Remote Senior Medical Malpractice Claims Strategist

Sedgwick; Jackson (MS); 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

Flexible spending or health savings

Other additional voluntary benefits

Job summary

Sedgwick is seeking a Sr. Claims Specialist, Medical Malpractice for a remote role. You will analyze complex medical malpractice claims, coordinate case management, and negotiate settlements while controlling costs and maintaining client relationships.

This senior position requires strong analytical, negotiation, and communication skills, with experience in claims handling and mentorship. Remote work supports work-life balance and professional development within Sedgwick’s culture.

Qualifications

• Bachelor's degree and licenses as required; professional certification preferred.
• Six (6) years of claims management experience or equivalent.
• In-depth knowledge of medical malpractice insurance principles and laws.
• Excellent oral and written communication, including negotiation.

Responsibilities

• Analyzes and processes complex medical malpractice claims; investigates to determine exposure.
• Conducts full investigations and reports on new events and claims.
• Negotiates settlements up to designated authority level.
• Calculates reserves and monitors reserve adequacy throughout claims life.
• Recommends settlement strategies and structured proposals as needed.
• Coordinates legal defense; reviews attorney invoices and monitors compliance.
• Identifies fraud, subrogation, and recovery opportunities to reduce costs.
• Represents company in depositions, mediations, and trials as needed.
• Maintains client communications and professional relationships.
• Ensures proper documentation and coding of claim files.
• Mentors assigned staff and coordinates workload.

Skills

Communication skills

Negotiation skills

Analytical thinking

Interpersonal skills

Teamwork

Problem solving

Organizational skills

MS Office

Education

Bachelor's degree

Job description

Sedgwick is seeking a Sr. Claims Specialist, Medical Malpractice for a remote role. You will analyze complex medical malpractice claims, coordinate case management, and negotiate settlements while controlling costs and maintaining client relationships.

This senior position requires strong analytical, negotiation, and communication skills, with experience in claims handling and mentorship. Remote work supports work-life balance and professional development within Sedgwick’s culture.