Sr. Claims Specialist, Professional Liability (Cyber)

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A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

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PRIMARY PURPOSE: To analyze complex or technically difficult Cyber and other Professional Liability claims; to provide resolution of medium to highly complex nature claims; to perform 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 FUNCTIONS and RESPONSIBILITIES

Claims Management and Processing:

• Handle a diverse portfolio of cyber claims, including various Professional Liability claims, for various insurance company clients
• Conduct comprehensive investigations into incidents, including data breaches, ransomware attacks, and business interruption claims
• Analyze policy wordings and determine coverage applicability for each claim
• Draft coverage letter
• Maintain accurate claim files and documentation in compliance with client-specific guidelines and regulatory requirements
• Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost.

Client Relations:

• Serve as the primary point of contact for assigned insurance company clients
• Provide regular updates and reports to clients on claim status, trends, and potential high-exposure cases
• Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement.
• Represents Company in depositions, mediations, and trial monitoring as needed.

Vendor Management:

• Coordinate with and oversee external vendors, including forensic experts and legal counsel
• Manage vendor expenses and ensure adherence to client-specific billing guidelines
• Evaluate vendor performance and make recommendations for the vendor panel

Technical Expertise:

• Stay current …