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Parameter Specialist - Sr

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 determine the proper parameter set-up of new and renewal clients in the claims management system; to investigate call escalations for parameter issues and make corrections; and to perform ongoing maintenance of office and client parameters utilized by the claims management system to direct claim administration and client reporting.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES:
Determines client parameters setup to meet client needs and reporting requirements.
Sets up and maintains parameters based on information provided from field offices and clients.
Creates and produces query data for internal clients; verifies accuracy and distribution of data.
Updates and explains to field office affects of parameter changes or forms to specific accounts.
Identifies, isolates and resolves problems with account parameters; provides alternative solutions to field office needs as required.
Investigates call escalations for parameter problems; corrects parameters as required.
Performs research for clients, carriers and implementation team.
Oversees special parameter projects involving mass moves, mini-conversions, carrier issues, banking issues, restructuring, etc; communicates project status to appropriate parties.
Investigates call escalations for parameter issues; corrects parameters as required.
Acts as highest level of support for the parameter team.
Assists supervisor with parameter training and documentation for training and procedural manuals.
Provides senior level support to parameter specialists on complex issues.
Supports the Total Performance Management initiative.
Travels as required.

QUALIFICATIONS:
Education & Licensing: Baccalaureate degree from an accredited college or university preferred. Associate degree in a computer field from an accredited college or university preferred.

Experience: Two (2) years Microsoft Office products in a Windows environment and one (1) year claims management system experience required. UNIX operating systems experience preferred.

Skills & Knowledge:
Strong computer knowledge with high quality service standards
Excellent oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Analytical and interpretive skills
Strong organizational skills
Excellent interpersonal 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.

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/20393659

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Published on Jul 07, 2011
Viewed: 301 times