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We don’t just manage self-insured pools – we help them thrive. Trusted by 3,000+ public entities, we become an extension of your team, delivering pooling services tailored to your unique needs. From underwriting and claims management to risk control, reinsurance placement and financial services, we strengthen your pool’s operations while protecting its reputation and bottom line. Our proprietary, AI-enabled software streamlines policy issuance and decision-making, while our world-class data analytics team uses the richest insights available to drive smarter strategies. And with dedicated marketing and training experts, we can boost member participation, support onboarding and strengthen your capabilities for long-term stability and success.
Job Description
Are you looking for an impactful job in an energetic culture where you can apply your knowledge and experience?
Enjoy flexibility - Sacramento, CA Sedgwick office onsite preferred. May be open to hybrid or remote, telecommuter setting in California.
Position requires approximately 5% in-state travel per year.
Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
PRIMARY PURPOSE: To manage all aspects of client’s large-loss and high-profile worker’s compensation program to ensure regulatory compliance and that contractual performance standards are met by their third-party administrators (TPAs). To provide members with a resource for workers’ compensation information that helps them better understand the complexities of the system, enhances their communication with their third-party administrators, and to provide members with the tools necessary to manage the costs of their workers’ compensation claim.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Conducts large-loss and high-profile case monitoring, on-site, on-line and by report.
Researches and manages the RFP process for third party administrators (TPA) services based on client needs for their Workers Compensation program.
Ensures compliance with performance standards/requirements and compliance with all state, federal and regulatory reporting requirements.
Maintains client relationships by monitoring ancillary vendors and addresses service concerns with providers, coordinating vendor transitions,
Develops and maintains workers' compensation management resources for members and staff including research, discussion, and presentation to applicable parties.
Conducts oversight reviews for adherence to contract compliance, technical standards, and regulatory requirements.
Identifies and develops training programs specifically related to oversight needs; designs training plans and materials and delivers training that meets business needs, objectives, strategies, and policies.
Manages the program for excess claims to include accurate and current reporting, reserves, compliance, payments, and settlement.
Monitors legislation and changes in state and federal laws while working with clients on how these changes will impact their workers’ compensation programs or services provided by their TPA.
Presents at client board meetings, association, or other public events.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
Performs other duties as assigned.
QUALIFICATIONS
Education & Licensing
Bachelor's degree from an accredited college or university preferred.
Experience
Seven to nine (7-9) years of related experience or equivalent combination of education and experience required.
Preferred: California Office of Self Insurance Plans certification
Skills & Knowledge
Excellent oral and written communication skills, including presentation skills
PC literate, including Microsoft Office products
Analytical and interpretive skills
Strong organizational skills
Excellent interpersonal skills
Excellent negotiating skills
Ability to create and complete comprehensive, accurate and constructive written reports
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
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 $100,000 to $105,000 USD annual salary. Bonus eligible role. 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.
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.
