RN Consultant Team Lead

Sedgwick
8d$85,000 - $95,000

About The Position

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 RN Consultant Team Lead 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.

Requirements

  • Bachelor's degree from an accredited college or university preferred.
  • Current valid RN license required.
  • Six (6) years of related clinical nursing experience to include two (2) years nurse consultant experience or equivalent combination of education and experience required.
  • 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

Nice To Haves

  • Legal Nurse Consultant (LNC) Certification or training highly preferred.
  • 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.

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

Benefits

  • 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.
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