Professional Liability Claims Advisor

🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $100k - $145k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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

• Manage and handle professional liability claims, including highly complex and severe claims • Coordinate case management within company standards, industry best practices, and client service requirements • Investigate and gather information to determine claim exposure • Manage claims through action plans to timely resolution • Conduct or assign investigations and report on new events, claims, and legal actions • Negotiate claim settlements within designated authority • Calculate, assign, and monitor claim reserves • Recommend settlement strategies and structured settlement proposals • Perform coverage analysis and prepare necessary correspondence • Coordinate legal defense, assign attorneys, review invoices, and monitor counsel compliance • Use cost containment techniques and strategic vendor partnerships • Investigate potential fraud, subrogation, contribution, recovery, and case management opportunities • Represent the company in depositions, mediations, and trial monitoring as needed • Communicate claim activity with clients and maintain professional client relationships • Ensure claim files are documented and claim coding is correct • Refer cases to supervisors and management as appropriate • Delegate work and mentor others

🎯 Requirements

• High School Diploma or GED required • Bachelor's degree from an accredited college or university preferred • Professional certification as applicable to line of business preferred • 3–5 years of professional liability claims management experience required • Clear and conceptual thinking ability • Excellent judgment, troubleshooting, problem solving, analysis, and discretion • Ability to handle work-related stress • Ability to handle multiple priorities simultaneously • Ability to meet deadlines • Computer keyboarding • Travel as required

🏖️ Benefits

• Flexible work schedule • Referral incentive program • Opportunity to work in an agile environment • Career development and promotional growth opportunities • Medical, dental, and vision benefits on day one • 401K on day one • 401k matching • PTO • Disability insurance • Life insurance • Employee assistance • Flexible spending account or health savings account • Additional voluntary benefits • Reasonable accommodations • Work-life balance • Professional development opportunities