Claims Management Supervisor
3 weeks ago
About the Role:
Sedgwick is seeking a highly skilled Workforce Absence Team Lead to join our team. As a Workforce Absence Team Lead, you will be responsible for supervising 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.
Key Responsibilities:
- Supervise multiple teams of examiners and/or several technical operations colleagues for a wide span of control.
- Identify and advise management of trends, problems, and issues as well as recommended course of action.
- Provide technical/jurisdictional direction to examiner reports on claims adjudication.
- Compile, review, and analyze management reports and take appropriate action.
- Perform quality review on claims in compliance with audit requirements, service contract requirements, and quality standards.
- Act as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests.
- Review reserve amounts on high cost claims and claims over the authority of the individual examiner.
- Maintain contact with the client on claims and promote a professional client relationship.
Requirements:
- Bachelor's degree from an accredited college or university preferred.
- Licenses as required.
- Professional certifications as applicable to line of business preferred.
- Six (6) years of claims experience or equivalent combination of education and experience required.
- Two (2) years of claims supervisory experience preferred.
Work Environment:
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. We are committed to creating a diverse, equitable, and inclusive workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification, consider applying anyway. We recognize that each person possesses a unique combination of skills, knowledge, and experience.
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