# Claims Advisor, Professional Liability | E&O, D&O

**Company**: Sedgwick
**Location**: Telecommuter FL
**Experience**: senior
**Job type**: full-time
**Salary**: $115,000 to $130,000
**Category**: Insurance
**Industry**: Insurance

**Apply**: https://sedgwick.wd1.myworkdayjobs.com/en-US/Sedgwick/job/Telecommuter-FL/Claims-Advisor--Professional-Liability---E-O--D-O_R80071?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_512c7010-840

## Description

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

As a Claims Advisor, Professional Liability | E&O, D&O, you will analyze and process complex or technically difficult D&O, EPL, and E&O liability claims. Your responsibilities will include:

- Investigating and gathering information to determine the exposure on the claim

- Managing claims through well-developed action plans to an appropriate and timely resolution

- Conducting or assigning full investigations and providing reports of investigation pertaining to new events, claims, and legal actions

- Negotiating claim settlements up to designated authority levels

- Calculating and assigning timely and appropriate reserves to claims

- Monitoring reserve adequacy throughout the claim life

- Recommending settlement strategies and bringing structured settlement proposals as necessary

- Performing coverage analysis and opinion as part of the claim process

- Coordinating legal defense by assigning attorneys and monitoring counsel for compliance with client guidelines

- Using cost containment techniques, including strategic vendor partnerships, to reduce overall claim costs

- Identifying and investigating possible fraud, subrogation, contribution, recovery, and case management opportunities

- Representing the company in depositions, mediations, and trial monitoring as needed

- Communicating claim activity and processing with clients and maintaining professional client relationships

- Ensuring claim files are properly documented and claims coding is correct

- Referring cases to supervisors and management as appropriate

- Delegating work and mentoring others

To qualify for this role, you will need:

- 10 years of complex claims management experience or an equivalent combination of education and experience

- A master's 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 medical malpractice insurance principles and laws

- 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 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

The salary range for this role is $115,000 to $130,000. A comprehensive benefits package is offered, including medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

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## Skills

### Required
- claims management
- insurance coverage
- medical malpractice insurance
- errors and omissions liability
- directors and officers liability

### Nice to have
- Associate in Claims (AIC)
- Chartered Property and Casualty Underwriter (CPCU)
- Associate in Risk Management (ARM)
- Associate in Insurance Claims (AIC)

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Source: [Apply at sedgwick.wd1.myworkdayjobs.com](https://sedgwick.wd1.myworkdayjobs.com/en-US/Sedgwick/job/Telecommuter-FL/Claims-Advisor--Professional-Liability---E-O--D-O_R80071?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)