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TPA Team Lead

Company: Sedgwick Claims Management Services, Inc.
Location: Stratford
Posted on: January 10, 2022

Job Description:

The 'Apply with SEEK' option will be utilized for International applicants, mainly Australia. If this does not apply to you please use the 'Apply' option.

TPA Team Lead

IF YOU CARE, THERE'S A PLACE FOR YOU HERE

For a career path that is both challenging and rewarding, join Sedgwick's talented team of 27,000 colleagues around the globe. Sedgwick is a leading provider of technology-enabled risk, benefits and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. Whether they have a workplace injury, suffer property or financial loss or damage from a natural or manmade disaster, are involved in an auto or other type of accident, or need time away from work for the birth of a child or another medical situation, we are here to provide compassionate care and expert guidance. Our clients depend on our talented colleagues to take care of their most valuable assets-their employees, their customers and their property. At Sedgwick, caring counts. Join our team of creative and caring people of all backgrounds, and help us make a difference in the lives of others.

PRIMARY PURPOSE: The TPA Team Lead is responsible for overseeing and leading the workflow of claims professionals to ensure regulatory compliance and to communicate and maintain strong relationships with Third Party Administrators.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

* Designs and coordinates management and oversight of third-party administrator claims.
* Establishes policy and procedures to assure compliance to best practices, claims management services standards, state regulations, and client service requirements.
* Oversees the work of assigned colleagues, including project assignment and workflow.
* Manages and approves insurance and matured endowment claims.
* Monitors management reports relating to the area/office performance.
* Analyzes and performs audits to existing claims for liabilities and adherence to company standards.
* Resolves and adjusts errors and complaints.
* Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
* Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions.
* Provides support, guidance, leadership and motivation to promote maximum performance.
* Performs other duties as assigned.
* Supports the organization's quality program(s).

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.

Experience

* Five to eight (5-8) years of related experience and/or training or equivalent combination of education and experience required.

Skills & Knowledge

* Excellent oral and written communication, including presentation skills
* PC literate, including Microsoft Office products
* Analytical and interpretive skills
* Good organizational skills, accuracy, and attention to detail
* Good interpersonal skills
* Good customer service skills
* Ability to handle multiple projects and set priorities
* Ability to work in a team environment
* Ability to meet or exceed Performance Competencies

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.

We are committed to inclusive, barrier-free recruitment and selection processes. If contacted for an employment opportunity, please advise Colleague Resources if you require accommodation.

Sedgwick is an Equal Opportunity Employer.

Keywords: Sedgwick Claims Management Services, Inc., Stratford , TPA Team Lead, Other , Stratford, Connecticut

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