Location: West Des Moines, IA
Company: Sedgwick Claims Management Services
support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve.
If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work Most Loved Workplace Forbes Best-in-State Employer Litigation Consultant - Liability Midwest Region
PRIMARY PURPOSE : 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.
ESSENTIAL FUNCTIONS and 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. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s).
QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Juris Doctorate (JD) preferred. Experience Ten (10) years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and experience required. Skills & Knowledge 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 #claiminteractionaminer #claims 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. Requisition #: R450116ahf9io63
Consulting jobs refer to positions where individuals, known as consultants, offer expert advice to organizations or individuals across various industries. These jobs are characterized by problem-solving, strategic thinking, and often require deep expertise in specific areas such as management, technology, finance, or law. Consultants may work for a consulting firm or independently, and their roles often involve project-based work, travel, and client-facing interactions. With a focus on improving client business performance, consultants analyze challenges, propose solutions, and may help implement changes to achieve objectives and drive growth.
Consulting jobs refer to positions where individuals provide expert advice to organizations or individuals in a specific field. These roles are characterized by problem-solving, strategic thinking, and a focus on optimizing business processes or improving organizational performance. Consultants often work for consulting firms or as independent contractors and engage in project-based work, which may involve travel and working with diverse clients. The nature of consulting provides exposure to varied industries and requires strong analytical and interpersonal skills.
Consulting jobs refer to positions where professionals provide expert advice to organizations or individuals in a specific area, such as management, technology, finance, or law. Consultants analyze challenges, formulate strategies, and implement solutions to improve client performance. These roles are characterized by project-based work, potential for high-travel, interaction with diverse clients, analytical problem-solving, and often require strong communication skills. Flexibility, adaptability, and the ability to swiftly understand various business contexts are key traits of successful consultants.
customer satisfaction. Support Corrective Action, Procedure Support, and Process Optimization from design to implementation. Learn more about our career areas and lines of business at. In this role, you will: Identify opportunities for process enhancement by conducting analysis of key inputs: Complaints, NPS, Loudspeaker, Call Listening Partner with business enhancing processes from design through implementation Conduct root cause analysis, process mapping, data gathering, problem solving Develop implementation strategy, develop employee communication and draft procedures supporting change Support legal and regulatory compliance of procedures Support implementation of technology enhancements;
ensure employee readiness of change (procedures, communication) Participate in a variety of assigned and ongoing business operations to ensure success in meeting business goals and objectives Identify opportunities for process improvement by conducting root cause testing of all compliance and business metrics Determine areas of strength or Business Execution opportunity within defined scope of work Review and research strategies and action plans to establish effective processes while meeting performance metrics and policy expectations Utilize independent judgment to guide moderate risk deliverables Present recommendations to develop, implement, and monitor strategic approaches, effectiveness
of support function, and business performance improvement opportunities for managing risks of the business Exercise independent judgment and provide guidance in diverse support functions and operations for a single business group within a line of business Collaborate and consult with leaders and executive management Provide work direction to less experienced Strategy and Execution staff Required Qualifications, US: 2+ years of Business Execution, Implementation, or Strategic Planning experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education Desired Qualifications: Fraud and Claims subject matter expertise Experience in leading or participating in projects/initiatives with moderate to high-risk complexity and scope to successful implementation Ability to identify and evaluate trends, isolate root cause, and provide swift/thorough resolution Strong analytical skills with high attention to detail and accuracy Experience with Agile methodology Experience in technical writing of processes and procedures Excellent verbal, written, and interpersonal communication skills Ability to create and deliver dynamic presentations Ability to work effectively in a team environment and across all organizational levels, where flexibility, collaboration, and adaptability are important Demonstrated ability to bridge between business and business partners Ability to take initiative and work independently with minimal supervision in a structured environment Strong organizational, multi-tasking, and prioritizing skills Job Expectations: This position is not eligible for Visa sponsorship This position offers a hybrid work schedule Posting Location:1336 W Alameda Dr, Tempe, AZ 852827711 Plantation Rd, Roanoke, VA 240191525 W W T Harris Blvd, Charlotte, NC 28262800 S Jordan Creek Parkway, West Des Moines, IA 50266 Posting End Date: 30 Dec 2023 Job posting may come down early due to volume of applicants.
We Value Diversity At Wells Fargo, we believe in diversity, equity and inclusion in the workplace; accordingly, we welcome applications for employment from all qualified candidates, regardless of race, color, gender, national origin, religion, age, interactionual orientation, gender identity, gender expression, genetic information, individuals with disabilities, pregnancy, marital status, status as a protected veteran or any other status protected by applicable law.
Employees support our focus on building strong customer relationships balanced with a strong risk mitigating and compliance-driven culture which firmly establishes those disciplines as critical to the success of our customers and company. They are accountable for execution of all applicable risk programs (Credit, Market, Financial Crimes, Operational, Regulatory Compliance), which includes effectively following and adhering to applicable Wells Fargo policies and procedures, appropriately fulfilling risk and compliance obligations, timely and effective escalation and remediation of issues, and making sound risk decisions.
There is emphasis on proactive monitoring, governance, risk identification and escalation, as well as making sound risk decisions commensurate with the business unit's risk appetite and all risk and compliance program requirements. Candidates applying to job openings posted in US: All qualified applicants will receive consideration for employment without regard to race, color, religion, interaction, interactionual orientation, gender identity, national origin, disability, status as a protected veteran, or any other legally protected characteristic.
Candidates applying to job openings posted in Canada: Applications for employment are encouraged from all qualified candidates, including women, persons with disabilities, aboriginal peoples and visible minorities. Accommodation for applicants with disabilities is available upon request in connection with the recruitment process. Applicants with Disabilities To request a medical accommodation during the application or interview process, visit Disability Inclusion at Wells Fargo. Drug and Alcohol Policy Wells Fargo maintains a drug free workplace. Please see our Drug and Alcohol Policy to learn more. PDN-9ae9ad50-0ab4-4d9d-b7c9-6999c6fc68b8
