ARE YOU AN IDEAL CANDIDATE?

Assists with performance management of entire program across multiple jurisdictions for both WC and potentially

LOA . PRIMARY PURPOSE OF THE ROLE

We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

Ensures adherence to client service instructions for WC supporting a dedicated client. Monitors client reserves for accurate reflection of client's book of claims; ensures reserves are within an appropriate range. Tracks and trends performance guarantee and gain share agreements at the client level. Ensures client's claims reports are properly and timely prepared and distributed. Monitors client's average cost of claims; identifies trends and excessive cost factors. Conducts client specific operational audits; monitors client audit compliance. Works with company Quality and Operations staff to resolve client issues including results of client Compass audits. Manages client specific internal control report issues. Ensures timely payment of TTD, medical and vendor bills; ensures appropriate vendor utilization. Reviews aging claims for file closure ensuring claims do not age beyond appropriate time frames.

QUALIFICATIONS

Five (5) years of Workers Compensation claims management Understanding of excess and carrier reporting for WC claims Strong communication skills Knowledge of excel for reporting/tracking purposes.

TAKING CARE OF YOU

Flexible work schedule. Referral incentive program. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

WORK ENVIRONMENT REQUIREMENTS INCLUDE

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

Auditory/Visual:

Hearing, vision and talking 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 (80K - 85K). 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. 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