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Disability Team Coordinator
at Sedgwick CMS in Minnesota
Disability Team Coordinator
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 assist with claims support and examiner workload management; to providing guidance, training and mentoring to claims examiners; and to coordinate support activities and lead department projects within the unit.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
1. Maintains claim caseload; analyzes mid and higher-level disability claims to determine benefits; ensures ongoing adjudication of claims; and provides appropriate risk management for assigned claims.
2. Directs and monitors workflow and workload assignments for assigned teams.
3. Reviews benefit approval recommendations and denial letters as necessary.
4. Conducts diary reviews of claims as directed by claims supervisor.
5. Manages data integrity reports; distributes reports to appropriate examiners and ensures claim updates have been made; analyzes reports for trends; and makes recommendations to management for error reduction.
6. Assists claims supervisor in facilitating team meetings and other communication tools.
7. Assists claims supervisor in identifying training needs and in development of training programs for assigned teams; provides training and coaching for team members as appropriate.
8. Maintains professional client relationships.
9. Supports the organization's quality programs.
10. Travels as required.
QUALIFICATIONS
Education & Licensing
Baccalaureate degree from an accredited college or university preferred.
Experience
Two (2) years experience with disability claims required.
Skills & Knowledge
- Knowledge of regulations, offsets and deductions, disability duration, medical management practices and social security application procedures
- Excellent oral and written communication, including presentation skills
- PC literate, including Microsoft Office products
- Analytical and interpretive skills
- Strong organizational 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.
Sedgwick CMS is an Equal Opportunity Employer
and a
Drug-Free Workplace
STD, LTD, and FMLA experience preferred.
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/20918069
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 assist with claims support and examiner workload management; to providing guidance, training and mentoring to claims examiners; and to coordinate support activities and lead department projects within the unit.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
1. Maintains claim caseload; analyzes mid and higher-level disability claims to determine benefits; ensures ongoing adjudication of claims; and provides appropriate risk management for assigned claims.
2. Directs and monitors workflow and workload assignments for assigned teams.
3. Reviews benefit approval recommendations and denial letters as necessary.
4. Conducts diary reviews of claims as directed by claims supervisor.
5. Manages data integrity reports; distributes reports to appropriate examiners and ensures claim updates have been made; analyzes reports for trends; and makes recommendations to management for error reduction.
6. Assists claims supervisor in facilitating team meetings and other communication tools.
7. Assists claims supervisor in identifying training needs and in development of training programs for assigned teams; provides training and coaching for team members as appropriate.
8. Maintains professional client relationships.
9. Supports the organization's quality programs.
10. Travels as required.
QUALIFICATIONS
Education & Licensing
Baccalaureate degree from an accredited college or university preferred.
Experience
Two (2) years experience with disability claims required.
Skills & Knowledge
- Knowledge of regulations, offsets and deductions, disability duration, medical management practices and social security application procedures
- Excellent oral and written communication, including presentation skills
- PC literate, including Microsoft Office products
- Analytical and interpretive skills
- Strong organizational 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.
Sedgwick CMS is an Equal Opportunity Employer
and a
Drug-Free Workplace
STD, LTD, and FMLA experience preferred.
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/20918069
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Published on Aug 18, 2011
Viewed: 206 times
Viewed: 206 times
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