Sedgwick
Sr. Claims Specialist, Professional Liability (Cyber)
Sedgwick, Atlanta, Georgia, United States, 30383
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.
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.
Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer
Sr. Claims Specialist, Professional Liability (Cyber)
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 with evolving cyber threats, industry trends, and best practices in cybersecurity
Provide technical guidance to less experienced team members on complex cyber claims
Reporting and Analytics:
Prepare detailed claim reports and analyses for insurance company
Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life.
Refers cases as appropriate to supervisor and management.
ADDITIONAL FUNCTIONS and 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 required. JD preferred. Adjuster Licenses as required. Professional certification as applicable to line of business preferred.
Experience
At least five (5) years of claims management experience, with at least (2) years of cyber claims management experience, or equivalent combination of education and experience required.
Skills & Knowledge
In-depth knowledge of appropriate Cyber and other Professional Liability lines, including E&O, D&O, EPL, etc. insurance principles and laws for line-of-business handled, cost containment principles and procedures as applicable to line-of-business
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
NOTE
:
Credit security clearance, confirmed via a background credit check, is required for this position. A writing sample (a redacted coverage letter) is also requested.
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- $120,000
. 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.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
Taking care of people is at the heart of everything we do. Caring counts
Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)
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.
Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer
Sr. Claims Specialist, Professional Liability (Cyber)
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 with evolving cyber threats, industry trends, and best practices in cybersecurity
Provide technical guidance to less experienced team members on complex cyber claims
Reporting and Analytics:
Prepare detailed claim reports and analyses for insurance company
Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life.
Refers cases as appropriate to supervisor and management.
ADDITIONAL FUNCTIONS and 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 required. JD preferred. Adjuster Licenses as required. Professional certification as applicable to line of business preferred.
Experience
At least five (5) years of claims management experience, with at least (2) years of cyber claims management experience, or equivalent combination of education and experience required.
Skills & Knowledge
In-depth knowledge of appropriate Cyber and other Professional Liability lines, including E&O, D&O, EPL, etc. insurance principles and laws for line-of-business handled, cost containment principles and procedures as applicable to line-of-business
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
NOTE
:
Credit security clearance, confirmed via a background credit check, is required for this position. A writing sample (a redacted coverage letter) is also requested.
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- $120,000
. 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.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
Taking care of people is at the heart of everything we do. Caring counts
Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)