By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

PRIMARY PURPOSE:  To manage complex high-exposure general liability claims; to review medical treatment records associated with general liability, bodily injury auto and personal injury claims analyzing for damages and causation and to ensure the RNC's performance is within company guidelines.

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

• Supervises the day-to-day activities of RNC-L’s ensuring the quality of investigative reports and that productivity requirements have been met.  Trains, coaches, provides guidance, and develops skills and competency levels of assigned RNC – L’s.  Proofreads reports and provides feedback on work product.  Assists with team assignments, analyzes caseloads, and adjusts team duties as warranted.
• Prepares in-depth medical chronology reports summarizing medical records as well as identifying related and unrelated medical specials; provides analysis and recommendations for further claims handling.
• Creates a working chronology that, as required, also includes research influencing the clinical opinions pertaining to causation and damages; determines how pre-existing conditions, medications, past injuries and treatment gaps and noncompliance impact claims.
• Professionally and effectively composes concise clinical opinions regarding the causality of the injury as well as proposes alternative causation; Includes an opinion on damages and potential future care expenses or injury’s as a whole person or partial with permanency. 
• Receives requests for general liability investigations; reviews and develops action plans and handles cases accordingly.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.
• Supports the organization's quality program(s).
• Travels as required.

SUPERVISORY RESPONSIBILITIES

• Provides support, guidance, leadership and motivation to promote maximum performance.
• Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
• Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions.

QUALIFICATIONS

Education & Licensing

Bachelor's degree from an accredited college or university preferred.  Current valid RN license required.  Legal Nurse Consultant (LNC) Certification or training highly preferred.

Experience

Six (6) years of related clinical nursing experience to include two (2) years nurse consultant experience or equivalent combination of education and experience required.  Supervisory experience preferred.  General or professional liability investigation related training with specialty experience with bodily injuries claims, auto accident related claims and/or slip, trip and fall claims preferred.

Skills & Knowledge

• Technical claims knowledge of general liability bodily injury claims procedures and practices
• Excellent oral and written communication skills, including presentation skills
• PC literate, including Microsoft Office products
• Analytical and interpretive skills
• Strong organizational skills
• Excellent interpersonal skills
• Proven management/leadership skills
• Ability to create and complete comprehensive, accurate and constructive written reports
• 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.

 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 STEPS

If 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 $85,000 - $95,000.  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.

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.