Litigation Consultant – Auto

November 18

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Logo of Sedgwick

Sedgwick

Insurance • Enterprise • Compliance

Sedgwick is a global provider of technology-enabled risk, benefits, and integrated business solutions. They help people and organizations by managing and mitigating risk with solutions in accident, health, disability, unemployment compensation, and liability claims administration, among others. Sedgwick offers services such as claims administration, building consulting, forensic accounting, and forensic engineering. Their specialties include property restoration, brand protection, and loss prevention across several industries, including agriculture, construction, and environmental sectors. The company emphasizes diversity, equity, and inclusion (DEI) as well as environmental, social, and governance (ESG) practices.

📋 Description

• 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. • 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

• Bachelor's degree from an accredited college or university preferred • Juris Doctorate (JD) preferred • Ten (10) years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and experience required • 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

🏖️ Benefits

• medical • dental • vision • 401k and matching • PTO • disability and life insurance • employee assistance • flexible spending or health savings account • other additional voluntary benefits

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