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Compliance Specialist Sr

Company: Sedgwick Claims Management Services, Inc.
Location: Charleston
Posted on: June 9, 2021

Job Description:

The 'Apply with SEEK' option will be utilized for International applicants, mainly Australia. If this does not apply to you please use the 'Apply' option.

Compliance Specialist Sr

IF YOU CARE, THERE'S A PLACE FOR YOU HERE

For a career path that is both challenging and rewarding, join Sedgwick's talented team of 27,000 colleagues around the globe. Sedgwick is a leading provider of technology-enabled risk, benefits and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. Whether they have a workplace injury, suffer property or financial loss or damage from a natural or manmade disaster, are involved in an auto or other type of accident, or need time away from work for the birth of a child or another medical situation, we are here to provide compassionate care and expert guidance. Our clients depend on our talented colleagues to take care of their most valuable assets-their employees, their customers and their property. At Sedgwick, caring counts. Join our team of creative and caring people of all backgrounds, and help us make a difference in the lives of others.

PRIMARY PURPOSE: To ensure compliance with worker's compensation regulations.

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

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.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

Keywords: Sedgwick Claims Management Services, Inc., Charleston , Compliance Specialist Sr, Other , Charleston, West Virginia

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