Claims Director, Professional Liability

Claims Team Lead, Professional Liability

Primary Purpose Of The Role: To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims.

Are You An Ideal Candidate? We are seeking experienced leaders to supervise multiple teams of Professional Liability specialists while overseeing complex and high‑exposure claims. Ideal candidates demonstrate strong leadership, technical expertise, and sound judgment, while driving quality, compliance, and effective claim resolution. Successful individuals thrive in a collaborative environment, build strong client relationships, and are committed to continuous improvement and team development.

Essential Responsibilities May Include

• Supervises multiple teams of PL Specialists and/or multiple claims colleagues for wide span of control
• Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
• Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions.
• Provides support, guidance, leadership and motivation to promote maximum performance.
• Identifies and advises management of trends, problems, and issues; makes recommendations on course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for assigned office(s).
• Provides technical/jurisdictional direction to PL Specialists on claims issues and resolution.
• Compiles, reviews and analyzes management reports and takes appropriate action.
• Performs quality review on claims in compliance with audit requirements, service contract requirements and quality standards.
• Reviews reserve amounts on high cost claims and claims over the authority of individual PL Specialists.
• Maintains periodic review of claims that are litigated, sensitive, or questionable as determined by the client.
• Maintains contact with client on claims and promotes professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes on specific claims as requested by client.
• Ensures that direct reports are properly licensed in the jurisdiction serviced.
• Ensures claim files are coded correctly and adequate documentation is made by PL Specialists.
• Performs other duties as assigned.
• Supports the organization quality program(s).

Qualifications

Education & Licensing: Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred.

Experience: Eight (8) years of claims management experience related to professional liability claims or equivalent combination of education and experience required to include two (2) years of claims supervisor experience.

Taking Care Of You

• Offering flexibility and autonomy.
• Supporting meaningful work that promotes critical thinking and problem solving.
• Providing on-going learning and professional growth opportunities.
• Promoting a strong team environment and a culture of support.
• Recognizing your successes and celebrating your achievements.
• We offer diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day.

Work environment: When applicable and appropriate, consideration will be given to reasonable accommodation.

Physical: Computer keyboarding, travel as required

Auditory/visual: Hearing, vision and talking

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.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

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.