Claims Specialist Sr - Professional Liability

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.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

To analyze complex or technically difficult medical malpractice claims; to provide resolution of highly complex nature and/or severe injury claims; to coordinate case management within Company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service.

• Analyze and process complex or technically difficult medical malpractice claims by investigating and gathering information to determine exposure on the claim; manage claims through well‑developed action plans to an appropriate and timely resolution.
• Conduct or assign full investigation and provide report of investigation pertaining to new events, claims, and legal actions.
• Negotiate claim settlement up to designated authority level.
• Calculate and assign timely and appropriate reserves to claims; monitor reserve adequacy throughout claim life.
• Recommend settlement strategies; bring structured settlement proposals as necessary to maximize settlement.
• Coordinate legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitor counsel for compliance with client guidelines.
• Use appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients.
• Identify and