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Senior Claims Specialist – Professional Liability, E&O, D&O, EPL

🔥 0 minutes ago

🏈 Alabama, Alaska, +45 more states – Remote

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💵 $100k - $125k / year

⏰ Full Time

🟠 Senior

📋 Claims Specialist

Where this job comes from

Posted on Sedgwick's careers page, not through a job board

First seen by Remote Rocketship 0 minutes ago

Logo of Sedgwick

Sedgwick

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 professional liability claims by investigating and gathering information to determine claim exposure • Manage claims through well-developed 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 throughout the claim life • Recommend settlement strategies and bring structured settlement proposals as necessary • Coordinate legal defense by assigning attorneys, coordinating investigation support, reviewing attorney invoices, and monitoring counsel for client-guideline compliance • Use cost containment techniques and strategic vendor partnerships to reduce claim costs for clients • 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 claims coding is correct • Perform other duties as assigned

🎯 Requirements

• Five (5) years of claims management experience or equivalent combination of education and experience required • Written and oral communication skills • Presentation skills • PC literacy including Microsoft Office Products • Strong negotiation skills • Ability to work in a team environment • Ability to meet or exceed performance competencies • Bachelor's degree from an accredited college or university preferred • Licenses as required • Professional certification as applicable to line of business preferred • 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 • Reasonable accommodations when applicable and appropriate

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