Apply on Employer Site

Sedgwick · 6 days ago

Client Performance Manager

United States

Full-time

Remote

Senior Level, Lead/Staff

$100K/yr - $110K/yr

8+ years exp

Sedgwick is a company that focuses on providing meaningful support for individuals facing unexpected challenges. The Client Performance Manager will be responsible for ensuring quality aspects of client service, conducting audits, and resolving client issues while collaborating with internal teams.

BankingInsuranceRisk Management

Responsibilities

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

Performs other duties as assigned

Supports the organization's quality program(s)

Qualification

Claims managementAuditing experienceAnalytical skillsCommunication skillsMicrosoft OfficeLeadership skillsOrganizational skillsInterpersonal skillsNegotiation skillsTeamwork

Required

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

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

Preferred

Bachelor's degree from an accredited college or university

One (1) year of continuous service with the company

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.

A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.