Claims Team Leader - Leave Services

 

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 recently voted the Best TPA in America 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 be responsible for the technical and operational functions of Leave Services unit(s) including compliance with company standards and industry best practices; to ensure consistent delivery of quality services; to be responsible for staffing and training needs, as well as staff development, career and succession planning; and to assist the Operations Manager with budget preparation and profit and loss management for the office. To lead the operation of teams which administer leave programs for clients; to provide technical and jurisdictional direction, overall management and training of claims staff in applicable jurisdictions.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
Manages Leave Services operations Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. Monitors claims examiner workloads ensuring compliance with service standards. Supports integration of disability and leave activities. Monitors management reports relating to location or office performance. Maintains a quality assurance program to support the Total Performance Management initiative and the consistent delivery of quality claims service. Supports new business activities. Performs other related work as required  Travels as required.
SUPERVISORY RESPONSIBILITIES:
Administers company personnel policies in all areas and follows company staffing standards and training recommendations. Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions. Provides support, guidance, leadership and motivation to promote maximum performance.

Education & Licensing:
Baccalaureate degree from an accredited college or university preferred. Licenses as required. SPHR, PHR, or other Human Resources certification is a plus


Experience: Four (4) years of supervisory/management experience required. Experience with FMLA administration




Skills & Knowledge:
Good technical knowledge of federal and state leave requirements

Excellent oral and written communication skills, 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

 Sedgwick CMS is an Equal Opportunity Employer