Staff Field Appraiser - Auto - Sedgwick Claims Management Services, Inc.

PRIMARY PURPOSE: To assist in creating initiatives designed to improve absenteeism statistics, service issues, and work process procedures; to presents results to Operations upper management and clients; and to create and distribute appropriate data reports including trend analysis, operations performance, etc.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Works closely with client locations addressing service issues and work process inquiries.
• Assists client with assessment of initiatives designed to improve disability processes by conducting management review meetings, setting agendas; taking and distributing minutes of meetings to appropriate parties.
• Contributes to achieving client-driven performance objectives and service standards within the company.
• Creates, generates and analyzes reports based on plan and jurisdictional requirements; distributes reports to management and clients regarding operational performance of line of business administration including trends at division and assigned plant locations.
• Extracts and analyzes data for cause and effect ratios, return-to-work and accommodations trending, disability durations, injury by job type, disability diagnosis trends, etc., as needed.
• Communicates results to clients and Operations upper management.
• Communicates frequently with clients' personnel and divisional labor leaders.
• Prepares monthly case closure reports and provides to operations managers.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.
• Supports the organization's quality program(s).

QUALIFICATIONS

Education & Licensing

Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line-of-business preferred.

Experience

Four (4) years of claims management experience or equivalent combination of experience and education required.

Skills & Knowledge

• Good technical knowledge of claims management
• Knowledge of client operations and labor regulations
• 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
• Good judgment and discretion skills
• Ability to manage multiple projects and set priorities
• 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

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.

Pay Transparency disclosure:
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $60,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.