Client Performance Manager
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 PRIMARY PURPOSE : 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. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.
Requirements
- Bachelor's degree from an accredited college or university preferred.
- Eight (8) years of related experience or equivalent combination of education and experience required to include five (5) years of claims management and two (2) years of auditing experience.
- Thorough knowledge of claims management practices and procedures
- Excellent oral and written communication, including presentation skills
- PC literate, including Microsoft Office products
- Leadership/management/motivational skills
- Analytical and interpretive skills
- Strong organizational skills
- Excellent interpersonal skills
- Excellent negotiation skills
- Ability to work in a team environment
- Ability to meet or exceed Performance Competencies
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.
- Performs other duties as assigned.
- Supports the organization's quality program(s).
Benefits
- Three Medical, and two dental plans to choose from.
- Tuition reimbursement eligible.
- 401K plan that matches 50% on every $ you put in up to the first 6% you save.
- 4 weeks PTO your first full year.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Number of Employees
5,001-10,000 employees
