Long Beach, California
Glendale, California
Queens, NY, 11415, USA
Fullerton, California
Bloomington, Indiana;Indianapolis, Indiana,
Fairfax, Virginia
Indianapolis, Indiana
Posted: 19-Jan-23
Location: Long Beach, California
Type: Full Time
Salary: $80,959.00 to $124,538 salary
Sector:
Salary Details:
Preferred Education:
Additional Information:
Internal Number: R32165
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Enjoy flexibility and autonomy in your daily work, your location, and your career path.
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Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
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Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.
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Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
PRIMARY PURPOSE: To analyze and provide resolution of complex Medical Malpractice and Healthcare Professional liability claims.
ARE YOU AN IDEAL CANIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
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Analyzes and processes complex or technically difficult medical malpractice claims
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Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions.
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Negotiates claim settlement
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Calculates, assigns, and monitors claims reserves
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Recommends settlement strategies
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Coordinates legal defense, monitors counsel for compliance with client guidelines.
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Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients.
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Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost.
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Represents Company in depositions, mediations, and trial monitoring as needed.
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Maintains professional client relationships.
QUALIFICATION
Education & Licensing
Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certification as applicable to line of business preferred.
Experience
Six (6) years of claims management experience or equivalent combination of education and experience required.
Skills & Knowledge
In-depth knowledge of appropriate medical malpractice insurance principles and laws, excellent oral and written communication, including presentation skills, PC literate. Analytical, strong negotiation skills
WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $80,959.00 to $124,538 salary. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
