RN Consultant Sr - Professional Liability
PRIMARY PURPOSE: To handle complex or high exposure claim issues; to provide medical knowledge of the health care system and health care issues; to independently investigate, analyze and evaluate medical malpractice claims for self-insured and commercially insured clients; to provide information needed to clients as needed to determine liability issues and exposure; and to assist in identification of risk management issues to decrease liability exposure and associated legal costs.
ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES- 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.
QUALIFICATIONSEducation & LicensingBachelor's degree from an accredited college or university preferred. RN license required. LNC (Legal Nurse Consultant) Certification or training preferred.
ExperienceFive (5) years related clinical nursing experience and two (2) years nurse consultant experience required. General or Professional Liability investigation related experience preferred.
Skills & Knowledge- 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
WORK ENVIRONMENTWhen applicable and appropriate, consideration will be given to reasonable accommodations.
TAKING CARE OF YOU BY- We offer a diverse and comprehensive benefits package including:
- 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.
NEXT STEPSIf your application is selected to advance to the next round, a recruiter will be in touch.
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 $80,000 - $85,000. 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.
