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  • Litigation Consultant, Pooling (Hybrid)

    Sedgwick (Southfield, MI)



    Apply Now

    By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

     

    Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies

     

    Certified as a Great Place to Work®

     

    Fortune Best Workplaces in Financial Services & Insurance

     

    Litigation Consultant, Pooling (Hybrid)

     

    Are you looking for an impactful job in an energetic culture where you can apply your knowledge and experience?

     

    + Enjoy flexibility - **This role is a hybrid setting with 2 days in the Southfield, MI office and 3 days working from home.**

    + 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.

    **ARE YOU AN IDEAL CANDIDATE?** If you have 10+ years of experience handling high-exposure, complex claims involving serious injuries and legal inquiries or disputes, and developing strategies to bring cases to satisfactory resolution, and would like to join one of the premier teams in the industry, we are looking for someone with your level of expertise.

    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).

    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

     

    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.

    \#LI-HYBRID

    Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

     

    If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

     

    Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com

     


    Apply Now



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