Sr. Claims Specialist, Professional Liability | E&O, D&O, EPL)

Sedgwick•Recruiting Only - Telecommuter, NV

1d•$100,000 - $125,000

About The Position

The Sr. Claims Specialist analyzes complex or technically difficult errors and omissions, employment practices, and directors and officers claims, and coordinates case management in accordance with company standards, industry best practices, and specific client service requirements. The role investigates claims, determines exposure, manages claims through appropriate action plans, and works toward timely resolutions. The specialist conducts or assigns investigations, negotiates settlements within designated authority, sets and monitors reserves, recommends settlement strategies, coordinates legal defense, and uses cost-containment techniques. The role also represents the company in depositions, mediations, and trial monitoring as needed; communicates claim activity to clients; maintains client relationships; and ensures files and claim coding are properly documented.

Requirements

Five years of claims management experience, or an equivalent combination of education and experience.
Written and oral communication skills.
Presentation skills.
Computer proficiency, including Microsoft Office products.
Strong negotiation skills.
Ability to work in a team environment.
Ability to meet or exceed performance competencies.
Licenses as required.
Ability to meet the physical, auditory, visual, and mental work environment requirements, including computer keyboarding; hearing, vision, and talking; clear and conceptual thinking; excellent judgment and discretion; and meeting deadlines.

Nice To Haves

Bachelor's degree from an accredited college or university.
Professional certification applicable to the line of business.

Responsibilities

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 achieve appropriate and timely resolution.
Conduct or assign full investigations and prepare investigation reports relating to new events, claims, and legal actions.
Negotiate claim settlements up to the designated authority level.
Calculate and assign timely, appropriate reserves and monitor reserve adequacy throughout the claim lifecycle.
Recommend settlement strategies and bring forward structured settlement proposals as needed to maximize settlement.
Coordinate legal defense, including assigning attorneys, coordinating investigative support, reviewing attorney invoices, and monitoring counsel for compliance with client guidelines.
Use cost-containment techniques, including strategic vendor partnerships, to reduce overall 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.