Bill Review Trainer/Hearing Specialist - Rancho Cordova, CA

 

Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking a place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick is the place for you. As the largest and most innovative Third Party Administrator in the claims industry and the first and only TPA to receive both recognition as the Best TPA in America and the coveted Employer of Choice designation, we invite you to come be a part of our team and, “Claim Your Future.”

PRIMARY PURPOSE: To develop and conduct technical training for all new and existing departmental colleagues; to represent client employers at hearings before the appropriate judicial body.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Develops and maintains departmental technical training materials.
• Trains and monitors progress of new departmental colleagues; trains existing departmental colleagues on procedural and system changes.
• Provides training for colleagues in other departments as required.
• Assists in development and maintenance of departmental policies and procedures.
• Reviews upcoming hearings and prepares necessary documentation to represent clients' interests; supports legal counsel in regard to hearings; appears before the judicial body on behalf of clients.
• Reviews state files to update company files accordingly.
• Performs lien negotiations.
• Completes special projects as required.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

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

QUALIFICATIONS

Education & Licensing
Bachelor's degree from an accredited college or university preferred. Valid driver's license required.

Experience
Five (5) years experience in workers' compensation field in a high client-contact position or equivalent combination of education and experience required.

Skills & Knowledge

• Excellent oral and written communication, including presentation skills
• Excellent knowledge of billing codes
• PC literate, including Microsoft Office products
• Leadership/management/motivational skills
• Strong analytical and interpretive skills
• Strong problem solving skills
• Strong interpersonal skills
• Excellent negotiation skills
• Ability to work in a team environment
• Ability to work independently
• Ability to be flexible and handle multiple/changing priorities
• 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.

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