Claims Recovery Team Lead
Claims Recovery Team Lead
CLAIM YOUR FUTURE AS A GREAT PERFORMER!
Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking a place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick is the place for you. As the largest and most innovative Third Party Administrator in the claims industry and the first and only TPA to receive both recognition as the Best TPA in America and the coveted Employer of Choice designation, we invite you to come be a part of our team and, Claim Your Future.
PRIMARY PURPOSE:
To lead the Recovery Unit which identifies and pursues potential Second Injury Fund, subrogation and excess recoveries arising from workers compensation claims.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
- Ensures compliance with established recovery procedures and standards.
- Maintains quality control.
- Conducts periodic file reviews of team members' files.
- Acts as first-line authorization for litigation, including appeals, on any recovery claim.
- Authorizes payment of bills over the delegated authority of the reviewer.
- Makes recommendations to claim supervisor for employee discipline and terminations.
- Administers EQUIP Program within unit.
- Monitors team members' attendance.
- Schedules client file reviews.
- Prepares various type status reports for clients.
- Enters recoveries into claims management system.
- Obtains settlement authority from state funds; negotiates compromise settlements with state funds.
- Identifies and effects recoveries due from excess carriers.
ADDTIONAL FUNCTIONS and RESPONSIBILITIES
- Performs other duties as assigned.
- Supports the organization's quality program(s).
SUPERVISORY RESPONSIBILITIES
- Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
- Assists with interviews, hires and establishes colleague performance development plans; conducts colleague performance reviews.
- Provides support, guidance, leadership and motivation to promote maximum performance.
QUALIFICATIONS
Education & Licensing
Bachelor's degree from an accredited college or university preferred. Licenses as required.
Experience
Five (5) years of claims experience or equivalent combination of experience and education required.
Skills & Knowledge
- Technical knowledge of recovery requirements
- 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
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 is an Equal Opportunity Employer
and a
Drug-Free Workplace
Estimated Salary: $20 to $28 per hour based on qualifications.
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