Litigation Specialist
CLAIM YOUR FUTURE AS A GREAT PERFORMER!
Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Claims Management Services the place where great people can do great things for�clients while maximizing their career possibilities. We have earned a reputation for innovation, quality, sustained growth, financial stability and a colleague-friendly work environment. We are proud to have been voted the Best TPA in America for 2005 and 2006, and�the first and only Third Party Administrator to receive the coveted Employer of Choice designation. Come be a part of our team and 'Claim Your Future.'
PRIMARY PURPOSE: To address cases involving a legal inquiry or dispute and 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.
- 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; formulates defense strategy.
- Establishes/adjusts accrued liability.
- Approves administrative expenses.
- Identifies subrogation opportunities and manages process.
- Attends mediations or hearings as needed.
- Works with partners to effect early return-to-work.
- Maintains a quality assurance program to support the Total Performance Management initiative and the consistent delivery of quality claims service.
QUALIFICATIONS:
Education & Licensing:
Baccalaureate degree from an accredited college or university preferred. Legal courses preferred.
Experience:
Five (5) years of claims management experience required. Legal experience preferred.
Skills & Knowledge:
- 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.
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.
