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Disability Team Coordinator

Sedgwick Claims Management Services, Inc. - Southfield, MI

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END DATE June 28, 2012

Job Summary

Company
Sedgwick Claims Manag... Sedgwick Claims Management Services, Inc.
Location
Southfield, MI
Job Type
Regular
Job Classification
not provided
Experience
not provided
Education
not provided
Company Ref #
183842530183842530
AJE Ref #
557684065
[+] More

Job Description

Job Title: Disability Team Coordinator City: Southfield State/Province: Michigan Position Type: Full Time Description: Disability Team Coordinator CLAIM YOUR FUTURE AS A GREAT PERFORMER!Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Claims Management Services the place where great people can do great things for clients while maximizing their career possibilities. We have earned a reputation for innovation, quality, sustained growth, financial stability and a colleague-friendly work environment. We are proud to have been voted theBest TPA in Americafor 2005 and 2006, and the first and only Third Party Administrator to receive the covetedEmployer of Choicedesignation. Come be a part of our team and"Claim Your Future." PRIMARY PURPOSE: To assist with claims support and examiner workload management; to providing guidance, training and mentoring to claims examiners; and to coordinate support activities and lead department projects within the unit. ESSENTIAL FUNCTIONS and RESPONSIBILITIES * Maintains claim caseload; analyzes mid and higher-level disability claims to determine benefits; ensures ongoing adjudication of claims; and provides appropriate risk management for assigned claims. * Directs and monitors workflow and workload assignments for assigned team(s). * Reviews benefit approval recommendations and denial letters as necessary. * Conducts diary reviews of claims as directed by claims supervisor. * Manages data integrity reports; distributes reports to appropriate examiners and ensures claim updates have been made; analyzes reports for trends; and makes recommendations to management for error reduction. * Assists claims supervisor in facilitating team meetings and other communication tools. * Assists claims supervisor in identifying training needs and in development of training programs for assigned team(s); provides training and coaching for team members as appropriate. * Maintains professional client relationships. * Supports the organization's quality program(s). * Travels as required. QUALIFICATIONS Education 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 CMS is an Equal Opportunity Employer and a Drug-Free Workplace Additional Information: N/AIndustries: Charitable Organizations

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