About the role

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.

Requirements

Bachelor's degree from an accredited college or university preferred.
Ten (10) years of experience handling workers compensation litigation including 5 years of claims management experience or equivalent combination of education and experience required.
California workers compensation knowledge required; SIP required.

Flexible work schedule.
Referral incentive program.
Career development and promotional growth opportunities.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.