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Professional Liability Claims Advisor
Career Insights for Claims Representative
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What they do
A Claims Representative accepts and reviews applications for insurance and provides information to insurance agents. Assists insurance customers, answers questions and processes requests to change or cancel policies. May assist with insurance claims that are disputed, review claims and policy coverage and help to negotiate agreements between customers and an insurance company.
$62,654 / year median in the U.S.
+2% projected growth
Job Description
Job Listing ID:
4548483
Job Title:
Professional Liability Claims Advisor
Application Deadline:
Open Until Filled
Job Location:
Salem
Date Posted:
08/14/2026
Hours Worked Per Week:
Not Provided
Shift:
Not Provided
Duration of Job:
Either Full or Part Time, more than 6 months
SR You may contact this employer directly.
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Job Summary Telecommuter CA Telecommuter OR Telecommuter NV Telecommuter UT Telecommuter AZ Telecommuter
WA R76707
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 Professional Liability Claims Advisor 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 experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights. Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. Enjoy flexibility and autonomy in your daily work, your location, and your career path. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
ARE YOU AN IDEAL CANDIDATE?
You bring experience handling complex Medical Malpractice and/or Professional Liability claims, excel at investigating claims, evaluating coverage, and driving strategic resolutions, and thrive in a client-focused environment where you can manage high-exposure files, collaborate with defense counsel, and mentor others while delivering exceptional results.
WORK LOCATIONS
This role requires availability during Pacific Time Zone business hours. See posting for eligible locations.
PRIMARY PURPOSE OF THE ROLE
Manage and handle MedMal and professional liability claims; to provide resolution of highly complex nature and/or severe 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 MedMal and Professional Liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. 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. Performs coverage analysis and opinion as part of the claim process including all necessary correspondence. 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 part... Claims Adjusters, Examiners, and Investigators
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Compensation
Not Provided
Job Requirements
Experience Required:
See Job Summary
Education Required:
None
Minimum Age:
N/A