Financial Specialist
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 forclients 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 calculate employee benefit overpayments; and to obtain reimbursements from overpaid disability and worker's compensation cases.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES:
Ensures compliance with established recovery procedures and standards. Maintains quality control. Conducts periodic file reviews of team members' files. Provides payroll administration services for claimants receiving payments from outside of company systems. Coordinates recovery activity on assigned cases. Refers cases to collection agencies as applicable. Notifies employees verbally and in writing of claim overpayments. Responsible for manual calculations of employee benefit overpayments. Maintains a quality assurance program to support the Total Performance Management initiative and the consistent delivery of quality claims service. QUALIFICATIONS:
Education & Licensing:
Baccalaureate degree from an accredited college or university preferred. Licenses as required.
Experience:
Two (2) years of claims management required. Financial experience preferred.
Skills & Knowledge:
- Good knowledge of claims management
- Technical knowledge of recovery requirements
- 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
- Good judgment and discretion 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.
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