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Full-time Bill Review Trainer/Hearing Rep

at Sedgwick CMS in California

Bill Review Trainer / Hearing Representative

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 develop and conduct technical training for all new and existing departmental colleagues; to represent client employers at hearings before the appropriate judicial body.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Develops and maintains departmental technical training materials.
Trains and monitors progress of new departmental colleagues; trains existing departmental colleagues on procedural and system changes.
Provides training for colleagues in other departments as required.
Assists in development and maintenance of departmental policies and procedures.
Reviews upcoming hearings and prepares necessary documentation to represent clients' interests; supports legal counsel in regard to hearings; appears before the judicial body on behalf of clients.
Reviews state files to update company files accordingly.
Performs lien negotiations.
Completes special projects as required.
Supports the total performance management initiative.
Travels as required.

QUALIFICATIONS

Education & Licensing
Baccalaureate degree from an accredited college or university preferred. Valid driver's license required.

Experience
Five (5) years experience in workers' compensation field in a high client-contact position required.

Skills & Knowledge
Excellent oral and written communication, including presentation skills
Excellent knowledge of billing codes
PC literate, including Microsoft Office products
Leadership/management/motivational skills
Strong analytical and interpretive skills
Strong problem solving skills
Strong interpersonal skills
Excellent negotiation skills
Ability to work in a team environment
Ability to work independently
Ability to be flexible and handle multiple/changing priorities
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.

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

How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar:
http://sedgwickcms.contacthr.com/16953790


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Published on Aug 27, 2010
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