Litigated Claims Consultant | Public Entity | Remote

Litigated Claims Consultant | Public Entity | Remote

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.

Are you looking for an impactful job in an energetic culture where you can apply your knowledge and experience? This role is a remote, work‑at‑home position based in Ohio with some travel required.

• 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, agreements, and/or court orders; creates action plans; determines need for examination; gains client authorization.
• Identifies cases for settlements or 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 the 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).

Education & Licensing
Preferred:
Bachelor’s degree from an accredited college or university. Juris Doctorate (JD) preferred.

Experience
Ten (10) years of experience handling litigation, including five years of claims management experience or an equivalent combination of education and experience.

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, and related processes.
• 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.

Our comprehensive benefits package includes medical, dental, vision, 401(k) and matching, PTO, disability, and life insurance, employee assistance, flexible spending or health savings accounts, and other voluntary benefits. The starting pay range for this role is $70,000 to $85,000 annually.

When applicable and appropriate, consideration will be given to reasonable accommodations.

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