[Hiring] Sr. Professional Liability Consultant @Sedgwick

Remote Full-time
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

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.

Apply tot his job

Apply To this Job
Apply Now →

Similar Jobs

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote

USPS Office Helper

Remote

**Experienced EAP Worklife Customer Support Associate – Delivering Exceptional Service to arenaflex Employees**

Remote

Healthcare Recruiter- Remote- unlimited opportunity

Remote

Technical Customer Experience Representative – Hybrid Work Model with Opportunities for Growth and Professional Development

Remote

Engineering Manager, Authentication Experience

Remote

American Express Data Entry Jobs (Live Chat, Remote) $35/Hour 2024...

Remote

[Remote-Position] Salesperson

Remote

Total Rewards Specialist

Remote

Post-Graduate Legal Advisor - Office of Policy and Docket Management​/Advising

Remote

Litigation Counsel - Insurance Defense (Remote)

Remote

**Experienced Data Entry Executive – Pharmaceutical Industry Administration and Data Management**

Remote
← Back