Litigated Claims Consultant | Public Entity

By joining Sedgwick you'll be part of something truly meaningful. It’s what our 33000 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.

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Litigated Claims Consultant | Public Entity | Remote

Are you looking for an impactful job in an energetic culture where you can apply your knowledge and experience?

• Enjoy flexibility - This role is open to a work-at-home remote telecommuter setting in Ohio with some travel required.

• Be a part of a rapidly growing industry-leading global company known for its excellence and customer service.

• Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.

ARE YOU AN IDEAL CANDIDATE? If you have 10+ years of experience handling high-exposure complex claims involving serious injuries and legal inquiries or disputes and developing strategies to bring cases to satisfactory resolution and would like to join one of the premier teams in the industry we are looking for someone with your level of expertise.

PRIMARY PURPOSE : To address and handle high end cases with serious injuries complex coverage scenarios and legal inquiries or disputes; to develop a strategy to bring a case to satisfactory resolution.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Reviews/acts on reports/forms; responds to inquiries; seeks legal opinion and early resolution; and communicates resolution to appropriate parties.

• Handles high end cases with serious injuries and/or complex coverage scenarios.

• Responds to decisions agreement and/or court order; creates action plan; determines need for examination; gains client authorization.

• Identifies cases for settlements/redemptions.

• Gathers/documents additional information and coordinates with client designees.

• Requests legal/private investigation; assigns to and coordinates with local counsel; monitors local counsel performance.

• Responds to plaintiff's counsel union employee or client requests.

• Identifies issues and formulates defense strategy.

• Establishes/adjusts accrued liability and approves administrative expenses.

• Identifies subrogation opportunities and manages process.

• Attends and participates in mediations trials arbitrations or hearings as needed.

• Works with partners to affect early return-to-work.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.

• Supports the organization's quality program(s).

QUALIFICATIONS

Education & Licensing Bachelor's degree from an accredited college or university preferred. Juris Doctorate (JD) preferred.

Experience Ten (10) years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and experience required.

Skills & Knowledge

• Subject matter expert of appropriate insurance principles and laws for line-of-business handled recoveries offsets and deductions claim and disability duration cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.

• Technically skilled and familiar with legal pleadings discovery et al

• Excellent oral and written communication including presentation skills

• PC literate including Microsoft Office products

• Analytical and interpretive skills

• Strong organizational skills

• Excellent interpersonal skills

• Excellent negotiation skills

• 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

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 $70000 to $85000 annual salary. 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. Always accepting applications.

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.

#LI-REMOTE #LI-HYBRID #claimsexaminer

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.