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
Specialist in Regulatory Compliance supporting sustainability initiatives at FERI Group. Responsible for analysis, reporting, and development of sustainable finance products.
Graduate role in Internal Audit & GRC services at PwC, supporting organisations in regulatory compliance and risk management. Assisting with data analysis, process mapping, and client engagements.
Export Control / Trade Compliance Officer ensuring customs compliance with Australian and U.S. laws. Advising on trade compliance issues and solutions across various projects and teams.
Vice President of Compliance & Regulatory Affairs leading compliance strategy for Cotulla Education. Supporting growth and regulatory compliance across multiple institutions and campuses.
Compliance Officer with focus on AML and compliance tasks at Schulz & Cie. Consulting. Conducting audits, transaction monitoring, and managing regulatory issues in financial services.
Lead compliance and risk management at Thndr Securities Brokerage, ensuring regulatory adherence and overseeing compliance operations. Collaborate with teams to mitigate risks and educate on compliance programs.
Key contributor in Integrated Resource Planning at Duke Energy. Prepare executives for regulatory testimonies on future energy demands and regulatory compliance.
CMC Regulatory professional managing regulatory compliance activities for veterinary biological products at Zoetis. Supporting development and inspections for the new GMS Atlanta site with FDA and USDA expectations.
Compliance Associate supporting Fidelity's Asset Management Compliance operations through various responsibilities in financial services. Engaging in problem - solving and maintaining organizational compliance while collaborating with multiple departments.
CMC Regulatory professional at Zoetis preparing regulatory documentation and ensuring compliance with FDA and USDA regulations. Managing facility documents and participating in cross - functional project improvements.