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Litigated Claims Manager | Public Entity | Hybrid in Sacramento
Litigated Claims Manager | Public Entity | Hybrid in SacramentoSedgwick Claims Management Services, Inc. • Sacramento, CA, United States
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Litigated Claims Manager | Public Entity | Hybrid in Sacramento

Litigated Claims Manager | Public Entity | Hybrid in Sacramento

Sedgwick Claims Management Services, Inc. • Sacramento, CA, United States
30+ days ago
Job type
  • Full-time
Job description

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.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work

Fortune Best Workplaces in Financial Services & Insurance

Litigated Claims Manager | Public Entity | Hybrid in Sacramento

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?

  • Enjoy flexibility and autonomy in your daily work, your location, and your career path. Hybrid setting 2 days in the Sacramento, CA Sedgwick office, and 3 days' work at home. The role will require (~5%) travel for in person board meetings in SF Bay Area.
  • Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
  • Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights.

ARE YOU AN IDEAL CANDIDATE? Do you bring 8+ years of experience collaborating with outside counsel and claims examiners to oversee litigated claims? Have you worked with pooling programs, public entity, or municipal claims, and feel confident presenting to a governing board? If so, this is your opportunity to make a meaningful impact in a role that values expertise, ownership, and collaboration, without people management responsibilities. If this sounds like you, we want to talk to you!

PRIMARY PURPOSE : The Designated Litigation Manager acts as the pool client representative, oversees the pool's liability program, ensures the application of management principles to the litigation process, and to Sedgwick pools' use of outside counsel. The role is responsible for strategy, planning, controlling, organizing, implementing, oversight, and monitoring in the context of legal services and related costs.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Acts as the pool client representative.
  • Analyzes inquiries and provides guidance related to memorandums of coverage, risk transfer, the litigation process, case strategy, and additional covered parties' issues.
  • Reviews member contracts submitted to pool administration, prepares presentations on claims and issues of interest for meetings and / or strategic planning.
  • Attends member meetings and introductions, addresses concerns involving members, third-party administrator (TPA) or case development.
  • Provides training materials and presentations for members and trainings, and coordinates with pool administrator on cases, claims, and messaging.
  • Oversees the pool's liability program.
  • Represents the pool in liability matters by participating in litigation proceedings as the representative of the pool; attends mock trials, focus groups, mediations, settlement conferences, and trials.
  • Prepares claim processing instructions for use by TPA, prepares and revises policies as necessary, conducts quarterly file reviews with TPA, and provides feedback to TPA on claim handling concerns.
  • Reviews TPA recommendations on government claim actions, provides direction and recommendations on government claim responses; monitors TPA for compliance with TPA's contractual obligations, and annual memorandum of coverage (MOC) review.
  • Reviews monthly financial and / or litigation reports from TPA, conducts annual review of defense panel, updates defense panel, communicates with admin team regarding various litigation management / MOC / member issues; responds to audits.
  • Attends meetings of the pool's committees related to claims matters, litigation and MOC, attends meetings of the pool's board of directors, and attends meetings of the pool's committees related to claims, oversight, or governance.
  • Ensures application of management principles to the litigation process and the use of outside counsel.
  • Responsible for the early assignment of defense counsel (DC) to high-exposure incidents upon notification and notification to board and pool administration of potential high-exposure losses; coordinates with member, TPA, reinsurers, excess carriers, and defense counsel on strategy and experts.
  • Reviews information to evaluate cases, including police and investigation reports; receives and reviews incoming Defense Counsel status reports; communicates with defense counsel and prepares communications regarding further strategy.
  • Receives and reviews pleadings / discovery; researches and reviews available tools for valuation, recommends consultants, assess alternative dispute resolution options, determines desired course of action for case disposition.
  • Manages the pool's litigation and legal claims via prelitigation management and the management of litigated matters.
  • Performs preliminary review of new matters for coverage and coordination with coverage or board counsel.
  • Reviews litigation budget and initial reserves.
  • Presentation and discussion of case-specific information to the pool's applicable committee or board for informational purposes, or to obtain settlement authority or approval; provide strategic direction and decision-making at trial when required; monitor trials and provide feedback and recommendations to trial counsel.
  • Position Approval : Appointment to position of Litigation Manager pursuant to the Pool's governing documents.

    ADDITIONAL FUNCTIONS and RESPONSIBILITIES

  • Performs other duties as assigned.
  • QUALIFICATIONS

    Education & Licensing

    Juris Doctor (JD) from an accredited college or university required. Current license(s) to practice law in the pool's jurisdiction or jurisdiction(s).

    Experience

    Eight (8) years of related experience or equivalent combination of education and experience required.

    Skills & Knowledge

  • Knowledge of the litigation and trial process in the pool's jurisdiction
  • Working knowledge of discovery process, evidentiary rules, and civil procedure
  • Sufficient knowledge to assess the performance of counsel at trial
  • Excellent oral and written communication skills, including presentation skills
  • PC literate, including Microsoft Office products
  • Analytical and interpretive skills
  • Strong organizational skills
  • Excellent interpersonal skills
  • Excellent negotiating skills
  • Ability to create and complete comprehensive, accurate and constructive written reports
  • Ability to work in a team environment
  • Ability to meet or exceed Performance Competencies
  • WORK ENVIRONMENT

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

    Mental : Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

    Physical : Sit for extended periods (up to eight hours) in non-office settings (such as courtroom galleries) computer keyboarding, travel as required

    Auditory / Visual : Hearing, vision and talking

    As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $124,750 to $149,786 USD Annual Salary. Bonus eligible role. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

    The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

    #LI-HYBRID

    Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.

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

    If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

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    Claim Manager • Sacramento, CA, United States

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