Tpa Team Lead

SEDGWICK

Base: $70,000 - $100,000 usd annually; bonus/equit...
Claims professional workflow oversight
Regulatory compliance assurance
Third party administrator relationships
Oversee and lead the workflow of claims professionals to ensure regulatory compliance and to communicate and maintain strong relationships with Third Party Administrators

Job Summary

  • Oversee and lead the workflow of claims professionals to ensure regulatory compliance and to communicate and maintain strong relationships with Third Party Administrators.
  • Designs and coordinates management and oversight of third party administrator claims, establishing policy and procedures to assure compliance to best practices, claims management services standards, state regulations, and client service requirements.
  • Administers company personnel policies, interviews, hires, establishes performance development plans, and provides support, guidance, leadership, and motivation to promote maximum performance.

Matching Summary

Oversee and lead the workflow of claims professionals to ensure regulatory compliance and to communicate and maintain strong relationships with Third Party Administrators.

Salary

Base: $70,000 - $100,000 USD annually; Bonus/Equity: Not specified; Benefits: medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits

Skills & Requirements

Must-have

  • claims professional workflow oversight
  • regulatory compliance assurance
  • third party administrator relationships
  • policy and procedure establishment
  • claims audits and analysis

Nice-to-have

  • caring culture
  • work-life balance
  • career growth opportunities
  • quality program support

Key Requirements

  • Ten (10) years of related experience
  • Bachelor's degree preferred
  • Excellent oral and written communication
  • 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

Work Rights

Not specified

Tailored Resume

Cover Letter