Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence:

Dubuque, IA  : 4141 Westmark Drive, Dubuque, IA 52002

Cedar Rapids, IA : 333 1st Street SE Ste. 200 Cedar Rapids IA 52401

Coralville, IA:  3273 Ridgeway Drive Coralville IA 52241

Dublin, OH : 5500 Glendon Court Dublin OH 43016

New Albany, OH : 7795 Walton Parkway New Albany, OH 43054

Indianapolis, IN: 8909 Purdue Road Suite 501 Indianapolis, IN 46268

Irving, TX: 2201 W. Royal Lane Suite 125 Irving, TX 75063

Memphis, TN : 8125 Sedgwick Way, Memphis TN 38125

Southfield, MI : 300 Galleria Officentre Southfield MI 48034

Orlando, FL : 12650 Ingenuity Dr Orlando FL 32826

Eden Prairie, MN : 11000 Prairie Lakes Drive Eden Prairie, MN 55344 

Chicago, IL : 175 W. Jackson Blvd. 12th Fl. Chicago IL 60604

PRIMARY PURPOSE:  This job focus is twofold: 1) Colleague will be responsible for overseeing and leading all communication projects (e.g., implementations, redesigns, compliance, best practice, optimization) 2) Overseeing colleagues that are directly responsible for these project types.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Establishes policies and procedures to assure compliance to best practices, claims management services standards, state regulations, and client service requirements on new programs.
• Analyzes management reports related to new program performance and quality; mentors new colleagues to improve performance as needed.
• Maintains complete understanding of new program design, processes, client expectations and partner relationships; makes recommendations for improvements; and develops best practices for disability and leave operational processes.
• Serves as subject matter expert responsible for the training of technical processes and requirements; leads training initiatives for colleagues, supervisors/managers and clients as needed.
• Leads projects focused on large process, procedural and /or compliance changes/updates; communicates changes/updates to field offices, IT, Legal and other applicable business units regarding regulatory requirements and changes.
• Plays key role in maintaining client relationships; assists in new business productions; and represents Company with specified industry groups.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.
• Supports the organization's quality program(s).
• Travels as required.

SUPERVISORY RESPONSIBILITIES

• Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
• Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions.
• Provides support, guidance, leadership and motivation to promote maximum performance.

QUALIFICATIONS

Education & Licensing
Bachelor's degree from an accredited college or university or equivalent preferred.

Experience
Ten (10) years of claims management, managed care and/or other related experience or equivalent combination of education and experience required to include three (3) years in a supervisory capacity in the specified field.

Skills & Knowledge

• In depth knowledge of claims management, managed care 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
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental:  Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical:  Computer keyboarding, travel as required

Auditory/Visual:  Hearing, vision and talking

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $90,000-$93,000 annual salary, bonus eligibility $2,500.00. 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.