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Sedgwick Claims Management Services
Telecommuter, Florida, United States
(on-site)
Posted
18 hours ago
Sedgwick Claims Management Services
Telecommuter, Florida, United States
(on-site)
Job Type
Full-Time
AVP National Technical Compliance
The insights provided are generated by AI and may contain inaccuracies. Please independently verify any critical information before relying on it.
AVP National Technical Compliance
The insights provided are generated by AI and may contain inaccuracies. Please independently verify any critical information before relying on it.
Description
By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
AVP National Technical Compliance
PRIMARY PURPOSE : To direct delivery of workers' compensation legislative, regulatory and precedential case law information, and training to operations and client services to ensure compliance; to represent Sedgwick among industry stakeholders as subject matter expert for workers' compensation.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
- Provides technical consultation to customers, prospects, and client services relative to workers' compensation issues and strategies.
- Supports and provides assistance for company initiatives and serves as WC technical expert to other departments within the company.
- Monitors federal and state workers' compensation statutes, regulations, and case law to identify changes that impact claims administration.
- Assists in supporting sales and account management.
- Leads the development and/or revision of WC service expectations and best practices.
- Oversees the development and operationalization of specific state strategies to address WC compliance issues and challenges.
- Attends and presents at industry conferences.
- Directs the research of technical questions or issues involving WC matters.
- Provides communication to colleagues and/or clients relative to workers' compensation jurisdictional changes or carrier requirements.
- Develops and maintains content on Workers' Compensation portal site.
- Identifies current and/or emerging workers' compensation jurisdictional trends and issues, then direct development and implementation of action plans.
- Handles carrier and client technical issues as assigned.
- Prepares training outlines; develops modules in cooperation with Sedgwick University, schedules and delivers training presentations; and monitors training compliance and results.
- Identifies opportunities to reduce costs and improve efficiencies for workers' compensation vendors managed.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
- Performs 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 reviews.
- Provides support, guidance, leadership and motivation to promote maximum performance.
QUALIFICATIONS
Education & Licensing
Bachelor's degree from an accredited college or university preferred. Professional designation or equivalency such as AIC, CPCU or ARM preferred.
Experience
Ten (10) years of experience in project management or related experience or equivalent combination of education and experience required. Experience managing national initiatives strongly preferred. Training experience preferred.
Skills & Knowledge
- Knowledge of jurisdictional requirements
- Ability to research technical issues
- In-depth technical knowledge of claims management, managed care or call center operations
- Excellent oral and written communication, including presentation skills
- PC literate, including Microsoft Office products
- Analytical and interpretive skills
- Strong organizational skills
- Excellent interpersonal skills
- Proven management/leadership skills
- Excellent negotiating skills
- Ability to create and complete comprehensive, accurate and constructive written reports
- 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 work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical : Computer keyboarding, travel as required
Auditory/Visual : 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.
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 #: R74381
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Job ID: 84557655

Sedgwick Claims Management Services
Insurance
Tennessee
,
United States
Sedgwick Claims Management Services, Inc. (Sedgwick CMS) is the leader in innovative claims and productivity management solutions to major employers. Sedgwick CMS provides cost-effective claims administration, managed care, program management and related services through the expertise of 6,400 colleagues in more than one hundred and fifty offices and service locations in the U.S. and Canada.
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