Sr. Manager overseeing communication projects and compliance in claims management at Sedgwick. Leading teams and ensuring best practices while maintaining client relationships.
Responsibilities
Overseeing and leading all communication projects (e.g., implementations, redesigns, compliance, best practice, optimization)
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
Requirements
Bachelor's degree from an accredited college or university or equivalent preferred
Ten (10) years of claims management, managed care and/or other related experience or equivalent combination of education and experience required to include three (3) years in a supervisory capacity in the specified field
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
Regulatory Analyst managing compliance obligations associated with regulatory requirements at Tallgrass, an energy infrastructure company. Involved in preparation, analysis, and administration in relevant areas.
Trainee supporting product compliance and legal regulation at ZF, engaging in training activities and various legal assistance tasks. Collaborating with experts on compliance projects.
VAT Compliance Specialist managing VAT - relevant data and ensuring compliance in an international team. Collaborating with various departments to maintain data quality and support documentation processes.
Working Student supporting the VATrules Team with data management and documentation processes. Engaging in VAT compliance and improving data structures in a hybrid work environment.
Specialist II in Regulatory Affairs preparing and maintaining global submissions for conducting clinical investigations. Collaborating with engineering and regulatory teams to ensure compliance with worldwide regulations.
Senior Lead Expert Regulatory managing bank regulatory communication and requirements at leading German bank LBBW. Overseeing compliance, analysis, and decision - making within financial regulatory frameworks.
Regulatory Affairs Manager overseeing compliance of food products and processes. Collaborating with teams to drive regulatory strategies and maintain product quality standards at Bel.
Chief Compliance Officer establishing risk management and compliance frameworks for Sezzle Bank ILC. Managing regulatory compliance and risk in financial services with a focus on BSA/AML and OFAC.
Regional Sustainability Compliance Manager leading product compliance activities across the Americas for ACT Group. Ensuring renewable energy products meet regulatory and sustainability certification requirements.
Providing regulatory advice for cosmetics and animal feed portfolios at Döhler. Collaborating with certification bodies and maintaining product specifications and safety data sheets.