Full-Time

RN Consultant Sr

Professional Liability

Updated on 12/6/2024

Sedgwick Claims Management Services

Sedgwick Claims Management Services

10,001+ employees

Claims management and risk solutions provider

Consulting
Financial Services

Compensation Overview

$80k - $88kAnnually

Senior

Remote in USA

Category
Legal
Legal & Compliance
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
  • 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
Responsibilities
  • 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.
  • Performs other duties as assigned.
  • Supports the organization's quality program(s).
  • Travels as required.
Sedgwick Claims Management Services

Sedgwick Claims Management Services

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Sedgwick focuses on claims management and risk solutions for the insurance and corporate sectors, helping clients efficiently handle various claims like property damage and employee injuries. Their services include clinical case management and specialized offerings such as home inspections and property appraisals, which aid in accurate claims processing. Sedgwick stands out from competitors with its strong commitment to diversity, equity, and inclusion, which enhances its service delivery. The company's goal is to improve claims outcomes while caring for people and fostering an inclusive environment.

Company Stage

Growth Equity (Non-Venture Capital)

Total Funding

$488.1M

Headquarters

Memphis, Tennessee

Founded

1969

Simplify Jobs

Simplify's Take

What believers are saying

  • Sedgwick secured a $1 billion investment from Altas Partners, boosting its valuation.
  • The AI-powered care guidance application improves claims outcomes and efficiency.
  • Expansion in marine operations positions Sedgwick as a leader in this sector.

What critics are saying

  • Increased litigation risks due to Florida's HB 837 tort reform surge.
  • Potential reputational damage from lawsuits, such as breach of settlement agreement cases.
  • High U.S. product recall rates could impact brand protection services and client trust.

What makes Sedgwick Claims Management Services unique

  • Sedgwick offers AI-powered care guidance for enhanced claims management.
  • The company has expanded global marine operations to meet sector needs.
  • Sedgwick's Consumer Product Safety Pulse Report provides unique insights on recall behavior.

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