as applicable • Extensive knowledge and comprehension of insurance coverage • Claims expertise in errors and omissions, directors and officers, and/or cyber liability • Excellent oral and written communication, including presentation skills • PC literacy, including Microsoft Office products • Analytical and interpretive skills • Strong organizational skills • Excellent negotiation skills • Good interpersonal skills • Ability to work in a team environment • Ability to meet or exceed Performance Competencies • Computer keyboarding • Hearing, vision and talking • Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • 401k and matching • PTO • Disability insurance • Life insurance • Employee assistance • Flexible spending or health savings account • Other additional voluntary benefits • Work-life balance • Caring culture • Career growth opportunities

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