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IDM Supervisor II
at Sedgwick CMS in Illinois
IDM Supervisor II
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 supervise an IDM unit across product lines; and to monitor case managers' workloads by reviewing individual claims and giving direction on claims to case managers ensuring compliance with minimum service.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
1. Provides day-to-day supervision of the claims operations ensuring client expectations, jurisdictional regulations and plan requirement standards are satisfactorily met.
2. Provides ongoing case management, jurisdictional, and client service instruction training as appropriate.
3. Intervenes in difficult calls or questions.
4. Acts as liaison between union representatives and case management when appropriate.
5. Monitors and provides statistical information reports for the client.
6. Develops and provides training relevant to case management.
7. Manages unit workflow.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
1. Performs other duties as assigned.
2. Maintains a quality assurance program to support the total performance management initiative and the consistent delivery of quality claims service.
SUPERVISORY RESPONSIBILITIES
1. Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
2. Interviews, hires and establishes colleague performance development plans; conducts colleague performance reviews.
3. Provides support, guidance, leadership and motivation to promote maximum performance.
QUALIFICATIONS
Education & Licensing
BS/BA degree or equivalent preferred. Licenses as required. Each year of experience beyond the requirement equates to one (1) year of post secondary education.
Experience
Six (6) years of related technical and claims management experience required. Supervisory experience preferred. AS/AA degree may be substituted for one (1) year of experience; BS/BA degree may be substituted for two (2) years of experience; MS/MA degree may be substituted for three (3) years of experience.
Skills & Knowledge
- Good technical knowledge of claims management
- Excellent oral and written communication, including presentation skills
- PC literate, including Microsoft Office products
- Leadership/management/motivational skills
- 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
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/20945545
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 supervise an IDM unit across product lines; and to monitor case managers' workloads by reviewing individual claims and giving direction on claims to case managers ensuring compliance with minimum service.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
1. Provides day-to-day supervision of the claims operations ensuring client expectations, jurisdictional regulations and plan requirement standards are satisfactorily met.
2. Provides ongoing case management, jurisdictional, and client service instruction training as appropriate.
3. Intervenes in difficult calls or questions.
4. Acts as liaison between union representatives and case management when appropriate.
5. Monitors and provides statistical information reports for the client.
6. Develops and provides training relevant to case management.
7. Manages unit workflow.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
1. Performs other duties as assigned.
2. Maintains a quality assurance program to support the total performance management initiative and the consistent delivery of quality claims service.
SUPERVISORY RESPONSIBILITIES
1. Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
2. Interviews, hires and establishes colleague performance development plans; conducts colleague performance reviews.
3. Provides support, guidance, leadership and motivation to promote maximum performance.
QUALIFICATIONS
Education & Licensing
BS/BA degree or equivalent preferred. Licenses as required. Each year of experience beyond the requirement equates to one (1) year of post secondary education.
Experience
Six (6) years of related technical and claims management experience required. Supervisory experience preferred. AS/AA degree may be substituted for one (1) year of experience; BS/BA degree may be substituted for two (2) years of experience; MS/MA degree may be substituted for three (3) years of experience.
Skills & Knowledge
- Good technical knowledge of claims management
- Excellent oral and written communication, including presentation skills
- PC literate, including Microsoft Office products
- Leadership/management/motivational skills
- 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
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/20945545
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Published on Aug 19, 2011
Viewed: 286 times
Viewed: 286 times
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