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About the Role

Analyze complex or technically difficult errors and omissions, employment practices law, and directors and officers claims, coordinating case management within company standards, industry best practices, and specific client service requirements.

Responsibilities

Analyze and process complex or technically difficult professional liability claims by investigating and gathering information to determine exposure.
Manage claims through well-developed action plans to an appropriate and timely resolution.
Conduct or assign full investigation and provide reports pertaining to new events, claims, and legal actions.
Negotiate claim settlement up to designated authority level.
Calculate and assign timely and appropriate reserves to claims and monitor reserve adequacy.
Recommend settlement strategies and bring structured settlement proposals as necessary.
Coordinate legal defense by assigning attorneys, coordinating support for investigation, and reviewing attorney invoices.
Monitor counsel for compliance with client guidelines.
Use appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost.
Represent the Company in depositions, mediations, and trial monitoring as needed.
Communicate claim activity and processing with the client 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.
Computer keyboarding.
Hearing, vision and talking.
Clear and conceptual thinking ability.
Excellent judgement and discretion.
Ability to meet deadlines.
Consideration will be given to reasonable accommodations when applicable and appropriate.

Skills

Written and oral communication skills
Presentation skills
PC literate including Microsoft Office Products
Strong negotiation skills
Ability to work in a team environment
Meet or exceed performance competencies

Location

Remote

Work Type

Full-time

Experience Level

5 years

Education Level

Bachelor's degree preferred
Licenses as required
Professional certification as applicable to line of business preferred

Salary/Compensations

$100,000 to $125,000

Benefits

Medical
Dental
Vision
401k and matching
PTO
Disability and life insurance
Employee assistance
Flexible spending or health savings account
Other additional voluntary benefits

About the Company

Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance

Equal Opportunity

Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway!