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PRIMARY PURPOSE:

To provide litigation support to the operations Legal department; to prepare and present reports related to claims against the Company; to conduct initial investigation and resolution of claims as requested and within assigned authorities; and to provide support to legal counsel responsible for claims.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Provides legal support and research skills to operations Legal department; works with outside counsel, field operations and in-house counsel t ensure adequate representation of colleagues in subpoena matters.
• Analyzes incoming legal documents and ensures they are indexed to correct claim(s) and uploaded into appropriate system(s).
• Prepares comprehensive, complex and accurate reports to assist legal counsel in analysis of E&O claims to meet client specific, program or company senior management needs; presents reports and case status to legal counsel and management.
• Compiles, reviews and analyzes claims reports and communicates data to legal counsel.
• Conducts investigation of claims to include interviewing appropriate colleagues, reviewing claim files, researching applicable laws and regulations, and utilizing information technology to obtain other information necessary to administer the claim.
• Makes liability determinations within assigned authority; assists operations with Correction of Error plans; manages claims to resolution; and maintains accurate current file documentation.
• Assists with reporting appropriate claims to carrier and responding to carrier requests.
• Manages Sedgwick's policy and procedures for responding to Department of Insurance and Consumer Complaints and subpoenas.
• Provides direction as needed to other paralegals and support staff.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.
• Supports the organization's quality program(s).
• Travels as required.

QUALIFICATIONS

Education & Licensing

Associate degree from an accredited college or university preferred. Paralegal certification required.

Experience

Six (6) years of operations legal experience or equivalent combination of education and experience required.

Skills & Knowledge

• Knowledge of JURIS claims management system
• PC literate, including Microsoft Office products
• Excellent oral and written communication
• Analytical and interpretive skills
• Strong organizational skills
• Excellent interpersonal skills
• Good judgment and discretion skills
• Ability to work in a team environment
• Ability to work independently
• 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: Computer keyboarding, travel as required

Auditory/Visual: Hearing, vision and talking

NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.

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.