Performance Assurance Analyst

Sedgwick

(Seven Hills, Ohio)
Full Time
Job Posting Details
About Sedgwick
Sedgwick Claims Management Services, Inc., is a leading global provider of technology-enabled risk and benefits solutions. At Sedgwick, caring countsSM; the company takes care of people and organizations by delivering cost-effective claims, productivity, managed care, risk consulting and other services through the dedication and expertise of more than 14,000 colleagues in some 275 offices located in the U.S., Canada, the U.K and Ireland.
Responsibilities
PRIMARY PURPOSE: To monitor claims colleague technical activities at a claim file level with a focus on identifying and interpreting trends in compliance by conducting audits, identifying areas of concern and to recommend appropriate areas for training to management. ESSENTIAL FUNCTIONS and RESPONSIBILITIES - Administers the quality program; conducts local office file audits using the Compass tool - Presents audit results to local, regional and national management as requested. - Assists Total Performance Manager in coordinating and implementing Sedgwick business unit (SBU) and national quality initiatives at the local and/or SBU level. - Recommends training and improvement activities needed to meet established operational and technical audit requirements. - Participates in colleague coaching, mentoring and group training as needed. - Participates in quarterly national total performance management (TPM) review meetings with national TPM and Quality leaders. - Maintains technical claims and jurisdictional expertise. ADDITIONAL FUNCTIONS and RESPONSIBILITIES - Performs other duties as assigned. - Supports the organization's quality program(s). - Travels as needed
Ideal Candidate
QUALIFICATIONS Education & Licensing - Bachelor's degree from an accredited college or university preferred. - Professional certification (i.e. AIC, CPCU or ARM) preferred. Experience - Six (6) years of related experience or equivalent combination of education and experience required to include three (3) years of claims management experience at an advanced technical level. - Two (2) years of service with Company preferred. Skills & Knowledge - Thorough knowledge of claims management practices and procedures - Strong understanding of quality and auditing process - 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 interpersonal skills - Ability to work in a team environment - Ability to meet or exceed Performance Competencies 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
Compensation and Working Conditions

Working Conditions

WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations.

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