RN Consultant - Liability

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.

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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.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• 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.
• Ability to professionally and effectively compose concise clinical opinions regarding the causality of the injury as well as propose alternative causation; to include opinion on damages and potential future care expenses or injury as a whole person or partial with permanency. 
• Receives requests for general liability investigation; 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.

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

6 (Six) years of related clinical nursing experience; to include two (2) years nurse consultant experience. General or Professional Liability investigation related training preferred with specialty experiencing with bodily injuries claims, auto …