Claims Advisor, Professional Liability – Medical Malpractice

🔥 0 minutes ago

🚗 Michigan – Remote

🚗 Michigan – Remote

💵 $120k - $130k / year

⏰ Full Time

🟠 Senior

🔴 Lead

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Sedgwick

WebsiteLinkedInAll Job Openings

10,000+ employees

🏗️ Construction

💼 Consulting

🏥 Healthcare

Construction • Consulting • Healthcare

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.

📋 Description

• Analyze complex or technically difficult medical malpractice claims • Provide resolution of highly complex and/or severe injury claims • Proactively and strategically manage a complex claim inventory • Assess complex claims issues and utilize jurisdictional expertise to provide oversight • Direct claim handling to achieve the best possible resolution • Act as the organizational subject matter expert for complex claim issues • Evaluate exposure using knowledge of all aspects of claims handling • Recommend and direct action plans for issue or case resolution • Articulate and document clear and concise file notes • Facilitate roundtables with groups and teams • Engage appropriate internal and external resources as needed • Provide technical leadership and maintain co-ownership of complex claim issues • Support the organization's quality programs • Perform other duties as assigned

🎯 Requirements

• 8 years of claims management experience, or equivalent combination of education and experience • 3 to 5 years of experience handling complex claims • Experience in negotiation, mediation, arbitration, or higher-value complex claims • Bachelor's degree from an accredited college or university preferred • Licenses as required • Professional certification as applicable to line of business preferred • Computer keyboarding ability • Hearing, vision, and talking ability • Clear and conceptual thinking ability • Excellent judgment and discretion • Ability to meet deadlines

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • 401k and matching • PTO • Disability insurance • Life insurance • Employee assistance • Flexible spending account or health savings account • Other additional voluntary benefits • Work-life balance • Caring culture • Equal Opportunity Employer and Drug-Free Workplace