Remote MedMal & Professional Liability Claims Expert

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

Benefits offered by this job

Flexible schedule

Referral incentive

Agile environment

Career development

Benefits package

Job summary

Sedgwick Claims Management Services Inc. is seeking a Remote Professional Liability Claims Advisor to adjudicate MedMal and professional liability claims within a dynamic, client-focused environment.

The role emphasizes charging through complex investigations, evaluating coverage, and delivering strategic resolutions for high-exposure files. The position offers remote work with Pacific Time availability, opportunities for professional development, and a comprehensive benefits package.

Qualifications

• Experience handling complex MedMal and professional liability claims.
• Ability to investigate, evaluate coverage, and drive resolutions.
• Strong client-facing communication and collaboration skills.

Responsibilities

• Analyze and process complex MedMal and professional liability claims; develop action plans for resolution.
• Conduct investigations and provide reports for new events, claims, and legal actions.
• Negotiate settlements up to designated authority level.
• Manage reserves and ensure adequacy throughout claim life.
• Coordinate legal defense; monitor counsel for compliance with client guidelines.

Skills

Medical malpractice experience

Professional liability claims

Investigation & evaluation

Client-focused mindset

Education

High School diploma or GED

Bachelor’s degree preferred

Job description

Sedgwick Claims Management Services Inc. is seeking a Remote Professional Liability Claims Advisor to adjudicate MedMal and professional liability claims within a dynamic, client-focused environment.

The role emphasizes charging through complex investigations, evaluating coverage, and delivering strategic resolutions for high-exposure files. The position offers remote work with Pacific Time availability, opportunities for professional development, and a comprehensive benefits package.