Litigated Claims Consultant
Sedgwick
full-time
Posted on:
Location Type: Remote
Location: Remote • Ohio • 🇺🇸 United States
Visit company websiteSalary
💰 $70,000 - $85,000 per year
Job Level
SeniorLead
About the role
- Address and handle high end cases with serious injuries, complex coverage scenarios and legal inquiries or disputes
- Develop a strategy to bring a case to satisfactory resolution
- 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
Requirements
- 10+ years of experience handling high-exposure, complex claims involving serious injuries and legal inquiries or disputes
- Bachelor's degree from an accredited college or university preferred
- Juris Doctorate (JD) preferred
- Subject matter expert of appropriate insurance principles and laws for line-of-business handled
- Technically skilled and familiar with legal pleadings, discovery et al
- Excellent oral and written communication, including presentation skills
- PC literate, including Microsoft Office products
- Strong organizational skills
- Excellent interpersonal skills
- Excellent negotiation skills
- Ability to work in a team environment
- Ability to meet or exceed Performance Competencies
Benefits
- medical
- dental
- vision
- 401k and matching
- PTO
- disability and life insurance
- employee assistance
- flexible spending or health savings account
- other additional voluntary benefits
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
complex claims handlinglegal inquiriessettlementssubrogation managementdefense strategy formulationliability assessmentadministrative expense approvallegal pleadingsdiscovery
Soft skills
oral communicationwritten communicationpresentation skillsorganizational skillsinterpersonal skillsnegotiation skillsteamworkperformance competency
Certifications
Bachelor's degreeJuris Doctorate (JD)