[Hiring] Sr. Professional Liability Consultant @Sedgwick

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Role Description

This PRN Legal Nurse Consultant opportunity plays a key role in supporting our general liability claims team. The ideal candidate will bring strong clinical expertise and analytical skills to help evaluate medical-related components of claims.
• Handle complex or high exposure claim issues; provide medical knowledge of the health care system and health care issues.
• Independently investigate, analyze and evaluate medical malpractice claims for self-insured and commercially insured clients.
• Provide information needed to clients to determine liability issues and exposure.
• Assist in identification of risk management issues to decrease liability exposure and associated legal costs.

Qualifications
• 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.

Requirements
• 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.

Benefits
• Three Medical, and two dental plans to choose from.
• Tuition reimbursement eligible.
• 401K plan that matches 50% on every $ you put in up to the first 6% you save.
• 4 weeks PTO your first full year.

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