Asst. Claims Manager Liability

PRIMARY PURPOSE: To oversee technical and operational functions including compliance with company standards and industry best practices; to ensure consistent delivery of quality services; to oversee staffing and training needs; and to oversee budget preparation and profit and loss management. Has direct andor indirect responsibility for 25 or less colleagues.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Oversees internal quality review process and reports monthly.
• Assures compliance with client internal controls, audit requirements and service agreement requirements.
• Establishes business plan with goals and objectives for assigned clients.
• Ensures claims management policies and procedures are followed to assure meeting service standards, state statutesregulation, disability plan document, industry best practices and client service requirements.
• Establishes and maintains client contacts.

• ADDITIONAL FUNCTIONS and RESPONSIBILITIES

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

  • SUPERVISORY RESPONSIBILITIES

    • Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
    • Assists with interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions.
    • Provides support, guidance, leadership and motivation to promote maximum performance.

    • QUALIFICATIONS

      Education & Licensing
      Bachelors degree from an accredited college or university preferred. Licenses as required.

      Experience
      Eight (8) years of claims management experience or equivalent combination of experience and education required to include one (1) year supervisory experience.

      Skills & Knowledge

      • Excellent oral and written communication, including presentation skills
      • PC literate, including Microsoft Office products
      • Leadershipmanagementmotivational skills
      • 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

      • 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 workrelated stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

        Physical: Computer keyboarding, travel as required

        AuditoryVisual: Hearing, vision and talking

        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.

        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 ($69,589 $98,000)(bonus eligibility, if applicable). 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.

        Sedgwick is an Equal Opportunity Employer and a DrugFree Workplace.

        If youre excited about this role but your experience doesnt 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.