Remote Senior Medical Malpractice Claims Specialist

Sedgwick; Santa Fe (NM); Remote; USD 110,000 - 120,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401k and matching

PTO

Disability insurance

Life insurance

Employee assistance

Job summary

Sedgwick is seeking a Sr. Claims Specialist, Medical Malpractice, to analyze complex malpractice claims and drive resolutions while coordinating case management. This remote role supports clients nationwide and requires strong negotiation and analytical skills.

Ideal candidates have a solid background in malpractice insurance, proficiency with MS Office, and the ability to manage high-stakes cases with professionalism and client focus.

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.
• In-depth knowledge of medical malpractice insurance principles and laws for line-of-business handled.

Responsibilities

• Analyzes and processes complex medical malpractice claims; investigates to determine exposure and resolves through action plans.
• Conducts full investigations and reports findings for new events, claims and legal actions.
• Negotiates settlements up to the designated authority level.
• Calculates reserves and monitors reserve adequacy throughout claim life.
• Coordinates legal defense by assigning attorneys and reviewing invoices.

Skills

Communication skills

Negotiation skills

Analytical skills

Teamwork

Problem solving

Microsoft Office

Education

Bachelor's degree

6 years claims experience

Tools

Microsoft Office

Job description

Sedgwick is seeking a Sr. Claims Specialist, Medical Malpractice, to analyze complex malpractice claims and drive resolutions while coordinating case management. This remote role supports clients nationwide and requires strong negotiation and analytical skills.

Ideal candidates have a solid background in malpractice insurance, proficiency with MS Office, and the ability to manage high-stakes cases with professionalism and client focus.