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

Sedgwick • Saint Paul, MN • 1h ago

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.

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

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

PRIMARY PURPOSE OF THE ROLE: Manage and handle executive, error and omissions, and complex professional liability claims; to provide resolution of highly complex nature and/or severe injury claims; to coordinate case management within company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE:

Analyzes and processes complex or technically difficult liability claims by investigating to determine the exposure on the claim

Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions.

Negotiates claim settlement up to designated authority level.

Calculates and assigns timely and appropriate reserves to claims

Recommends settlement strategies

Performs coverage analysis and opinion as part of the claim process

Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines.

Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients.

Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost.

Represents company in depositions, mediations, and trial monitoring as needed.

Communicates claim activity and processing with the client

Ensures claim files are properly documented and claims coding is correct.

Refers cases as appropriate to supervisor and management.

QUALIFICATIONS

Education & Licensing: Ten (10) years of complex claims management experience or equivalent combination of education and experience required

Masters or Juris Doctorate degree from an accredited college or university preferred. Licenses as required.

Designations and/or licensing including but not limited to Associate in Claims (AIC), Chartered Property and Casualty Underwriter (CPCU), Associate in Risk Management (ARM), Associate in Insurance Claims (AIC), Certified Professional in Health Care Risk Management (CPHRM) preferred.

Skills:

In-depth knowledge of appropriate medical malpractice insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security application procedures as applicable to line-of-business

Extensive knowledge and comprehension of insurance coverage

Claims expertise in errors and omissions, directors and officers

Excellent oral and written communication, including presentation skills

PC literate, including Microsoft Office products

Analytical and interpretive skills

Excellent negotiation skills

Ability to work in a team environment

Ability to meet or exceed Performance Competencies

Work environment requirements include -

Physical: Computer keyboarding

Auditory/visual: Hearing, vision and talking

Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $115,000 to $130,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

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! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com

Similar Jobs

AI Compliance Monitoring & Audit Advisor

Elevance Health • Mendota Heights, MN • 12min ago

Finance, Accounting & Banking

AI Compliance Monitoring & Audit Advisor Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and...

12min ago

Go to Apply

Loan Servicing Representative

Merchants Bank • Lakeville, MN • 40min ago

Finance, Accounting & Banking

Merchants Bank has an opening for an experienced Loan Servicing Representative. The preferred location for this in-office position is Winona or Rochester, MN but could possibly work from any of our Merchants Bank locatio...

40min ago

Go to Apply

Wealth Management-Investment Portfolio Manager

U.S. Bank • Minneapolis, MN • 2h ago

Finance, Accounting & Banking

At U.S. Bank, we're on a journey to do our best. Helping the customers and businesses we serve to make better and smarter financial decisions and enabling the communities we support to grow and succeed. We believe it tak...

2h ago

Go to Apply

Credit Analyst Lead

Merchants Bank • Rosemount, MN • 2h ago

Finance, Accounting & Banking

Merchants Bank is seeking a Credit Analyst Lead. This on-site position can work at any of our branch locations in MN or WI. Primary duties include training other staff members around analyzing moderate to complex financi...

2h ago

Go to Apply

Grant Payments Officer - Accounting Officer

State of Minnesota • Saint Paul, MN • 5h ago

Finance, Accounting & Banking

Working Title: Grant Payments Officer Job Class: Accounting Officer Agency: Department of Employment and Economic Development Job ID : 96104 Location : St. Paul Telework Eligible : Yes, may be eligible for some telework...

5h ago

Go to Apply

Tax Reconciler - Accounting Officer Intermediate

State of Minnesota • Saint Paul, MN • 5h ago

Finance, Accounting & Banking

Working Title: Accounting Officer Inter Job Class: Accounting Officer Intermediate Agency: Revenue Dept Job ID : 96050 Location : St. Paul Telework Eligible : Yes Full/Part Time : Full-Time Regular/Temporary : Unlimited...

5h ago

Go to Apply

Financial Analyst/Accounting Officer Principal

State of Minnesota • Vadnais Heights, MN • 5h ago

Finance, Accounting & Banking

Working Title: Financial Analyst Job Class: Accounting Officer Principal Agency: Direct Care and Treatment Job ID : 96125 Location : Vadnais Heights Telework Eligible : Yes Full/Part Time : Full-Time Regular/Temporary :...

5h ago

Go to Apply

Accounting Operations Supervisor, Office of Inspector General (OIG) / Human Services Supervisor 3

State of Minnesota • Saint Paul, MN • 5h ago

Finance, Accounting & Banking

Working Title: Accounting Operations Supervisor, Office of Inspector General (OIG) Job Class: Human Services Supervisor 3 Agency: Human Services Dept Job ID : 96146 Location : St. Paul Telework Eligible : Yes Full/Part T...

5h ago

Go to Apply

Accounting Consultant - Remote

UnitedHealth Group • Minnetonka, MN • 6h ago

Finance, Accounting & Banking

Requisition number: 2376467 Job category: Finance At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the...

6h ago

Go to Apply

Fund Accounting Director

CBRE • Minneapolis, MN • 6h ago

Finance, Accounting & Banking

AboutThe Role: Asa CBRE Fund Accounting Director, you will be responsible foroverseeing the strategic direction and executionof fund accounting activities. You will manage a team ofaccountants and ensure the accuracy and...

6h ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)