Operations Manager

Operations Manager

Primary

Purpose:

To oversee technical and operational functions including compliance with company standards and industry best practices; to ensure consistent delivery of quality services; to oversee staffing and training needs; and to oversee budget preparation and profit and loss management.

Responsible for less than 25 colleagues.

• Oversees internal quality review process and reports monthly.
• Assures compliance with client internal controls, audit requirements and service agreement requirements.
• Establishes business plan with goals and objectives for assigned clients.
• Ensures claims management policies and procedures are followed to assure meeting service standards, state statutes/regulations, disability plan document, industry best practices and client service requirements.
• Establishes and maintains client contacts.

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

• 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.

• Education:
  
  Bachelor’s degree from an accredited college or university (preferred).
• Licenses:
  Licenses as required.
• Professional certifications:
  Appropriate to line of business (preferred).
• Experience:
  
  Eight years claims management experience or equivalent combination of education and experience, including two years supervisory experience.
• Skills & Knowledge:
  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 expectations.

• Leadership and managerial skills
• Analytical and interpretive abilities
• Strong organizational capability
• Excellent interpersonal and negotiation skills

• Physical:
  Computer keyboarding, travel as required.
• Auditory/Visual:
  Hearing, vision and talking.
• 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.

When applicable and appropriate, consideration will be given to reasonable accommodations.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.