Litigation Consultant

Litigation Consultant

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
• 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

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)

Preferred Qualifications

• Bachelor’s degree from an accredited college or university preferred
• Juris Doctorate (JD) preferred