Description
By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.
As a Professional Liability Claims Advisor (Remote) | Medical Malpractice, you will manage and handle MedMal and professional liability claims; provide resolution of highly complex nature and/or severe claims; coordinate case management within company standards, industry best practices and specific client service requirements; and manage the total claim costs while providing high levels of customer service.
Key responsibilities include:
- Analyzing and processing complex or technically difficult MedMal and Professional Liability claims
- Conducting or assigning full investigation and providing report of investigation pertaining to new events, claims and legal actions
- Negotiating claim settlement up to designated authority level
- Calculating and assigning timely and appropriate reserves to claims; monitoring reserve adequacy throughout claim life
- Recommending settlement strategies; bringing structured settlement proposals as necessary to maximize settlement
- Performing coverage analysis and opinion as part of the claim process including all necessary correspondence
- Coordinating legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitoring counsel for compliance with client guidelines
- Using appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients
- Identifying and investigating for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost
- Representing company in mediations, and trial monitoring as needed
- Communicating claim activity and processing with the client; maintaining professional client relationships
- Ensuring claim files are properly documented and claims coding is correct
- Referring cases as appropriate to supervisor and management
- Delegating work and mentoring others
To be successful in this role, you will need:
- 3-5 years of medical malpractice and professional liability claims management experience
- High School Diploma or GED required; Bachelor's degree from an accredited college or university preferred
- Professional certification as applicable to line of business preferred
We offer a range of benefits, including:
- Flexible work schedule
- Referral incentive program
- Opportunity to work in an agile environment
- Career development and promotional growth opportunities
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one
The salary range for this role is $100,000 to $145,000 per year.