Remote Senior Medical Malpractice Claims Expert

Sedgwick; Bismarck (ND); Remote; USD 110,000 - 120,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401k

PTO

Disability

Life insurance

Employee assistance

HSA/FSA

Other benefits

Job summary

Sedgwick, a global leader in claims solutions, is seeking a Sr. Claims Specialist, Medical Malpractice for remote work. You will analyze complex medical malpractice claims, coordinate case management, and aim for timely resolutions while controlling costs.

Qualifications include a bachelor's degree, six years of claims experience, and strong negotiation and communication skills. You will support clients, manage reserves, and collaborate with legal teams in a fast-paced environment.

Qualifications

• Bachelor's degree from an accredited college or university preferred.
• Licenses as required; professional certification as applicable to line of business preferred.
• Six (6) years of claims management experience or equivalent combination of education and experience required.

Responsibilities

• Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
• Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions.
• Negotiates claim settlement up to designated authority level.
• Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life.
• Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines.

Skills

Negotiation skills

Communication skills

Organizational skills

Analytical skills

MS Office

Team player

Interpersonal skills

Multitasking

Problem solving

Education

Bachelor's degree

Tools

Microsoft Office

Job description

Sedgwick, a global leader in claims solutions, is seeking a Sr. Claims Specialist, Medical Malpractice for remote work. You will analyze complex medical malpractice claims, coordinate case management, and aim for timely resolutions while controlling costs.

Qualifications include a bachelor's degree, six years of claims experience, and strong negotiation and communication skills. You will support clients, manage reserves, and collaborate with legal teams in a fast-paced environment.