About this role
Role Overview
- 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.
- Performs other duties as assigned. Supports the organization's quality program(s).
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
Benefits
- Flexible Work Schedule
- Referral Incentive Program
- Opportunity to work from home
- Career development and promotional growth opportunities
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day 1