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
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