Senior Medical Malpractice Claims Strategist

Sedgwick Claims Management Services Ltd; New York (NY); Sur place; USD 120 000 - 135 000; Plein temps

Avantages offerts par ce poste

Medical insurance

Dental insurance

Vision insurance

401(k) with matching

PTO

Disability insurance

Life insurance

Employee assistance program

FSA or HSA

Voluntary benefits

Résumé du poste

Sedgwick is seeking a Sr. Claims Specialist in New York City to analyze complex medical malpractice claims, coordinate case management, and manage total claim costs while delivering high levels of customer service.

The role requires substantial claims experience, JD/License where applicable, and strong negotiation, analytical, and communication skills. Expect a comprehensive benefits package and a focus on quality and cost containment.

Qualifications

• Six years of claims management experience or equivalent education/experience.
• Bachelor's degree; Juris Doctor preferred; licenses as required.
• In-depth knowledge of medical malpractice insurance principles and related laws.
• Excellent oral and written communication; strong negotiation skills.
• Analytical, organized, and able to manage multiple claims efficiently.
• Ability to work in a team and meet deadlines.

Responsabilités

• Analyze and process complex medical malpractice claims; determine exposure and resolve.
• Conduct investigations and provide comprehensive reports on new events and actions.
• Negotiate settlements up to designated authority level.
• Set reserves accurately and monitor reserve adequacy; track costs.
• Coordinate defense by engaging attorneys and reviewing invoices; manage vendor relations.
• Identify fraud, subrogation, and recovery opportunities to reduce costs.
• Mentor staff and support quality programs; perform other duties as assigned.

Connaissances

Negotiation

Analytical skills

Communication

Teamwork

Time management

Formation

Bachelor's degree

Juris Doctor preferred

Licenses as required

Professional certification

Outils

Excel

Word

Teams

Description du poste

Sedgwick is seeking a Sr. Claims Specialist in New York City to analyze complex medical malpractice claims, coordinate case management, and manage total claim costs while delivering high levels of customer service.

The role requires substantial claims experience, JD/License where applicable, and strong negotiation, analytical, and communication skills. Expect a comprehensive benefits package and a focus on quality and cost containment.