Talent.com
Sr. Claims Specialist, Professional Liability
Sr. Claims Specialist, Professional LiabilitySedgwick • Sacramento, CA, US
Sr. Claims Specialist, Professional Liability

Sr. Claims Specialist, Professional Liability

Sedgwick • Sacramento, CA, US
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_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.

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

Overview

Sr. Claims Specialist, Professional Liability

PRIMARY PURPOSE

To analyze complex or technically difficult miscellaneous professional liability 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.

Responsibilities

  • 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; monitors reserve adequacy throughout claim life.
  • Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement.
  • 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; maintains professional client relationships.
  • Ensures claim files are properly documented and claims coding is correct.
  • Refers cases as appropriate to supervisor and management.
  • Delegates work and mentors assigned staff.

Additional Responsibilities

  • Performs other duties as assigned.
  • Supports the organization's quality program(s).
  • Qualifications

    Education & Licensing

    Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certification as applicable to line of business preferred.

    Experience

    Six (6) years of claims management experience or equivalent combination of education and experience required.

    Skills & Knowledge

  • Excellent oral and written communication, including presentation skills
  • PC literate, including Microsoft Office products
  • Analytical and interpretive skills
  • Strong organizational skills
  • Excellent negotiation skills
  • Good interpersonal skills
  • Ability to work in a team environment
  • Ability to meet or exceed Performance Competencies
  • Work Environment

    When applicable and appropriate, consideration will be given to reasonable accommodations.

    Mental

    Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

    Physical

    Computer keyboarding, travel as required

    Auditory / Visual

    Hearing, vision and talking

    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 $110,000- $115,000. 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.

    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

    J-18808-Ljbffr

    serp_jobs.job_alerts.create_a_job

    Claim Specialist • Sacramento, CA, US

    Job_description.internal_linking.related_jobs
    CA Senior WC Claims Specialist

    CA Senior WC Claims Specialist

    CorVel • Represa, CA, US
    serp_jobs.job_card.full_time
    CA Senior WC Claims Specialist.The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegate...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Claims Adjuster

    Claims Adjuster

    Berkshire Hathaway Homestate Companies • Sacramento, CA, US
    serp_jobs.job_card.full_time
    Are you searching for a unique opportunity that offers exceptional training and career growth with a dynamic and growing organization? Are you a Spanish speaker looking to apply those skills in a p...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Specialized Sr. Claim Rep, Workers Compensation - Rancho Cordova, CA

    Specialized Sr. Claim Rep, Workers Compensation - Rancho Cordova, CA

    VetJobs • Rancho Cordova, CA, US
    serp_jobs.job_card.full_time
    Claim Rep, Workers Compensation - Rancho Cordova, CA.ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles.The fo...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Inside Claim Adjuster - Auto

    Inside Claim Adjuster - Auto

    Travelers • Rancho Cordova, CA, US
    serp_jobs.job_card.full_time
    This position is responsible for handling low to moderate Personal and Business Insurance Auto Damage claims from the first notice of loss through resolution / settlement and payment process.This may...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Physical Therapist - $2,771 per week

    Travel Physical Therapist - $2,771 per week

    Trustaff Allied • Yuba City, CA, US
    serp_jobs.job_card.full_time
    Trustaff Allied is seeking a travel Physical Therapist for a travel job in Yuba City, California.Job Description & Requirements. As a Physical Therapist, you?ll work closely with patients to imp...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Contract and Claims Manager

    Contract and Claims Manager

    Luster National • Sacramento, CA, US
    serp_jobs.job_card.full_time
    We are seeking Contract and Claims Managers to support large, heavy-civil infrastructure programsincluding highways, roads, bridges, transit (including rail and bus), and airport projects delivered...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Home Health Physical Therapist - $2,800 per week

    Travel Home Health Physical Therapist - $2,800 per week

    CompHealth Inc. • Marysville, CA, United States
    serp_jobs.job_card.permanent
    Home Health Physical Therapist for a travel job in Marysville, California.Job Description & Requirements.This opportunity is available for a Home Health setting in California, for a 3-month assignm...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Claims Specialist - Crop

    Claims Specialist - Crop

    QBE Insurance • Woodland, CA, US
    serp_jobs.job_card.full_time +1
    At QBE, we are always looking to connect with top talent for current vacancies as well as for future opportunities.It is our aim to continuously build a strong candidate pipeline across all our bu...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Claims Liaison Specialist

    Claims Liaison Specialist

    California State Jobs • Sacramento, CA, US
    serp_jobs.job_card.full_time
    The job description details the responsibilities and requirements for the position.It outlines the key tasks, skills, and qualifications needed for the role. The description aims to attract suitable...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Physical Therapist - $2,800 per week

    Travel Physical Therapist - $2,800 per week

    CompHealth Inc. • Marysville, CA, United States
    serp_jobs.job_card.permanent
    Physical Therapist for a travel job in Marysville, California.Job Description & Requirements.Some locum assignments can be as short as a day, others, years. Some are far from home, others are local....serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Occupational Therapist - $2,597 per week

    Travel Occupational Therapist - $2,597 per week

    CompHealth Inc. • Yuba City, CA, United States
    serp_jobs.job_card.permanent
    Occupational Therapist for a travel job in Yuba City, California.Job Description & Requirements.Though your CompHealth recruiter will be your single point of contact, they are backed by dozens of s...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Inside Claim Adjuster - Auto - Rancho Cordova, CA

    Inside Claim Adjuster - Auto - Rancho Cordova, CA

    VetJobs • Rancho Cordova, CA, US
    serp_jobs.job_card.full_time
    Inside Claim Adjuster - Auto - Rancho Cordova, CA.Taking care of our customers, our communities and each other.By honoring this commitment, we have maintained our reputation as one of the best prop...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Claims Manager- Property and Casualty

    Claims Manager- Property and Casualty

    EPIC Brokers • Rancho Cordova, CA, US
    serp_jobs.job_card.full_time
    Claims Manager- Property And Casualty.We are looking for an experienced Property and Casualty Claims Manager on a full-time basis. Location : This role requires a hybrid work schedule out of any of o...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Tax Expert

    Tax Expert

    Intuit • West Sacramento, CA, United States
    serp_jobs.job_card.full_time
    Overview Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Experts in one of our new TurboTax locations across the United St...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Specialized Sr. Claim Rep, Workers Compensation

    Specialized Sr. Claim Rep, Workers Compensation

    Travelers • Rancho Cordova, CA, US
    serp_jobs.job_card.full_time
    Specialized Senior Claim Representative.Travelers' Claim Organization is at the heart of our business.By providing assurance to our customers during life's rainy days, the Travelers Workers Compens...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Job Claims Representative - Rancho Cordova, CA

    Job Claims Representative - Rancho Cordova, CA

    Federated Mutual Insurance • Rancho Cordova, CA, US
    serp_jobs.job_card.temporary
    Federated Insurance Job Opportunity.At Federated Insurance, we do life-changing work, focused on our clients' success.For our employees, we provide tremendous opportunities for growth.Over 95% of t...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Claims Team Lead - Liability

    Claims Team Lead - Liability

    Sedgwick • Roseville, CA, US
    serp_jobs.job_card.full_time
    Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?. Apply your knowledge and experienc...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Tax Professional - 2+ Yrs Paid Tax Experience Required

    Tax Professional - 2+ Yrs Paid Tax Experience Required

    Intuit • West Sacramento, CA, United States
    serp_jobs.job_card.full_time
    Overview Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Associates in one of our new TurboTax locations across the United...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted