Workers' Compensation Claims Program Manager
Sedgwick
full-time
Posted on:
Location Type: Hybrid
Location: Sacramento • California • United States
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Salary
💰 $100,000 - $105,000 per year
About the role
- Manage all aspects of client’s large-loss and high-profile worker’s compensation program to ensure regulatory compliance and that contractual performance standards are met by their third-party administrators (TPAs).
- Provide members with a resource for workers’ compensation information that helps them better understand the complexities of the system.
- Conduct large-loss and high-profile case monitoring, on-site, on-line and by report.
- Research and manage the RFP process for third party administrators (TPA) services based on client needs for their Workers Compensation program.
- Ensure compliance with performance standards/requirements and compliance with all state, federal and regulatory reporting requirements.
- Maintain client relationships by monitoring ancillary vendors and addressing service concerns with providers.
- Conduct oversight reviews for adherence to contract compliance, technical standards, and regulatory requirements.
- Identify and develop training programs specifically related to oversight needs.
- Manage the program for excess claims to include accurate and current reporting, reserves, compliance, payments, and settlement.
- Monitor legislation and changes in state and federal laws while working with clients on impacts to their workers’ compensation programs or services provided by their TPA.
- Present at client board meetings, association, or other public events.
Requirements
- Bachelor's degree from an accredited college or university preferred.
- Seven to nine (7-9) years of related experience or equivalent combination of education and experience required.
- Excellent oral and written communication skills, including presentation skills
- PC literate, including Microsoft Office products
- Analytical and interpretive skills
- Strong organizational skills
- Excellent interpersonal skills
- Excellent negotiating skills
- Ability to create and complete comprehensive, accurate and constructive written reports
- Ability to work in a team environment
- Ability to meet or exceed Performance Competencies
Benefits
- medical
- dental
- vision
- 401k and matching
- PTO
- disability and life insurance
- employee assistance
- flexible spending or health savings account
- other additional voluntary benefits
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
regulatory compliancecase monitoringRFP process managementcontract compliancetechnical standards adherenceclaims managementreportingreserves managementpayments managementsettlement management
Soft Skills
oral communicationwritten communicationpresentation skillsanalytical skillsorganizational skillsinterpersonal skillsnegotiating skillsteamworkreport writingperformance competency
Certifications
Bachelor's degree