Senior Professional Liability Nurse Consultant

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Sedgwick

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Insurance • Enterprise • Compliance

Sedgwick is a global provider of technology-enabled risk, benefits, and integrated business solutions. They help people and organizations by managing and mitigating risk with solutions in accident, health, disability, unemployment compensation, and liability claims administration, among others. Sedgwick offers services such as claims administration, building consulting, forensic accounting, and forensic engineering. Their specialties include property restoration, brand protection, and loss prevention across several industries, including agriculture, construction, and environmental sectors. The company emphasizes diversity, equity, and inclusion (DEI) as well as environmental, social, and governance (ESG) practices.

10,000+ employees

🏢 Enterprise

📋 Compliance

📋 Description

• To handle complex or high exposure claim issues; • To provide medical knowledge of the health care system and health care issues; • To independently investigate, analyze and evaluate medical malpractice claims for self-insured and commercially insured clients; • To provide information needed to clients as needed to determine liability issues and exposure; • To assist in identification of risk management issues to decrease liability exposure and associated legal costs. • Handles complex or high exposure claim issues; advises and leads Nurse Consultant - PL colleagues. • Receives requests for investigation; reviews and develops action plans and investigates cases accordingly. • Collects data from Company and clients to document and communicate results as appropriate. • Prepares reports summarizing medical records and interviews; outlines issues related to summary reports; and provides analysis and recommendations for further claims handling. • Interviews practitioners involved in medical malpractice claims at hospital facilities weekly as needed. • Participates in follow-up review and investigation as directed and assists in discovery requests as needed.

🎯 Requirements

• Bachelor's degree from an accredited college or university preferred. • RN license required. • LNC (Legal Nurse Consultant) Certification or training preferred. • Five (5) years related clinical nursing experience and two (2) years nurse consultant experience required. • General or Professional Liability investigation related experience preferred. • Technical claims knowledge of medical malpractice claims procedures and practices and/or general liability. • Excellent oral and written communication, including presentation skills. • PC literate, including Microsoft Office products. • Analytical and interpretive skills. • Strong organizational skills. • Excellent interpersonal skills. • Ability to work in a team environment. • Ability to meet or exceed Performance Competencies.

🏖️ Benefits

• Three Medical, and two dental plans to choose from. • Tuition reimbursement eligible. • 401K plan that matches 50% on every $ you put in up to the first 6% you save. • 4 weeks PTO your first full year.