Workers' Claims Program Manager | Sacramento, CA

Overview

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. 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.
Position: Workers' Compensation Claims Program Manager | Sacramento, CA

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 TPAs. To provide members with resources for workers’ compensation information that help them understand the complexities of the system, enhance communication with TPAs, and provide tools to manage workers’ compensation costs.

• Conducts large-loss and high-profile case monitoring, on-site, online 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 all state, federal and regulatory reporting requirements.
• Maintains client relationships by monitoring ancillary vendors and addressing 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 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, including accurate and current reporting, reserves, compliance, payments, and settlement.
• Monitors legislation and changes in state and federal laws and communicates impact on workers’ compensation programs or TPA services to clients.
• Presents at client board meetings, associations, or other public events.

• Performs other duties as assigned.

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

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

Medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other voluntary benefits. Bonus eligible role.

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. 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.

All statements contained herein 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 change duties at any time.

#remote #claims

Qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable fair chance laws in Los Angeles, San Diego, San Francisco, and California. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If your experience doesn’t align perfectly with every qualification, consider applying anyway. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.