Remote Medical Malpractice Claims Lead

Sedgwick; Hartford (CT); Remote; USD 110,000 - 120,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401k and matching

PTO

Disability

Life insurance

Employee assistance

Flexible spending or health savings

Job summary

Sedgwick is seeking a Sr. Claims Specialist for Medical Malpractice on a remote basis. The role focuses on analyzing highly complex medical malpractice claims, coordinating case management, and driving settlements within authority levels.

You will leverage your legal and claims experience to manage reserves and client communications while upholding Sedgwick’s standards. The ideal candidate has six years of claims experience, strong analytical and negotiation skills, and a Bachelor’s degree.

Qualifications

• Bachelor's degree preferred; professional certifications as applicable.
• Six (6) years of claims management experience or equivalent combination of education and experience required.
• Experience analyzing complex medical malpractice claims and managing litigation support.

Responsibilities

• Analyze and process complex medical malpractice claims and determine exposure.
• Coordinate case management to meet client service requirements and cost targets.
• Negotiate settlements up to designated authority levels and manage reserves.
• Coordinate legal defense and review attorney invoices; ensure compliance with guidelines.
• Identify cost containment opportunities and manage subrogation/recovery efforts.
• Maintain client relationships and ensure accurate claim documentation and coding.

Skills

Communication skills

Analytical skills

Organizational skills

Negotiation skills

Interpersonal skills

Teamwork

Education

Bachelor's degree

Tools

Microsoft Office

Job description

Sedgwick is seeking a Sr. Claims Specialist for Medical Malpractice on a remote basis. The role focuses on analyzing highly complex medical malpractice claims, coordinating case management, and driving settlements within authority levels.

You will leverage your legal and claims experience to manage reserves and client communications while upholding Sedgwick’s standards. The ideal candidate has six years of claims experience, strong analytical and negotiation skills, and a Bachelor’s degree.