Remote MedMal & Professional Liability Claims Advisor

Sedgwick Claims Management Services Ltd; United States; Remote; USD 100,000 - 145,000; Full time

Benefits offered by this job

Medical, dental, vision benefits

401k with company matching

PTO and disability insurance

Job summary

Sedgwick Claims Management Services Ltd seeks an experienced claims professional to adjudicate complex Medical Malpractice and Professional Liability claims. You will investigate, evaluate coverage, and drive strategic resolutions in a fast-paced, client-focused setting.

The role emphasizes negotiation, collaboration with defense counsel, and accurate documentation. A strong background in complex claims and a commitment to high service levels are essential.

Qualifications

• 3–5 years of medical malpractice and professional liability claims management experience.
• Bachelor's degree preferred; High School Diploma or GED is required.
• Experience handling complex claims in a client-focused environment.

Responsibilities

• Analyzes and processes MedMal and professional liability claims, investigating to determine exposure and resolving them.
• Negotiates settlements up to designated authority levels and assigns reserves.
• Coordinates defense with attorneys and reviews invoices for compliance.
• Communicates claim activity with clients and maintains professional relationships.

Skills

Claims management

Investigation

Negotiation

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick Claims Management Services Ltd seeks an experienced claims professional to adjudicate complex Medical Malpractice and Professional Liability claims. You will investigate, evaluate coverage, and drive strategic resolutions in a fast-paced, client-focused setting.

The role emphasizes negotiation, collaboration with defense counsel, and accurate documentation. A strong background in complex claims and a commitment to high service levels are essential.