Client Performance Manager
Sedgwick
full-time
Posted on:
Location Type: Remote
Location: New York • United States
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Salary
💰 $100,000 - $110,000 per year
About the role
- Ensures adherence to client service instructions.
- Monitors client reserves for accurate reflection of client's book of claims; ensures reserves are within an appropriate range.
- Tracks and trends performance guarantee and gain share agreements at the client level.
- Ensures client's claims reports are properly and timely prepared and distributed.
- Monitors client's average cost of claims; identifies trends and excessive cost factors.
- Conducts client specific operational audits; monitors client audit compliance.
- Works with company Quality and Operations staff to resolve client issues including results of client Compass audits.
- Manages client specific internal control report issues.
- Ensures timely payment of TTD, medical and vendor bills; ensures appropriate vendor utilization.
- Reviews aging claims for file closure ensuring claims do not age beyond appropriate time frames.
Requirements
- Bachelor's degree from an accredited college or university preferred.
- Eight (8) years of related experience or equivalent combination of education and experience required to include five (5) years of claims management and two (2) years of auditing experience.
- One (1) year of continuous service with the company is preferred.
- Thorough knowledge of claims management practices and procedures.
- Excellent oral and written communication, including presentation skills.
- PC literate, including Microsoft Office products.
- Leadership/management/motivational skills.
- 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.
Benefits
- Three Medical, and two dental plans to choose from.
- Tuition reimbursement eligible.
- 401K plan that matches 50% on every $ you put in up to the first 6% you save.
- 4 weeks PTO your first full year.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims managementauditingperformance guarantee trackingcost analysisoperational auditsinternal control reportingclaims report preparationvendor managementfile closure managementtrend analysis
Soft skills
oral communicationwritten communicationpresentation skillsleadership skillsmotivational skillsanalytical skillsorganizational skillsinterpersonal skillsnegotiation skillsteamwork