Claims Manager - Workers Compensation

Company: Sedgwick Claims Management Services Ltd
Location: Rancho Cordova
Posted on: May 23, 2023

Job Description:

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Sedgwick's caring counts - commitment is to value the right of privacy of the companies and individuals we serve. It is Sedgwick's policy to comply with all applicable privacy and data protection laws and maintain the trust of those we serve.

We want to share with you our policy to what personal information we may collect, how we may use this information and other important areas relating to your privacy and data protection. Please find below links to the policies that apply to all internet sites and applications of Sedgwick and its groups of companies. Claims Manager - Workers Compensation page is loaded Claims Manager - Workers Compensation Apply locations Rancho Cordova, CA posted on Posted 3 Days Ago job requisition id R37143 Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having 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 EmployerClaims Manager - Workers Compensation PRIMARY PURPOSE: -To manage the technical and operational functions within a dedicated client; to ensure consistent delivery of quality services; to manage staffing and training needs of specified unit; and to oversee budget preparation and profit and loss management within the dedicated client program.ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Responsible for overall operational management for assigned dedicated client.
• Oversees company and client internal quality review process and reports monthly.
• Establishes policy and procedure to ensure compliance to best practices, claims management services standards, state regulations and client service requirements; ensures compliance with client internal controls, audit requirements and service agreement requirements; plans, develops and implements team, policies and procedures for dedicated client activity.
• Establishes business plan with goal and objectives for the partnership of the dedicated client.
• Works with Program Management to: (a) make recommendations for cost savings strategies for client and partners; (b) keep client, program manager and colleagues informed of statutory or regulatory requirements/developments by jurisdiction which may impact procedures; (c) resolve client issues; (d) communicate frequently with key client personnel; and (e) represent company as liaison to clients and partners.
• Identifies and resolves issues with company representatives.
• Monitors management reports relating to the dedicated client's performance.ADDITIONAL FUNCTIONS and RESPONSIBILITIES
  • Perform other duties as assigned.
  • Supports the organization's quality program(s).
  • Travels as required.SUPERVISORY RESPONSIBILITIES
    • Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
    • Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions.
    • Provides support, guidance, leadership and motivation to promote maximum performance.QUALIFICATIONSEducation & Licensing
      Bachelor's degree from an accredited college or university preferred. Licenses as required.Experience
      Eight (8) years of related experience or equivalent combination of education and experience required to include four (4) years claims management experience and two (2) years supervisory experience.Skills & Knowledge
      • Thorough knowledge of claims management procedures
      • Excellent oral and written communication, including presentation skills
      • PC literate, including Microsoft Office products
      • Leadership/management/motivational 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 CompetenciesWORK 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 deadlinesPhysical: -Computer keyboarding, travel as requiredAuditory/Visual: -Hearing, vision and talkingNOTE: -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. As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in CO, NY, WA, or CA. 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 state noted in this job posting only, the range of starting pay for this role is $84,333-118,066. 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 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. About Us Taking care of people is at the heart of everything we do. Caring countsSedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us.

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