Sedgwick · 1 month ago
Litigated Claims Consultant (Examiner) | Public Entity | Remote
United States
Full-time
Remote
Senior Level, Lead/Staff
$70K/yr - $85K/yr
10+ years expSedgwick is a rapidly growing, industry-leading global company known for its excellence and customer service. The Litigated Claims Consultant (Examiner) will handle high-end cases involving serious injuries and complex coverage scenarios, developing strategies to bring cases to satisfactory resolution.
BankingInsuranceRisk Management
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
Performs other duties as assigned
Supports the organization's quality program(s)
Qualification
Required
10+ years of experience handling high-exposure, complex claims involving serious injuries and legal inquiries or disputes
Developing strategies to bring cases to satisfactory resolution
Ten (10) years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and experience required
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
Preferred
Bachelor's degree from an accredited college or university
Juris Doctorate (JD)
Benefits
Medical
Dental
Vision
401k and matching
PTO
Disability and life insurance
Employee assistance
Flexible spending or health savings account
Other additional voluntary benefits
Company
Sedgwick
Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$1.5BKey Investors
Altas PartnersLa Caisse
2024-09-12Private Equity· $1B
2018-12-01Private Equity
2018-09-12Acquired
Leadership Team
Michael Arbour
Chairman & Chief Executive Officer
Kalani Reelitz
Global Chief Financial Officer
Recent News
Morningstar.com
2025-11-10
2025-09-04
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