Claims Manager - Technical Standards and Compliance | Brea, CA

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 Claims Manager - Technical Standards and Compliance | Brea, CA
* Apply your knowledge and experience in the context of an energetic culture.
* Deliver innovative customer-facing solutions.
* 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.
* Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
** OFFICE LOCATIONS
** Brea, CA
** 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
*** Establishes policies and procedures to assure compliance to best practices, claims management services standards, state regulations, and client service requirements on new programs.
* Analyzes management reports related to new program performance and quality; mentors new colleagues to improve performance as needed.
* Maintains complete understanding of new program design, processes, client expectations and partner relationships; makes recommendations for improvements; and develops best practices for disability and leave operational processes.
* Serves as subject matter expert responsible for the training of technical processes and requirements; leads training initiatives for colleagues, supervisors/managers and clients as needed.
* Leads projects focused on large process, procedural and /or compliance changes/updates; communicates changes/updates to field offices, IT, Legal and other applicable business units regarding regulatory requirements and changes.
* Plays key role in maintaining client relationships; assists in new business productions; and represents Company with specified industry groups.
** ADDITIONAL FUNCTIONS and RESPONSIBILITIES
*** Performs other duties as assigned.
* Supports the organization's quality program(s).
* Travels as required.
** SUPERVISORY RESPONSIBILITIES
*** Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
* Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions.
* Provides support, guidance, leadership and motivation to promote maximum performance.
** QUALIFICATIONS
* *** Education & Licensing
** Bachelor's degree from an accredited college or university or equivalent preferred.
** Experience
* * Five (5) years of California Workers Compensation claims management experience required.
** Licensing / Jurisdiction Knowledge:
** California workers compensation claims management experience; SIP Required.
** Skills & Knowledge
*** In depth knowledge of claims management, managed care 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
* Ability to work in a team environment
* Ability to meet or exceed Performance Competencies
** TAKING CARE OF YOU
*** Flexible work schedule.
* Career…