Remote MedMal & Professional Liability Claims Advisor

American Association of Legal Nurse Consultants (AALNC); Chelsea (MI); Remote; USD 100,000 - 145,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Career development opportunities

Comprehensive benefits

Job summary

Sedgwick is seeking a Professional Liability Claims Advisor (Remote) specializing in Medical Malpractice. You will adjudicate complex claims, manage investigations, evaluate coverage, and drive strategic resolutions in a client-focused environment.

The role offers remote work with Pacific Time Zone hours and a comprehensive benefits package. Ideal candidates have 3–5 years in MedMal/professional liability claims, strong negotiation skills, and the ability to mentor others while controlling claim

Qualifications

• Experience handling complex Medical Malpractice and professional liability claims.
• Skilled in investigations, coverage evaluation, and settlement strategy.
• Strong client-focused and mentoring abilities.

Responsibilities

• Analyze and adjudicate MedMal and Professional Liability claims.
• Coordinate case management and reserves with client guidelines.
• Negotiate settlements up to designated authority; engage defense counsel as needed.
• Monitor and review legal invoices; ensure proper documentation and coding.
• Mentor team members and support continuous process improvement.

Skills

Medical malpractice

Professional liability

Claims management

Negotiation

Client communication

Education

Bachelor's degree preferred

Job description

Sedgwick is seeking a Professional Liability Claims Advisor (Remote) specializing in Medical Malpractice. You will adjudicate complex claims, manage investigations, evaluate coverage, and drive strategic resolutions in a client-focused environment.

The role offers remote work with Pacific Time Zone hours and a comprehensive benefits package. Ideal candidates have 3–5 years in MedMal/professional liability claims, strong negotiation skills, and the ability to mentor others while controlling claim