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

Workers' Compensation Claims Program Manager | Sacramento, CA
Are you looking for an impactful job in an energetic culture where you can apply your knowledge and experience?

• Enjoy flexibility - Sacramento, CA Sedgwick office onsite preferred. May be open to hybrid or remote, telecommuter setting in California.
• Position requires approximately 5% in-state travel per year.
• Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
• Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
  

PRIMARY PURPOSE : To manage all aspects of client's large-loss and high-profile worker's compensation program to ensure regulatory compliance and that contractual performance standards are met by their third-party administrators (TPAs). To provide members with a resource for workers' compensation information that helps them better understand the complexities of the system, enhances their communication with their third-party administrators, and to provide members with the tools necessary to manage the costs of their workers' compensation claim.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Conducts large-loss and high-profile case monitoring, on-site, on-line and by report.
• Researches and manages the RFP process for third party administrators (TPA) services based on client needs for their Workers Compensation program.
• Ensures compliance with performance standards/requirements and compliance with all state, federal and regulatory reporting requirements.
• Maintains client relationships by monitoring ancillary vendors and addresses service concerns with providers, coordinating vendor transitions,
• Develops and maintains workers' compensation management resources for members and staff including research, discussion, and presentation to applicable parties.
• Conducts oversight reviews for adherence to contract compliance, technical standards, and regulatory requirements.
• Identifies and develops training programs specifically related to oversight needs; designs training plans and materials and delivers training that meets business needs, objectives, strategies, and policies.
• Manages the program for excess claims to include accurate and current reporting, reserves, compliance, payments, and settlement.
• Monitors legislation and changes in state and federal laws while working with clients on how these changes will impact their workers' compensation programs or services provided by their TPA.
• Presents at client board meetings, association, or other public events.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.

QUALIFICATIONS

Education & Licensing

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

Experience

Seven to nine (7-9) years of related experience or equivalent combination of education and experience required.

Skills & Knowledge

• Excellent oral and written communication skills, including presentation skills
• PC literate, including Microsoft Office products
• Analytical and interpretive skills
• Strong organizational skills
• Excellent interpersonal 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

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $100,000 to $105,000 USD annual salary . Bonus eligible role. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

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.

#LI-REMOTE #remote #LI-HYBRID #claims

Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.

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 #: R70743

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