Sedgwick

Client Performance Manager

Sedgwick

full-time

Posted on:

Location Type: Remote

Location: New YorkUnited States

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Salary

💰 $100,000 - $110,000 per year

Job Level

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 & Tools
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