Sr. Claims Specialist, Professional Liability | Medical Malpractice (long Term Care) | Florida

Sedgwick

FL, US
**
Medical malpractice claims analysis
Investigate and gather information
Negotiate claim settlement
** Sedgwick is seeking a Sr. Claims Specialist in Florida to manage complex medical malpractice claims within the long-term care sector. The ideal candidate should have at least six years of claims management experience and possess strong analytical and negotiation skills. **

Job Summary

  • 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.
  • Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions.
  • Communicates claim activity and processing with the client; maintains professional client relationships.

Matching Summary

Match Score: 75

** Sedgwick is seeking a Sr. Claims Specialist in Florida to manage complex medical malpractice claims within the long-term care sector. The ideal candidate should have at least six years of claims management experience and possess strong analytical and negotiation skills. **

Skills & Requirements

Must-have

  • medical malpractice claims analysis
  • investigate and gather information
  • negotiate claim settlement
  • calculate and assign reserves
  • coordinate legal defense
  • cost containment techniques
  • fraud and subrogation identification

Nice-to-have

  • caring culture
  • work-life balance
  • grow your career
  • team environment

Key Requirements

  • Six (6) years of claims management experience
  • Bachelor's degree preferred
  • Licenses as required
  • Professional certification as applicable

Work Rights

Not specified

Tailored Resume

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