Senior Claims Specialist – Professional Liability, E&O, D&O, EPL

Sedgwick

. Analyze and process complex or technically difficult professional liability claims by investigating and gathering information to determine claim exposure .

Posted 11/5/2026full-timeRemote • United StatesSenior💰 $100,000 - $125,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing complex professional liability claims, including investigation, negotiation, and resolution strategies. Proficient in maintaining client relationships and ensuring compliance with legal and documentation standards.

Highest-signal resume keywords

Claims Management ExperienceNegotiation SkillsMicrosoft Office ProficiencyProfessional CertificationBachelor's Degree

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AnalysisInvestigation ReportingReserve CalculationSettlement Strategy DevelopmentCost Containment Techniques

Soft Skills

Written Communication SkillsOral Communication SkillsPresentation SkillsTeam CollaborationJudgement and Discretion

Tools & Technologies

Microsoft Office Products

Certifications & Qualifications

Professional Certification

Industry Keywords

Professional Liability ClaimsClaim ExposureLegal Defense CoordinationClient Relationship ManagementClaims Coding

About the role

Key responsibilities & impact

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 timely and appropriate resolution
Conduct or assign full investigations and provide investigation reports for new events, claims, and legal actions
Negotiate claim settlements up to designated authority level
Calculate and assign timely and appropriate reserves and monitor reserve adequacy throughout the claim life
Recommend settlement strategies and bring structured settlement proposals as necessary
Coordinate legal defense by assigning attorneys, coordinating investigation support, reviewing attorney invoices, and monitoring counsel for client-guideline compliance
Use cost containment techniques and strategic vendor partnerships to reduce 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

Requirements

What you’ll need

Five (5) years of claims management experience or equivalent combination of education and experience required
Written and oral communication skills
Presentation skills
PC literacy including Microsoft Office Products
Strong negotiation skills
Ability to work in a team environment
Ability to meet or exceed performance competencies
Bachelor's degree from an accredited college or university preferred
Licenses as required
Professional certification as applicable to line of business preferred
Computer keyboarding
Hearing, vision and talking
Clear and conceptual thinking ability
Excellent judgement and discretion
Ability to meet deadlines

Benefits

Comp & perks

Medical insurance
Dental insurance
Vision insurance
401k and matching
PTO
Disability insurance
Life insurance
Employee assistance
Flexible spending or health savings account
Other additional voluntary benefits
Work-life balance
Reasonable accommodations when applicable and appropriate