Workers' Claims Program Manager | Sacramento, 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.

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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.

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.

• 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.

• Performs other duties as assigned.

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

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

• 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.

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