RN Consultant Team Lead

Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape.

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.

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.