Remote Senior Medical Malpractice Claims Specialist

Sedgwick; San Juan (PR); 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, Medical Malpractice, for a remote, full-time position.

The role analyzes complex medical malpractice claims, coordinates case management, and negotiates settlements to manage total claim costs while delivering high levels of customer service. Ideal candidates will have a Bachelor's degree (or equivalent) with 6+ years of claims experience, strong communication skills, and proficiency with Microsoft Office.

Qualifications

• Bachelor's degree preferred. Licenses as required. Certification as applicable to line of business preferred.
• Six (6) years of claims management experience or equivalent combination of education and experience required.
• Excellent oral and written communication, including presentation skills.
• PC literate, including Microsoft Office products.

Responsibilities

• Analyzes and processes complex medical malpractice claims; investigates and gathers information to determine exposure.
• Coordinates case management within standards and client requirements; manages claims to timely resolution.
• Negotiates settlements up to designated authority; assigns reserves and monitors adequacy.
• Coordinates legal defense by selecting attorneys and monitoring invoices; ensures compliance with guidelines.

Skills

Excellent communication

Presentation skills

Analytical skills

Organizational skills

Negotiation skills

Team collaboration

Education

Bachelor's degree

Professional certification (as applicable)

Tools

Microsoft Office

Job description

Sedgwick is seeking a Sr. Claims Specialist, Medical Malpractice, for a remote, full-time position.

The role analyzes complex medical malpractice claims, coordinates case management, and negotiates settlements to manage total claim costs while delivering high levels of customer service. Ideal candidates will have a Bachelor's degree (or equivalent) with 6+ years of claims experience, strong communication skills, and proficiency with Microsoft Office.