Must have:
5 years Claims Handling Experience
3 years Claims Litigation Experience
PRIMARY PURPOSE: To address and handle litigated and some non-litigated complex cases with serious injuries, general liability, employment practice liability and legal inquiries or disputes; to develop a strategy to bring a case to satisfactory resolution and within the client's service instructions.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
- Reviews/acts on reports/forms; responds to inquiries; seeks legal opinion and early resolution; and communicates resolution to appropriate parties.
- Responsible for litigation process on litigated claims and follow defense counsel guidelines and service expectations
- Responds to decisions, agreement, and/or court order; creates action plan
- Identifies cases for early resolution
- Gathers/documents additional information and coordinates with client designees.
- Identifies issues and formulates defense strategy with the defense team.
- Establishes/adjusts accrued liability and approves legal expenses.
- Identifies subrogation opportunities and tenders.
- Attends and participates in mediations, trials, arbitrations or hearings as needed, usually via ZOOM vs in person
- Coordinates calls with the defense team for strategy, authority, mock openings before trial, etc
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
- Performs other duties as assigned.
- Supports the organization's quality program(s).
QUALIFICATIONSMust reside in California
Education & LicensingHigh school diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
Experience
Five (3) years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and experience required.
Skills & Knowledge
- 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 Service Expectations
- Ability to meet or exceed Performance Competencies
WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.Hybrid - remote and in-office
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 deadlinesPhysical: Computer keyboarding, travel as requiredAuditory/Visual: Hearing, vision and talking NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.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.
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 - 90,000/yr). 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.
Job Type: Full-time
Pay: $80,000.00 - $90,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible schedule
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Referral program
- Vision insurance
Schedule:
- Day shift
- Monday to Friday
Application Question(s):
- What is your desired pay?
Experience:
- claims handling: 5 years (Required)
- claims litigation: 3 years (Required)
Location:
Work Location: Remote