[Hiring] Performance Assurance Analyst @Sedgwick

Role Description

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.

• 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.

Qualifications

• Bachelor's degree from an accredited college or university preferred.
• Professional certification in a specialty field preferred.
• High school diploma or GED required.
• Six (6) years of claims experience or equivalent combination of education and experience required, including one (1) year of claims auditing experience required or equivalent combination of education and experience.
• Strong knowledge of claims management practices and procedures.
• Strong understanding of quality and auditing processes.
• Excellent oral and written communication, including presentation skills.
• Strong analytical skills with the ability to interpret data.
• Problem-solving and negotiation skills.
• Excellent organizational skills.
• Excellent interpersonal skills.
• Ability to work in a team environment.
• Ability to use a personal computer.

Requirements

• Clear cognitive functioning; ability to make decisions; ability to perform detailed work; ability to maintain concentration, alertness and attention.
• Computer keyboarding; visual acuity.
• Hearing, near and far vision.

Benefits

• Comprehensive benefits package including medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
• Range of starting pay for this role is $50,000.00 - $70,000.00 USD Annual.