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Tech Standards & Compli Mgr I
at Sedgwick CMS in Minnesota
Tech Standards & Compliance Manager I
Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick Claims Management Services, Inc. has a strong commitment to its colleagues and its clients. If you are seeking place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick CMS is the place for you. As the largest and most innovative Third Party Administrator in the claims industry and the first and only TPA to receive both recognition as the Best TPA in America and the coveted Employer of Choice designation, we invite you to come be a part of our team and, “Claim Your Future”.
PRIMARY PURPOSE:
To ensure product quality and regulatory standards compliance by line-of-business.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
1. Analyzes management reports related to new program performance and quality; mentors new colleagues to improve performance.
2. Maintains understanding of new program designs, processes, client expectations and partner relationships; recommends changes as needed.
3. Trains colleagues on new programs on technical processes and requirements.
4. Assists with projects focused on large process, procedural and/or compliance changes/updates; communicates changes/updates to field offices, IT, Legal and other applicable business units regarding regulatory requirements and changes.
5. Works with Practice Leader and other resources to monitor field performance and determine training needs; works with Sedgwick University as subject matter resource to develop necessary training programs and to perfect training tools.
6. Plays key role in maintaining client relationships; assists in new business productions.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
1. Performs other duties as assigned.
2. Supports the organization's quality program(s).
3. Travels as required.
QUALIFICATIONS
Education & Licensing
BS/BA degree or equivalent preferred.
Experience
Five (5) years of claims management, managed care or other related experience to include two (2) years in supervisory capacity in the specified field required. AS/AA degree may substitute for one (1) year of experience; BS/BA degree may substitute for two (2) years experience; MS/MA degree may substitute for three (3) years experience.
Skills & Knowledge
- In depth knowledge of claims management, managed care and/or absence management processes and procedures
- 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
- 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
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.
NOTE: Credit Security Clearance, confirmed via a background credit check, is required for this position.
Sedgwick CMS is an Equal Opportunity Employer
and a
Drug-Free Workplace
Must have experience in both Diability and FMLA lines of business.
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/20531969
Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick Claims Management Services, Inc. has a strong commitment to its colleagues and its clients. If you are seeking place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick CMS is the place for you. As the largest and most innovative Third Party Administrator in the claims industry and the first and only TPA to receive both recognition as the Best TPA in America and the coveted Employer of Choice designation, we invite you to come be a part of our team and, “Claim Your Future”.
PRIMARY PURPOSE:
To ensure product quality and regulatory standards compliance by line-of-business.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
1. Analyzes management reports related to new program performance and quality; mentors new colleagues to improve performance.
2. Maintains understanding of new program designs, processes, client expectations and partner relationships; recommends changes as needed.
3. Trains colleagues on new programs on technical processes and requirements.
4. Assists with projects focused on large process, procedural and/or compliance changes/updates; communicates changes/updates to field offices, IT, Legal and other applicable business units regarding regulatory requirements and changes.
5. Works with Practice Leader and other resources to monitor field performance and determine training needs; works with Sedgwick University as subject matter resource to develop necessary training programs and to perfect training tools.
6. Plays key role in maintaining client relationships; assists in new business productions.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
1. Performs other duties as assigned.
2. Supports the organization's quality program(s).
3. Travels as required.
QUALIFICATIONS
Education & Licensing
BS/BA degree or equivalent preferred.
Experience
Five (5) years of claims management, managed care or other related experience to include two (2) years in supervisory capacity in the specified field required. AS/AA degree may substitute for one (1) year of experience; BS/BA degree may substitute for two (2) years experience; MS/MA degree may substitute for three (3) years experience.
Skills & Knowledge
- In depth knowledge of claims management, managed care and/or absence management processes and procedures
- 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
- 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
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.
NOTE: Credit Security Clearance, confirmed via a background credit check, is required for this position.
Sedgwick CMS is an Equal Opportunity Employer
and a
Drug-Free Workplace
Must have experience in both Diability and FMLA lines of business.
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/20531969
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Published on Jul 19, 2011
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Viewed: 292 times
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