Disability/Absence Management Operations Services Delivery Director 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 manage the overall operational service delivery for multiple existing clients including program management, total performance management and assigned customer service team in support of core claims operations and client programs. ESSENTIAL FUNCTIONS and RESPONSIBILITIES - Assists Managing Director in development of regional strategy, execution of target objectives and financial analysis.
- Provides strategic and technical oversight of Program Management services.
- Provides leadership and oversight of regional operations ensuring delivery of quality claims administration services to our clients; ensures qualified staff are hired and developed for meeting the needs of our clients.
- Fully participates in new client implementation ensuring a smooth transition from the business development process to field operations and program management.
- Identifies opportunities to improve the implementation process through client debriefing review process.
- Establishes and monitors budget for assigned departments.
- Assumes operations responsibility for specific offices as assigned.
- Establishes policy and procedures to assure compliance to best practices, claims management services standards, state regulations, and client service requirements.
- Serves as a member on various regional and disability operations committees.
- Engages management and execution of client and operational initiatives as directed.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES - Performs other duties as assigned.
- Maintains a quality assurance program to support the total performance management initiative and the consistent delivery of quality claims service.
- Establishes relationships and networks across a broad range of people and groups; collaborates with all entities within the company.
- 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.
- Plans for staffing needs including succession, bench-strength, and new business.
QUALIFICATIONS Education & Licensing
Baccalaureate degree from an accredited college or university required. Masters degree preferred. ARM, AIM and/or CPCU preferred. Accounting courses preferred. Each year of related work experience beyond the requirement equates to one (1) year of required post secondary education. Experience
Ten (10) years insurance industry experience including claims administration, operations management, and technology related experience required. Five (5) years management experience required. Skills & Knowledge Thorough technical and varied line-of-business claims knowledge including managed care and/or IDM In-depth office operations and/or account management skills Strong strategic and tactical skills 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 negotiation skills Thorough knowledge of the implications of relevant current laws and regulations Excellent interpersonal skills Ability to delegate responsibilities and duties Ability to establish credibility and be decisive 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
Southern California work location
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