About The Position

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.

Requirements

  • 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.

Nice To Haves

  • One (1) year of continuous service with the company is preferred.

Responsibilities

  • 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.

Benefits

  • 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.
© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service