Description
By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.
As a Workforce Absence Team Lead - Claims Assistant Team, your primary purpose will be to supervise the operations of multiple teams of examiners and technical staff for disability claims for clients. You will monitor colleagues' workload, provide training, and monitor individual claim activities. You will also provide technical/jurisdictional direction to examiner reports on claims adjudication and maintain a diary on claims within the teams.
Responsibilities:
- Supervise multiple teams of examiners and/or several technical operations colleagues
- Identify and advise management of trends, problems, and issues
- Provide technical/jurisdictional direction to examiner reports on claims adjudication
- Compile, review, and analyze management reports
- Perform quality review on claims
- Act as second level of appeal for client and claimant issues
- Review reserve amounts on high cost claims
- Monitor third party claims
- Maintain contact with the client on claims
- Assure that direct reports are properly licensed
- Ensure claims files are coded correctly
Additional Responsibilities:
- Perform other duties as assigned
- Support the organization's quality program(s)
Supervisory Responsibilities:
- Administer company personnel policies
- Interview, hire, and establish colleague performance development plans
- Provide support, guidance, leadership, and motivation to promote maximum performance
Qualifications:
- Bachelor's degree from an accredited college or university preferred
- Six (6) years of claims experience or equivalent combination of education and experience required
- Two (2) years of claims supervisory experience preferred
- Thorough knowledge of claims management procedures and processes for disability
- Excellent oral and written communication 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