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Claims Specialist Sr - Professional Liability at Sedgwick - ApplyBlast

Claims Specialist Sr - Professional Liability

Sedgwick

4 months ago

3.2 on Glassdoor

Hybrid

Full Time

Senior

0 applicants

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About this role

A Senior Claims Specialist at Sedgwick analyzes complex medical malpractice claims, manages settlement negotiations, and coordinates legal defense strategies to resolve high-severity cases while controlling costs. The role requires investigating potential fraud, calculating reserves, and representing the company in mediations and depositions. Success depends on deep knowledge of insurance principles, medical management practices, and strong analytical abilities.

Responsibilities

Analyze complex medical malpractice claims and determine exposure
Negotiate claim settlements within designated authority levels
Coordinate legal defense and manage attorney activities
Calculate and monitor claim reserves for adequacy
Investigate potential fraud and subrogation opportunities to recover costs

Skills

Qualifications

Bachelor's DegreeAdjuster LicenseProfessional Certification in Claims

About Sedgwick

sedgwick.com

Headquarters

United States

Company Size

10001+ employees

Founded

1969

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Sedgwick's tech-enabled risk, benefits, and integrated business solutions include comprehensive claims management and loss adjusting across industries.