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.

Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

This position will be a hybrid role--3 days in office, 2 days work from home and rotates each week: the following week 2 days in office and 3 days work from home.

PRIMARY PURPOSE: To ensure efficient, cost effective, and high quality delivery of case management services to clients for a single business line by supervising and training a staff of assigned colleagues; and to ensure customer satisfaction through the provision of these services and through dealing directly with workers compensation claims managers, supervisors and examiners utilizing the account management process.
 

ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Supervises, coordinates, and reviews the work of assigned staff for a single business line.

• Acts as liaison between telephonic and onsite case management.
• Works with Program Manager to provide account support including, but not limited to data collection and analysis, attending client meetings, and recommending improvements to specified program(s).
• Assures achievement of unit financial goals and customer service/satisfaction goals.
• Provides expert medical and product support to staff.

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

One of the following is required:

• RN licensure preferred
• Bachelor's degree or higher in a health-related field AND licensure as a health professional (where such licensure is available) OR
• Certification as a case manager OR
• Professional certification in a clinical specialty with three (3) years experience as case manager AND certification as case manager if directly supervising case management process

Experience
 

Six (6) years of related experience or equivalent combination of education and experience required to include three (3) years of medical case management and two (2) years of clinical experience. Supervisory experience preferred.

Skills & Knowledge
 

• Solid knowledge of medical case management
• Knowledge of resources available regarding the regulations and parameters of third party reimbursement
• Knowledge of statutory requirements of different state jurisdictions
• Excellent oral and written communication, including presentation skills
• PC literate, including Microsoft Office products
• Leadership/management/motivational skills
• Strong 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

TAKING CARE OF YOU BY

• We offer a diverse and comprehensive benefits package including:
  • 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.

NEXT STEPS

If your application is selected to advance to the next round, a recruiter will be in touch.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.