Senior Compliance Specialist - Workers Compensation

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. 

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to Work®
Most Loved Workplace® 
Forbes Best-in-State Employer

PRIMARY PURPOSE: To ensure compliance with worker's compensation regulations.

PREFERRED GEOGRAPHIC REGION

Within the state of TX

Candidates outside of the preferred geographic regions listed above may still be considered based on level of experience.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Provides claim oversight to ensure timely filing of forms and benefits payments.
• Assists in delivery of focused jurisdictional compliance training, including coaching, mentoring, and group training as needed.
• Assists in coordination and implementation of compliance initiatives at local level.
• Develops and provides reporting on penalty and compliance issues through assigned area(s).
• Maintains technical claims and jurisdictional expertise; keeps abreast of state regulatory changes and enhancements.
• Provides trend analysis and reporting
• Supports relationships with state regulators to enhance Sedgwick's reputation and standing within the assigned area(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.

• TX Adjusters License preferred.

Experience
Four years of related experience or equivalent combination of education and experience required to include three (3) years of technically advanced claims handling experience and three (3) years of compliance experience. Experience in claims management or related area is preferred. One (1) year of service with the company is preferred.

Skills & Knowledge

• Thorough knowledge of claims management practices and procedures
• Good knowledge of claims management system(s)
• Strong knowledge of state regulatory compliance standards
• Knowledge of query and report writing
• Good oral and written communication, including presentation skills
• PC literate, including Microsoft Office products
• Good Excel skills
• Analytical and interpretive skills
• Leadership/management/motivational skills
• Strong organizational skills
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies

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 ($50k-$75k) 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.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.