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

Configuration Business Consultant

PRIMARY PURPOSE :

To ensure product quality and regulatory standards compliance by line-of-business; to establish policies and procedures; and to develop and train colleagues on technical components of new programs.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Facilitates discussions with clients during implementation and as program changes are required over time, ensuring benefits are understood and properly documented and configured.
• Analyzes client and federal/state benefits; makes recommendations regarding configuration and process options.
• Maintains and verifies client and federal/state benefit parameters in the claims management system and researches issues to resolution.
• Completes client data conversions by analyzing client / vendor files, mapping to standard templates, and working with vendors within expected timeframes set by Implementation.
• Establishes policies and procedures to assure compliance to best practices, claims management services standards, state regulations, and client service requirements on new programs.
• Maintains complete understanding of program design, processes, client expectations and partner relationships; makes recommendations for improvements; and develops best practices for disability and leave operational processes.
• Responsible for developing and managing the training of processes and requirements; leads training initiatives for colleagues and clients as needed.
• Leads projects focused on large process, procedural and/or compliance changes/updates; communicates changes/updates to field offices, and other applicable departments and business units regarding regulatory requirements and changes.
• Plays a key role in maintaining client relationships, assists in new business productions, and represents Company with specified industry groups.
• Provides support, guidance, leadership and motivation to promote maximum performance
• Maintains team and client-facing artifacts as process and application changes are made

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

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

QUALIFICATION

Education & Licensing

Bachelor's degree from an accredited college or university preferred.

Experience

Ten (10) years of claims management, and/or other related experience or equivalent combination of education and experience required. Two (2) years supervisory experience preferred.

Skills & Knowledge

• In depth knowledge of claims management and/or absence management processes and procedures
• Excellent oral and written communication, including presentation skills
  
• PC literate, including Microsoft Office products
• Analytical and interpretive skills
• Strong organizational skills
• Excellent interpersonal skills
• Excellent negotiation skills
• Self motivated
• Ability and willingness to take initiative
• Ability to work in a team environment
• Ability to meet or exceed Service Expectations

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 #: R67198

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