Senior Claims Specialist – Professional Liability

Sedgwick

Analyzing complex errors and omissions claims while managing total claim costs at Sedgwick. Providing high levels of customer service as Sr.

Posted 6/4/2026full-timeRemote • Massachusetts • 🇺🇸 United StatesSenior💰 $110,000 - $115,000 per yearWebsite

About the role

Key responsibilities & impact

To analyze complex errors and omissions, directors and officers 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.
To manage total claim costs while providing high levels of customer service.
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 costs 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.
Performs other duties as assigned.

Requirements

What you’ll need

Six (6) years of claims management experience or equivalent combination of education and experience required.
Bachelor's degree from an accredited college or university preferred.
Licenses as required.
Professional certification as applicable to line of business preferred.

Benefits

Comp & perks

Flexible work schedule.
Referral incentive program.
Career development and promotional growth opportunities.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

claims managementinvestigationnegotiationcost containmentsettlement strategiesclaims codingfraud investigationsubrogationcase managementreserve calculation

Soft Skills

customer servicecommunicationdelegationmentoringrelationship management

Certifications

professional certification