Senior Medical Malpractice Claims Lead (Remote)

Sedgwick Claims Management Services Inc.; USA; Remote; USD 110.000 - 120.000; Vollzeit

Benefits dieser Stelle

Medical insurance

Dental insurance

Vision insurance

401k match

PTO

Disability insurance

Life insurance

Employee assistance program

FSA/HSA

Other voluntary benefits

Zusammenfassung

Sedgwick is seeking a Sr. Claims Specialist, Medical Malpractice, for a remote role. You will analyze complex medical malpractice claims, coordinate comprehensive case management, negotiate settlements, and manage reserves to balance client needs and claim costs.

The position requires six years of claims management experience, a Bachelor’s degree, and strong analytical, negotiation, and communication skills. Competitive compensation and benefits accompany the role.

Qualifikationen

• Bachelor's degree preferred.
• Six years of claims management experience required.
• Professional certification relevant to line of business preferred.

Aufgaben

• Analyzes and processes complex medical malpractice claims by investigating and gathering information to determine exposure.
• Manages claims through well-developed action plans to timely resolution.
• Negotiates settlements up to designated authority level.
• Calculates and assigns reserves; monitors reserve adequacy throughout life of the claim.
• Coordinates defense by assigning attorneys and reviewing invoices; ensures compliance with client guidelines.
• Uses cost containment techniques including vendor partnerships to reduce total claim costs.
• Identifies fraud, subrogation, and recovery opportunities to reduce costs.

Kenntnisse

Analytical skills

Negotiation skills

Organizational skills

Interpersonal skills

Communication skills

Teamwork

Ausbildung

Bachelor's degree

Tools

Microsoft Office

Jobbeschreibung

Sedgwick is seeking a Sr. Claims Specialist, Medical Malpractice, for a remote role. You will analyze complex medical malpractice claims, coordinate comprehensive case management, negotiate settlements, and manage reserves to balance client needs and claim costs.

The position requires six years of claims management experience, a Bachelor’s degree, and strong analytical, negotiation, and communication skills. Competitive compensation and benefits accompany the role.