Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.
A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.
Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer
Senior Compliance Specialist - Workers Compensation
PRIMARY PURPOSE: To ensure compliance with worker's compensation regulations.
PREFERRED GEOGRAPHIC REGION
Within the state of TX
Candidates outside of the preferred geographic regions listed above may still be considered based on level of experience.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Provides claim oversight to ensure timely filing of forms and benefits payments.
Assists in delivery of focused jurisdictional compliance training, including coaching, mentoring, and group training as needed.
Assists in coordination and implementation of compliance initiatives at local level.
Develops and provides reporting on penalty and compliance issues through assigned area(s).
Maintains technical claims and jurisdictional expertise; keeps abreast of state regulatory changes and enhancements.
Provides trend analysis and reporting
Supports relationships with state regulators to enhance Sedgwick's reputation and standing within the assigned area(s).
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
Performs other duties as assigned.
Supports the organization's quality program(s).
QUALIFICATIONS
Education & Licensing
Bachelor's degree from an accredited college or university preferred.
Experience
Four years of related experience or equivalent combination of education and experience required to include three (3) years of technically advanced claims handling experience and three (3) years of compliance experience. Experience in claims management or related area is preferred. One (1) year of service with the company is preferred.
Skills & Knowledge
Thorough knowledge of claims management practices and procedures
Good knowledge of claims management system(s)
Strong knowledge of state regulatory compliance standards
Knowledge of query and report writing
Good oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Good Excel skills
Analytical and interpretive skills
Leadership/management/motivational skills
Strong organizational skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($50k-$75k)A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
Taking care of people is at the heart of everything we do. Caring counts
Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (***/watch?v=ywxedjBGSfA)
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