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Sedgwick Claims Management Services
Telecommuter, Tennessee, United States
(on-site)
Posted
1 day ago
Sedgwick Claims Management Services
Telecommuter, Tennessee, United States
(on-site)
Job Type
Full-Time
Client Performance Manager | Workers Compensation Experience Required
The insights provided are generated by AI and may contain inaccuracies. Please independently verify any critical information before relying on it.
Client Performance Manager | Workers Compensation Experience Required
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
Client Performance Manager | Workers Compensation Experience Required
Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?
- Apply your knowledge and experience to provide stewardship to our clients.
- Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
- Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights.
- Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
- Enjoy flexibility and autonomy in your daily work, your location, and your career path.
- Access diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs.
ARE YOU AN IDEAL CANDIDATE? To be responsible for the quality aspects of a specific client including client service instructions and reserves; to conduct client specific audits; to monitor client audit compliance; to resolve client issues by working with the company Quality and 0perations staff.
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 RESPONSIBILITIES MAY INCLUDE
- Ensures adherence to client service instructions
- 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
Education & Licensing: Eight (8) years of related experience or equivalent combination of education and experience required to include five (5) years of Workers Compensation claims management and two (2) years of auditing experience. One (1) year of continuous service with the company is preferred.
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.
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 #: R71271
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Job ID: 82904696

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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