District Manager – Metro NY
Regeneron
Client Performance Manager – Workers Compensation
Sedgwick
full-time
Posted on:
Location Type: Remote
Location: Remote • Florida, Missouri • 🇺🇸 United States
Visit company websiteSalary
💰 $90,000 - $105,000 per year
Job Level
SeniorLead
About the role
- Ensure adherence to client service instructions and timely distribution of claims reports.
- Monitor client reserves and average claim costs; identify trends and excessive cost factors.
- Track performance guarantees and gain share agreements at the client level.
- Conduct operational audits and monitor client compliance.
- Manage internal control report issues and resolve client concerns in collaboration with Quality and Operations teams.
- Oversee timely payments for TTD, medical, and vendor bills; ensure appropriate vendor utilization.
- Review aging claims to prevent delays in file closure.
- Perform other duties as assigned.
- Support the organization’s quality programs.
Requirements
- 8 years of claims management experience or equivalent combination of education and experience required.
- 5 years of claims management and 2 years of auditing experience.
- One year of continuous service with the company is preferred.
- High School Diploma or GED required.
- Bachelor's degree from an accredited college or university preferred.
- Professional certification as applicable to line of business preferred.
Benefits
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims managementauditingoperational auditsclient compliancevendor managementperformance trackingcost analysisreporting
Soft skills
client serviceproblem-solvingcollaborationcommunication
Certifications
professional certification
