Sr Technical Standards & Compliance Manager | Brea, CA
Hispanic Alliance for Career Enhancement, Brea, CA, United States
Workers Compensation Claims Manager | Brea, CA
Primary Purpose: To ensure product quality and regulatory standards compliance by line-of-business; to establish policies and procedures; and to develop and train colleagues on technical components of new programs.
Essential Functions and Responsibilities
Establish policies and procedures to assure compliance to best practices, claims management services standards, state regulations, and client service requirements on new programs.
Analyze management reports related to new program performance and quality; mentor new colleagues to improve performance as needed.
Maintain complete understanding of new program design, processes, client expectations and partner relationships; make recommendations for improvements; and develop best practices for disability and leave operational processes.
Serve as subject matter expert responsible for training of technical processes and requirements; lead training initiatives for colleagues, supervisors/managers and clients as needed.
Lead projects focused on large process, procedural and/or compliance changes/updates; communicate changes/updates to field offices, IT, Legal and other applicable business units regarding regulatory requirements and changes.
Play key role in maintaining client relationships; assist in new business productions; and represent Company with specified industry groups.
Additional Functions and Responsibilities
Perform other duties as assigned.
Support the organization's quality program(s).
Travel as required.
Supervisory Responsibilities
Administer company personnel policies in all areas and follow company staffing standards and training recommendations.
Interview, hire and establish colleague performance development plans; conduct colleague performance discussions.
Provide support, guidance, leadership and motivation to promote maximum performance.
Qualifications
Education & Licensing
Bachelor's degree from an accredited college or university or equivalent preferred.
Experience
Five (5) years of California Workers Compensation claims management experience required.
Licensing / Jurisdiction Knowledge
California workers compensation claims management 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
Taking Care of You
Flexible work schedule.
Career development and promotional growth opportunities.
A diverse and comprehensive benefits offering including medical, dental, vision, 401k on day one.
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 $110,000 - $127,000. 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.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.
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.
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Primary Purpose: To ensure product quality and regulatory standards compliance by line-of-business; to establish policies and procedures; and to develop and train colleagues on technical components of new programs.
Essential Functions and Responsibilities
Establish policies and procedures to assure compliance to best practices, claims management services standards, state regulations, and client service requirements on new programs.
Analyze management reports related to new program performance and quality; mentor new colleagues to improve performance as needed.
Maintain complete understanding of new program design, processes, client expectations and partner relationships; make recommendations for improvements; and develop best practices for disability and leave operational processes.
Serve as subject matter expert responsible for training of technical processes and requirements; lead training initiatives for colleagues, supervisors/managers and clients as needed.
Lead projects focused on large process, procedural and/or compliance changes/updates; communicate changes/updates to field offices, IT, Legal and other applicable business units regarding regulatory requirements and changes.
Play key role in maintaining client relationships; assist in new business productions; and represent Company with specified industry groups.
Additional Functions and Responsibilities
Perform other duties as assigned.
Support the organization's quality program(s).
Travel as required.
Supervisory Responsibilities
Administer company personnel policies in all areas and follow company staffing standards and training recommendations.
Interview, hire and establish colleague performance development plans; conduct colleague performance discussions.
Provide support, guidance, leadership and motivation to promote maximum performance.
Qualifications
Education & Licensing
Bachelor's degree from an accredited college or university or equivalent preferred.
Experience
Five (5) years of California Workers Compensation claims management experience required.
Licensing / Jurisdiction Knowledge
California workers compensation claims management 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
Taking Care of You
Flexible work schedule.
Career development and promotional growth opportunities.
A diverse and comprehensive benefits offering including medical, dental, vision, 401k on day one.
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 $110,000 - $127,000. 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.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.
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.
#J-18808-Ljbffr