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Company

Sedgwick · 8 hours ago

Claim Advisor, Professional Liability (Cyber)

Illinois, United States

Full-time

Remote

Senior Level

$120K/yr - $130K/yr

6+ years exp

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BankingInsurance

No H1B

Security Clearance Required

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Responsibilities

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.

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.

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

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

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.

Performs other duties as assigned.

Supports the organization's quality program(s).

Qualification

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Claims ManagementCyber Claims ManagementInsurance PrinciplesMicrosoft OfficeAdjuster LicensesProfessional Certification

Required

Bachelor's degree from an accredited college or university required.

At least six (6) years of claims management experience, with at least three (3) years of cyber claims management experience, or equivalent combination of education and experience required.

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.

Adjuster Licenses as required.

Credit security clearance, confirmed via a background credit check, is required for this position.