MemphisRecruiter Since 2001
the smart solution for Memphis jobs

Senior Claims Specialist- Professional Liability

Company: Sedgwick Claims Management Services, Inc
Location: Memphis
Posted on: January 13, 2021

Job Description:

Claims Specialist Sr - Professional LiabilityIF YOU CARE, THERE'S A PLACE FOR YOU HEREFor a career path that is both challenging and rewarding, join Sedgwick's talented team of 21,000 colleagues around the globe. Sedgwick is a leading provider of technology-enabled risk, benefits and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. Whether they have a workplace injury, suffer property or financial loss or damage from a natural or manmade disaster, are involved in an auto or other type of accident, or need time away from work for the birth of a child or another medical situation, we are here to provide compassionate care and expert guidance. Our clients depend on our talented colleagues to take care of their most valuable assets -- their employees, their customers and their property. At Sedgwick, caring counts--. Join our team of creative and caring people of all backgrounds, and help us make a difference in the lives of others.PRIMARY PURPOSE:--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.ESSENTIAL FUNCTIONS and RESPONSIBILITIES* Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.* Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions.* Negotiates claim settlement up to designated authority level.* Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life.* Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement.* Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines.* Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients.* Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost.* Represents Company in depositions, mediations, and trial monitoring as needed.* Communicates claim activity and processing with the client; maintains professional client relationships.* Ensures claim files are properly documented and claims coding is correct.* Refers cases as appropriate to supervisor and management.* Delegates work and mentors assigned staff.ADDITIONAL FUNCTIONS and RESPONSIBILITIES* Performs other duties as assigned.* Supports the organization's quality program(s).QUALIFICATIONSEducation & LicensingBachelor's degree from an accredited college or university preferred.--Licenses as required.--Professional certification as applicable to line of business preferred.ExperienceSix (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 for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security application procedures as applicable to line-of-business* Excellent oral and written communication, including presentation skills* PC literate, including Microsoft Office products* Analytical and interpretive skills* Strong organizational skills* Excellent negotiation skills* Good interpersonal skills* Ability to work in a team environment* Ability to meet or exceed Performance CompetenciesWORK ENVIRONMENTWhen 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 deadlinesPhysical:--Computer keyboarding, travel as requiredAuditory/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. Sedgwick--is an Equal Opportunity Employerand aDrug-Free Workplace

Keywords: Sedgwick Claims Management Services, Inc, Memphis , Senior Claims Specialist- Professional Liability, Other , Memphis, Tennessee

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


Need a gig? Deliver with Uber Eats!
Description: Job DescriptionDeliver with Uber. Earn on your schedule. Deliver with Uber Eats on your schedule. Deliver for a few hours in the mornings, every night, or just on weekends--it's up to you. Earn Extra (more...)
Company: Uber Eats
Location: Arlington
Posted on: 01/22/2021

Need a gig? Deliver with Uber Eats!
Description: Job DescriptionDeliver with Uber. Earn on your schedule. Deliver with Uber Eats on your schedule. Deliver for a few hours in the mornings, every night, or just on weekends--it's up to you. Earn Extra (more...)
Company: Uber Eats
Location: Dumas
Posted on: 01/22/2021

Reach Truck operators needed!
Description: Do you have REACH TRUCK, CHERRY PICKER AND FORKLIFT EXPERIENCE br br APPLY TODAY br br A company in Olive Branch, MS is hiring for 1st and 2nd shift Must have reach truck, cherry picker and (more...)
Company: Kelly
Location: Olive Branch
Posted on: 01/22/2021


Security Guard - Afternoons
Description: Job DescriptionJob Title: Security Officer br Location: Memphis, TN 38118 br Environment: Warehouse br Shift Hours: 2nd Shift br br Who is GardaWorld br br GardaWorld is the
Company: GardaWorld
Location: Memphis
Posted on: 01/22/2021

Mechanic
Description: Job Description7218 - Memphis - 7771 Highway 64, Memphis, Tennessee, 38133 CarMax, the way your career should be Ensure every vehicle is one our customers can rely on Every vehicle that passes through (more...)
Company: CarMax
Location: Memphis
Posted on: 01/22/2021

Remote Work-From-Home Independent Contractor - Call Center Representative
Description: We got what you want, you got what we need Goodbye long commutes, rigid schedules, and busybody managers. Hello, Liveops. Our well-known clients are seeking Independent Contractors to provide virtual (more...)
Company: Liveops
Location: Coldwater
Posted on: 01/22/2021

Remote Work-From-Home Independent Contractor - Call Center Representative
Description: We got what you want, you got what we need Goodbye long commutes, rigid schedules, and busybody managers. Hello, Liveops. Our well-known clients are seeking Independent Contractors to provide virtual (more...)
Company: Liveops
Location: Potts Camp
Posted on: 01/22/2021

Flexible Schedule - Deliver with Uber Eats
Description: Job DescriptionDeliver with Uber. Earn on your schedule. Work on your schedule. Deliver for a few hours in the mornings, every night, or just on weekends it's up to you. Earn Good Money. You'll
Company: Uber Eats
Location: Cherry Valley
Posted on: 01/22/2021

Auto Mechanic
Description: Job Description7218 - Memphis - 7771 Highway 64, Memphis, Tennessee, 38133 CarMax, the way your career should be Ensure every vehicle is one our customers can rely on Every vehicle that passes through (more...)
Company: CarMax
Location: Memphis
Posted on: 01/22/2021

Complaint Investigator
Description: Complaint Investigator br br 20 /hour br br Memphis,TN br br 4 months br br Job Description br br Essential duties and responsibilities include the following other duties may be assigned. (more...)
Company: Kelly
Location: Memphis
Posted on: 01/22/2021

Log In or Create An Account

Get the latest Tennessee jobs by following @recnetTN on Twitter!

Memphis RSS job feeds