at Sedgwick in Springfield, Illinois, United States
Job Description
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
RN Consultant – Liability
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 accident related claims and/or slip, trip and fall claims or equivalent combination of education and experience required.
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
+ 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.
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
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.
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 $75.000 range. 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.
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)