Business Consultant, Program Configuration
Sedgwick
full-time
Posted on:
Location Type: Remote
Location: Texas • United States
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About the role
- To establish and maintain client, federal, and state program quality and compliance through thoughtful and accurate program configuration
- Facilitates discussions with clients during implementation and as program changes are required over time, ensuring benefits are understood and properly documented and configured.
- Analyzes client and federal/state benefits; makes recommendations regarding configuration and process options.
- Maintains and verifies client and federal/state benefit parameters in the claims management system and researches issues to resolution.
- Completes client data conversions by analyzing client / vendor files, mapping to standard templates, and working with vendors within expected timeframes set by Implementation.
- Maintains complete understanding of program design, processes, client expectations and partner relationships; makes recommendations for improvements
- Plays a 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 preferred.
- Four (4) years of claims management, and/or other related experience or equivalent combination of education and experience required.
- In depth knowledge of claims management 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
- Self motivated
- Ability and willingness to take initiative
- Ability to work in a team environment
- Ability to meet or exceed Service Expectations
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims managementabsence managementprogram configurationdata conversionprocess analysisbenefit parameter verificationissue resolutiontemplate mappingprogram designclient benefit analysis
Soft Skills
oral communicationwritten communicationpresentation skillsanalytical skillsorganizational skillsinterpersonal skillsnegotiation skillsself-motivationinitiativeteamwork
Certifications
Bachelor's degree