Senior Medical Malpractice Claims Strategist

Sedgwick; Yuma (AZ); On-site; USD 100,000 - 115,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401k with match

PTO

Disability insurance

Life insurance

Flexible spending account / Health SAV

Employee assistance program

Job summary

Sedgwick in the United States seeks an experienced Sr. Claims Specialist in Professional Liability (Medical Malpractice) to analyze complex claims, coordinate investigations, and manage costs while delivering high levels of client service.

Ideal candidates bring at least 6 years of claims management experience, a bachelor's degree, and professional certification where applicable. The role offers a comprehensive benefits package and a starting pay range noted in the posting.

Qualifications

• 6 years of claims management experience or equivalent combination of education and experience.
• Bachelor's degree from an accredited college or university preferred. Licenses as required.
• Professional certification as applicable to line of business preferred.

Responsibilities

• Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to determine exposure.
• Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and actions.
• Calculates and assigns reserves to claims; monitors reserve adequacy throughout claim life.
• Recommends settlement strategies; presents structured settlement proposals to maximize settlement.
• Coordinates legal defense by assigning attorney and reviewing invoices; ensures compliance with client guidelines.
• Uses cost containment techniques including vendor partnerships to reduce claim costs.

Skills

Claims management experience

Analytical skills

Negotiation skills

Cost containment

Education

Bachelor's degree

Job description

Sedgwick in the United States seeks an experienced Sr. Claims Specialist in Professional Liability (Medical Malpractice) to analyze complex claims, coordinate investigations, and manage costs while delivering high levels of client service.

Ideal candidates bring at least 6 years of claims management experience, a bachelor's degree, and professional certification where applicable. The role offers a comprehensive benefits package and a starting pay range noted in the posting.