Hybrid Workers' Compensation Claims Program Manager

at Sedgwick

• Job title: Workers' Compensation Claims Program Manager
• Job type: Full Time
• Experience level: Senior, Lead
• Salary: $100,000 - $105,000 per year
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Sacramento, United States

About the role

• Manage large-loss workers’ compensation program ensuring compliance and performance standards at Sedgwick. Engage in client relationships and develop training while presenting at public events.

Responsibilities

• 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).
• Provide members with a resource for workers’ compensation information that helps them better understand the complexities of the system.
• Conduct large-loss and high-profile case monitoring, on-site, on-line and by report.
• Research and manage the RFP process for third party administrators (TPA) services based on client needs for their Workers Compensation program.
• Ensure compliance with performance standards/requirements and compliance with all state, federal and regulatory reporting requirements.
• Maintain client relationships by monitoring ancillary vendors and addressing service concerns with providers.
• Conduct oversight reviews for adherence to contract compliance, technical standards, and regulatory requirements.
• Identify and develop training programs specifically related to oversight needs.
• Manage the program for excess claims to include accurate and current reporting, reserves, compliance, payments, and settlement.
• Monitor legislation and changes in state and federal laws while working with clients on impacts to their workers’ compensation programs or services provided by their TPA.
• Present at client board meetings, association, or other public events.

Requirements

• 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

Benefits

• medical
• dental
• vision
• 401k and matching
• PTO
• disability and life insurance
• employee assistance
• flexible spending or health savings account
• other additional voluntary benefits