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Every year, millions of people around the world contact Sedgwick when they face an unsettling, unfamiliar or stressful event — whether a catastrophe, an accident, an absence request or claim scenario. They can count on us to listen, to respond, to protect and to help make things right.
Our global claims management solutions are tailored for corporations, insurance carriers and public entities and help people and organizations navigate the claims process and get back to work, life and business.
Are you looking for an impactful job where you can apply your knowledge and experience in the context of an energetic culture?
Enjoy flexibility - Hybrid in Sacramento, CA (2 days in office).
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.
If you have 10+ years of experience as a Litigation Consultant in public sector employment liability matters and claims, we are looking for someone with your level of expertise. This role will maintain claim files and interface with stakeholders on public sector employment liability claims. Come join a premier team who is passionate and successful about what they do.
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).
If you have 10+ years of experience as a Litigation Consultant in public sector employment liability matters and claims, we are looking for someone with your level of expertise. This role will maintain claim files and interface with stakeholders on public sector employment liability claims. Come join a premier team who is passionate and successful about what they do.
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
NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.
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 $85,000 to $95,000 USD 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.
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.
