Senior Claims Specialist, E&O, D&O | Professional Liability
Sedgwick, San Antonio, Texas, United States, 78208
Join Sedgwick and be a part of a meaningful mission! Our 33,000 colleagues support individuals facing unexpected challenges every day. We invite you to advance your career in a caring culture that prioritizes work-life balance, fostering an environment where the possibilities are limitless.
Recognized by Newsweek as one of America's Greatest Workplaces and certified as a Great Place to Work®, Sedgwick is also listed among the Fortune Best Workplaces in Financial Services & Insurance.
SENIOR CLAIMS SPECIALIST, E&O, D&O | PROFESSIONAL LIABILITY
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
Analyze and process complex liability claims by conducting thorough investigations to determine exposure and manage claims towards timely resolution.
Conduct or assign investigations and provide detailed reports on new claims and legal actions.
Negotiate claim settlements within your designated authority level.
Calculate and assign timely reserves, ensuring monitoring throughout the lifecycle of each claim.
Recommend effective settlement strategies and propose structured settlements to achieve optimal resolutions.
Perform coverage analysis and issue opinions during the claims process, accompanied by necessary correspondence.
Coordinate legal defense efforts, including attorney assignments and invoice reviews to ensure compliance with client guidelines.
Implement cost containment techniques and collaborate with strategic vendors to reduce overall claims costs.
Identify opportunities for fraud investigation, subrogation, contribution, and recovery to minimize claim expenses.
Represent the company during depositions, mediations, and trials as required.
Maintain open communication with clients regarding claim activities and processing, fostering professional relationships.
Ensure accurate documentation of claim files and appropriate claims coding.
Refer cases to management when necessary.
Delegate tasks and mentor junior colleagues.
ADDITIONAL FUNCTIONS AND RESPONSIBILITIES
Perform other duties as assigned.
Travel as necessary.
QUALIFICATIONS
Education & Licensing
A Master's degree or Juris Doctorate from an accredited institution is preferred. Relevant licenses and designations such as Associate in Claims (AIC) or Chartered Property and Casualty Underwriter (CPCU) are also advantageous.
Experience
A minimum of ten (10) years in complex claims management or a related educational background is required.
Skills & Knowledge
Expert knowledge of medical malpractice insurance principles and laws applicable to this field.
Extensive understanding of insurance coverage.
Specialty in medical malpractice, errors and omissions, directors and officers liability, life sciences, or cyber liability.
Strong oral and written communication abilities, including presentation skills.
Proficient in Microsoft Office and other PC applications.
Analytical thinking and interpretative skills.
Exceptional organizational skills and negotiation capabilities.
Strong interpersonal abilities and capability to work collaboratively in a team environment.
Ability to meet performance expectations consistently.
WORK ENVIRONMENT
We value reasonable accommodation considerations when applicable.
Mental:
Required attributes include clear thinking, sound judgment, problem-solving abilities, and resilience under stress, with the capacity to manage multiple priorities effectively. Physical:
Regular computer use and travel may be necessary. Auditory/Visual:
Requirements include hearing, vision, and verbal communication. The responsibilities outlined in this description represent the general nature and level of work expected from roles in this classification. Additional tasks may be assigned as management sees fit. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you are enthusiastic about this position but your background doesn’t meet every qualification exactly, we encourage you to apply anyway! Sedgwick is committed to diversity, equity, and inclusion and recognizes that each candidate brings unique skills and experiences to the table. You could be the ideal fit for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, helping clients navigate unexpected challenges. With expertise and advanced AI-enabled technology, we set the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues serving 10,000 clients across 80 countries, Sedgwick offers unmatched insights and solutions tailored to the complex risk environment.
Required attributes include clear thinking, sound judgment, problem-solving abilities, and resilience under stress, with the capacity to manage multiple priorities effectively. Physical:
Regular computer use and travel may be necessary. Auditory/Visual:
Requirements include hearing, vision, and verbal communication. The responsibilities outlined in this description represent the general nature and level of work expected from roles in this classification. Additional tasks may be assigned as management sees fit. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you are enthusiastic about this position but your background doesn’t meet every qualification exactly, we encourage you to apply anyway! Sedgwick is committed to diversity, equity, and inclusion and recognizes that each candidate brings unique skills and experiences to the table. You could be the ideal fit for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, helping clients navigate unexpected challenges. With expertise and advanced AI-enabled technology, we set the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues serving 10,000 clients across 80 countries, Sedgwick offers unmatched insights and solutions tailored to the complex risk environment.