Sr. Claims Specialist, Professional Liability | Medical Malpractice| Long Term Care

Sedgwick Claims Management Services, Inc.

Job Overview

Location

Recruiting Only - Telecommuter

Job Type

Full-time

Full Job Description

📋 Description

• The Sr. Claims Specialist, Professional Liability role focuses on analyzing and resolving complex medical malpractice claims for Long Term Care clients, ensuring timely, cost-effective outcomes while maintaining high customer service standards.
• Day-to-day responsibilities include investigating claims, calculating reserves, negotiating settlements, coordinating legal defense, identifying fraud or recovery opportunities, representing the company in depositions and mediations, mentoring staff, and ensuring accurate claim documentation and coding.
• Sedgwick Claims Management Services, Inc. is a nationally recognized employer with a caring culture, certified as a Great Place to Work®, ranked among Newsweek’s America’s Greatest Workplaces and Fortune’s Best Workplaces in Financial Services & Insurance, employing 33,000 colleagues globally.
• In this role, you will deepen your expertise in professional liability claims, develop leadership skills through mentoring, enhance negotiation and analytical abilities, and contribute to meaningful outcomes for clients facing severe injury and high-exposure claims.

🎯 Requirements

• 6 years of claims management experience or equivalent combination of education and experience
• Bachelor’s degree from an accredited college or university preferred
• Professional certification applicable to line of business preferred
• Strong analytical and negotiation skills with sound judgment
• Ability to manage complex medical malpractice claims involving severe injury and high exposure
• Commitment to timely, cost-effective claim resolutions and high customer service

🏖️ Benefits

• Comprehensive benefits package including medical, dental, vision, 401k with matching, PTO, disability and life insurance
• Employee assistance program, flexible spending or health savings account, and additional voluntary benefits
• Work-life balance and caring culture recognized by Great Place to Work® and Newsweek
• Opportunity to grow career with a nationally recognized employer in the insurance industry
• Remote work eligibility (Recruiting Only - Telecommuter)
• Competitive starting pay range of $105,000 to $120,000 for this jurisdiction

Skills & Technologies

Senior

Onsite

Degree Required

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Sedgwick Claims Management Services, Inc.

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About Sedgwick Claims Management Services, Inc.

Sedgwick is a global provider of technology-enabled risk, benefits and integrated business solutions, primarily handling insurance claims, managed care, absence and disability, and productivity management for employers, carriers, and administrators. The company processes millions of claims annually across workers' compensation, property, casualty, disability, and other lines, leveraging analytics and digital platforms to improve outcomes, reduce costs, and enhance customer and employee experiences.

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