Litigation Consultant | Auto | Remote

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.

QUALIFICATIONS

Education & Licensing

Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Secure and maintain the State adjusting licenses as required for the position.

Experience
Ten (10) years of experience handling litigation including five (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

• 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 $80,000 to $85,000. 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.