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CVS Health Sr. Claims Litigation Adjuster in Hartford, Connecticut

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position SummaryAs a Senior Litigation Adjuster in Risk Management, you will be responsible for managing litigation against CVS and overseeing outside counsel and national coordinating counsel defending CVS in general pharmacy, healthcare and premises lawsuits filed throughout the United States.

Responsibilities Include:

  • Utilizing legal skills and knowledge to oversee and manage complex lawsuits against CVS from the initiation of suit through resolution, including pharmacy, healthcare and premises lawsuits.

  • Analyzing case files and internal materials and utilizing resources across CVS to investigate and discern key issues in each case.

  • Developing and implementing a litigation strategy in each case to most efficiently resolve or defend that case.

-Assessing the value of all cases through investigation of the pertinent allegations, defenses and issues present in each case, and setting appropriate financial reserves.

  • Reviewing discovery responses, pleadings, motions, etc. drafted by defense counsel.

  • Providing reporting to key internal stake holders and leadership on case developments.

  • Developing relationships with internal colleagues for fact-finding and key litigation activities.

  • Participating in internal meetings and attending mediation and trial as necessary to oversee and assist in the defense or resolution of cases.

Required Qualifications2+ years of litigation experience, ideally with a law firm or as a litigation adjuster with a large self-insured company or insurance carrier.Preferred Qualifications

  • Experience overseeing or defending medical, malpractice, pharmacy, healthcare and/or premises litigation. This role will be handling a docket of more complex pharmacy/healthcare claims and experience handling malpractice litigation or complex litigation is preferred.

  • Litigation experience at a law firm, and/or significant experience overseeing litigated claims for an insurance carrier or corporation, including mediation experience and trial exposure.

  • Experience overseeing and answering written discovery, reviewing pleadings and case filings.

  • Ability to influence and work collaboratively with senior leaders, CVS' in-house legal counsel and outside defense counsel.

  • Ability to positively and aggressively represent the company at mediation, arbitration and trial.

  • Ability to work independently and in an environment requiring teamwork and collaboration.

  • Ability to navigate difficult situations and communicate effectively with both internal and external groups.

  • Excellent organizational and time management skills and ability to handle a full docket of litigated claims.

  • Strong written and verbal communication skills, ability to summarize complex issues in a concise, cogent manner.

  • Proficient in Microsoft applications (Word, Excel, PowerPoint, Outlook) with a proven ability to learn new claims software programs and systems.

  • Remote position for candidates not within commuting distance to Cumberland, RI. Hybrid position for candidates local to Cumberland, RI.

Education

Verifiable Bachelor's degree or equivalent work experience required.

JD degree highly desired.

Pay Range

The typical pay range for this role is:

$43,700.00 - $107,200.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

We anticipate the application window for this opening will close on: 07/06/2024

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

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