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Sedgwick

Columbus, OH

Technical Performance Reviewer

LocationColumbus, Ohio 43230
Employment TypeContractor
Date Posted2022-11-22
Direct Apply
Yes
Valid Through2023-10-05

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.

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to Work®

Most Loved Workplace®

Forbes Best-in-State Employer

Technical Performance Reviewer

PRIMARY PURPOSE : To assess colleague technical activities with a focus on the qualitative aspects of the claim file to improve performance.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Administers audits using the COMPASS program.

  • Presents audit findings to management.

  • Recommends and coordinates training and improvement activities needed to meet established operational and technical audit requirements.

  • Provides technical training to colleagues as needed to address global performance deficiencies identified through performance review audits.

  • Conducts cost-efficient hands-on training via WebEx to colleagues as needed.

  • Recommends operational process, workflow or system changes which would assist colleagues to raise performance.

  • Recommends operational reports out of JURIS or Data Warehouse to assist with service expectation or regulatory compliance.

  • Participates in national quality review meetings.

  • Maintains technical claims and jurisdictional expertise.

  • Acts as an ambassador for Sedgwick's service expectations; conveys and promotes them to colleague as needed.

  • Participates in existing client meetings and prospective client sales presentations as needed to raise awareness of the Performance 360 program.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

  • Performs other duties as assigned.

  • Supports the organization's quality program(s).

  • Travels as required.

QUALIFICATIONS

Education & Licensing

Bachelor's degree or equivalent from an accredited college or university preferred. Professional certification (i.e. AIC, CPCU or ARM) preferred.

Experience

Eight (8) years claims management experience or equivalent combination of education and experience required.

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

WORK ENVIRONMENT

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

Mental : Clear and conceptual thinking ability; excellent judgment 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 is an Equal Opportunity Employer and a Drug-Free Workplace.

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.

Taking care of people is at the heart of everything we do. Caring counts

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)

Job ID: 5573079988751743394

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