Remote Senior Medical Malpractice Claims Specialist

Sedgwick; United States; Remote; USD 110,000 - 120,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401k with matching

PTO

Job summary

Sedgwick is hiring a Senior Claims Specialist, Medical Malpractice, in a remote capacity. You will analyze complex medical malpractice claims, coordinate case management, and drive cost-effective resolutions for clients across the United States.

The ideal candidate has six years of claims management experience, a Bachelor's degree, and strong negotiation, communication, and analytical skills. Sedgwick offers comprehensive benefits and a focus on work-life balance.

Qualifications

• Six years of claims management experience.
• Excellent oral and written communication, including presentation skills.
• Strong negotiation skills and analytical ability.
• Ability to work in a team environment.

Responsibilities

• Analyze and process complex medical malpractice claims with investigation to determine exposure.
• Coordinate case management and reserve calculations; manage claims through action plans.
• Negotiate settlements up to designated authority level.
• Coordinate legal defense and review attorney invoices; monitor counsel for client guidelines.
• Communicate claim activity with clients and maintain professional relationships.
• Mentor assigned staff and ensure proper documentation and coding.

Skills

Communication

Negotiation

Analytical skills

Teamwork

Organizational skills

Education

Bachelor's degree

Job description

Sedgwick is hiring a Senior Claims Specialist, Medical Malpractice, in a remote capacity. You will analyze complex medical malpractice claims, coordinate case management, and drive cost-effective resolutions for clients across the United States.

The ideal candidate has six years of claims management experience, a Bachelor's degree, and strong negotiation, communication, and analytical skills. Sedgwick offers comprehensive benefits and a focus on work-life balance.