Disability/Absence Management Claims Operations Manager IV

CLAIM YOUR FUTURE AS A GREAT PERFORMER!

Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Claims Management Services the place where great people can do great things for clients while maximizing their career possibilities. We have earned a reputation for innovation, quality, sustained growth, financial stability and a colleague-friendly work environment. We are proud to have been voted the Best TPA in America for 2005 and 2006, and the first and only Third Party Administrator to receive the coveted Employer of Choice designation. Come be a part of our team and "Claim Your Future."

PRIMARY PURPOSE: To be responsible for the technical and operational functions for multiple offices, including direct operational responsibility where the manager resides; to handle the staffing and training needs within assigned offices, as well as staff development, career and succession planning; and to be responsible for budget preparation and profit and loss management for assigned offices.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

1. Oversees overall operations management for all locations/offices within an area.
2. Establishes and ensures compliance to best practices, claims management services standards, state regulations, and client service requirements.
3. Establishes business plan with goals and objectives for the area and locations/offices.
4. Monitors and takes appropriate action on management reports relating to the area/office performance.
5. Assists with the coordination of sales and client service efforts.
6. Maintains a quality assurance program to support the total performance management initiative and the delivery of quality claims service consistently.
7. Travels as required.

SUPERVISORY RESPONSIBILITIES

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

QUALIFICATIONS

Education & Licensing
Baccalaureate degree from an accredited college or university preferred. CPCU, ARM, AIM, and/or AIC certifications preferred. Licenses as required.

Experience
Eight (8) years claims management experience including five (5) years supervisiory experience required.

Skills & Knowledge

• Strong technical claims knowledge
• 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

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

NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

Southern California work location