Consultant Sr, Professional Liability (Part Time) - Sedgwick

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work® Most Loved Workplace® Forbes Best-in-State Employer Consultant Sr, Professional Liability (Part Time) **PRIMARY PURPOSE** **:** Investigates, analyzes, and evaluates medical malpractice claims requiring a high degree of technical complexity and coordination for self-insured clients. The role identifies and evaluates liability issues and exposure and analyzes and provides guidance on risk management issues for hospitals and clinics. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + **Evaluates complex and/or high exposure claims, including birth injury claims through the receipt and thorough review of new claim intake materials and records.** + Manages highly complex investigations of claims, including coverage issues, liability, compensability and damages. + **Analyzes risk and develops action plans; completes further investigation through case review as needed.** + **Prepares initial summary of medical records and interviews; identifies pertinent legal issues related to claim and provides initial legal evaluation of claim and recommendations for further claims handling.** + Identifies matters that need the attention of claims leadership because they present large exposure or present other concerns warranting elevation. + Keeps current on state/territory regulations and issues, industry activity and trends. May participate in industry trade groups. + Provides guidance and assistance to claims staff in medical record review and coding and other functional areas as needed. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Travel as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. **Experience** Five (5) years of related experience or equivalent combination of education and experience required. Experience with legal and/or medical malpractice and medical training or work in medically related position and familiarity with medical records review highly preferred. **Skills & Knowledge** + Understanding of medical records and malpractice claims + Advanced analytical and problem-solving skills, with the ability to manage and prioritize multiple projects + Ability to fully comprehend complex claim facts and issues; and to further articulate analyses of claims in presentations to business partners and management as well as in internal reports + Excellent oral and written communication skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Strong interpersonal skills + Ability to deal with ambiguous situations and issues. + Ability to create and complete comprehensive, and accurate record summaries + Ability to work in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When 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 deadlines **Physical** **:** Computer keyboarding, travel as required **Auditory/Visual** **:** Hearing, vision and talking _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_ **_$65,000- $77,500_** _. 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._ 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 Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Taking care of people is at the heart of everything we do. Caring counts** Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)