Benefits Liaison - Sedgwick Claims Management Services, Inc.

PRIMARY PURPOSE: To coordinate activities of absence programs for specific client; to assist/support Benefits Program Manager; to implement customer surveys; to assist in client training and benefits fairs; and to prepare reports for program administration.

Our teams connect! We collaborate one day a week in the office for a connection day. Our Irving office is located at: 2201 W. Royal Lane Suite 125  Irving TX 75063  We prefer applicants to live within 20 miles of our local office
 

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Serves as liaison between Company and client human resources (HR) and employees in management of the absence programs.
• Communicates with client, employee, healthcare providers and Company operations team to coordinate resolution of escalated issues involving absence program.
• Assists manager in evaluating results of absence programs and best practice in absence administration; assists in assessing effectiveness of absence plan administration, communication and documentation; assists in development of management reports; assists in preparation of reports assessing financial impact of program administration.
• Maintains records and files pertinent to absence programs.
• Monitors satisfaction with leave and disability administration via periodic customer surveys and recommends needed changes.
• Works with appropriate stakeholders for client and Company to ensure continuous performance and process improvement.
• Maintains knowledge of legal requirements and best practices relevant to absence programs and administration.
• Works with management to update and maintain absence program procedures relating to administration, compliance requirements, audits of leaves; employee handbook and other program-related documents.
• Assists with client training and development of communications; assists in administration of benefits fairs as needed.
• Assists client in reviewing and requesting approvals from Company operations team to conduct Independent Medical Examinations (IMEs) and Functional Capacity Evaluations (FCEs).

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

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

QUALIFICATIONS

Education & Licensing

Bachelor's degree or equivalent from an accredited college or university preferred.

Experience

Six (6) years absence management experience or equivalent combination of education and experience required. Demonstrated progressive responsibilities strongly preferred. Project management, office operations management, disability/absence management, insurance-related and/or statistical analysis experience preferred.

Skills & Knowledge

• Knowledge of legal requirements and best practices relevant to absence programs and administration
• Excellent oral and written communication, including presentation skills
• PC literate, including Microsoft Office products
• Analytical and interpretive skills
• Strong organizational skills
• Negotiation skills
• Good interpersonal skills
• Self motivated with ability to work independently
• 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.

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