Sedgwick

Patient Care Coordinator

• Reach out to patients regarding new or processing referrals, confirm demographic information, provide referral updates, and confirm delivery of goods or services
• Communicate with vendor partners, claims adjusters, and nurse case managers about referrals
• Procure vendor partners for requested goods or services
• Make or take calls regarding existing, new, or team members’ referrals
• Provide quotes to clients for approval and follow up to obtain written approval
• Ensure referrals are medically necessary and approved by the claims adjuster
• Confirm required billing information and move referrals to billing each day
• Process referrals according to state regulations and workers compensation guidelines
• Perform other assigned duties
• Support organizational quality programs
• Travel as required

Recruitment

• Oversee staffing activities within a designated region
• Partner with operational management to implement timely, cost-effective staffing initiatives
• Identify and cultivate hiring sources through networking and colleague referrals
• Develop and use Internet Mining technology and capabilities
• Develop and maintain a competitor candidate information database
• Develop and initiate a candidate relationship pipeline management strategy
• Use current and future staffing technology
• Manage the regional recruiting budget through cost-effective advertising and third-party recruiters
• Develop preferred supplier lists and negotiate discounted contract rates with third-party recruiters
• Screen, interview, and test job applicants
• Maintain applicant databases using electronic recruiting software
• Provide regional staffing metrics and track colleague retention
• Consult with regional management on turnover issues
• Train and mentor hiring managers and Colleague Resource Generalists on electronic recruiting software
• Train users on system updates and new-user processes
• Promote and assist with training on behavioral interviewing techniques and candidate assessment tools
• Support and train Colleague Resources Generalists in staffing techniques
• Perform other duties as assigned
• Travel as required

Talent Acquisition Specialist – Contractor

Team Lead

• Develop, implement, and maintain delivery of world-class service, including quality assurance, client services, and workforce management
• Assess and evaluate team competencies to establish service opportunity baselines
• Refine Service Center measures and tracking systems for program improvements
• Maintain records of training activities, colleague progress, and program effectiveness
• Analyze and resolve customer service issues
• Supervise a Service Center team and monitor daily performance
• Monitor workloads and status; advise colleagues on complex issues and resolve problems
• Develop, implement, and monitor staff development plans focused on customer service skills
• Communicate unit issues and resolutions to upper management
• Perform other duties as assigned
• Travel as needed

Care Team Lead

Product Manager

• Provide leadership and oversight for multiple product teams
• Ensure consistent, high-quality delivery aligned with product strategy and business outcomes
• Guide capacity planning, dependency management, and prioritization practices across teams
• Partner with Product and development leaders to define scalable requirements, intake processes, and delivery standards
• Review performance metrics and KPIs to assess efficiency, quality, and delivery health
• Ensure technical and non-functional initiatives are represented in planning and execution
• Establish and own enterprise-level product vision and multi-year roadmaps across portfolios
• Lead strategic planning and investment prioritization
• Partner with development team leaders on scope, sequencing, funding, and strategic tradeoffs
• Define enterprise-level outcomes and communicate product strategy, progress, and risks to senior executive stakeholders
• Provide executive oversight of delivery across products
• Oversee capacity planning across new development, enhancements, and technical health initiatives
• Ensure delivery execution aligns with architectural standards and dependency management
• Own accountability for multiple product KPIs and business performance, growth, and efficiency objectives
• Maintain an enterprise-wide view of business processes, platforms, and system ecosystems
• Evaluate and approve major product, platform, and operating model changes
• Act as a senior executive escalation point for complex cross-organizational conflicts
• Establish governance for product lifecycle management, technical quality, release readiness, and continuous improvement
• Perform other duties as assigned
• Travel as required

VP Product Management

• Manage full-cycle recruiting for assigned requisitions using AI-enabled tools and recruiter judgment
• Partner with hiring managers to clarify role requirements, calibrate selection criteria, and develop structured, skills-based hiring approaches
• Use AI-assisted market intelligence, talent mapping, and competitor insights to inform sourcing strategy
• Configure and refine role profiles, screening criteria, outreach strategies, and interview workflows using approved AI-enabled recruiting tools
• Direct sourcing activities, build targeted pipelines, and maintain proactive engagement with prospective candidates
• Review and validate AI-generated candidate recommendations, interview summaries, and assessment outputs
• Apply human judgment to advancement and hiring decisions
• Use AI-enabled tools to personalize candidate outreach, coordinate scheduling, streamline communications, and improve candidate and hiring manager experiences
• Advise on offer development using market data, internal guidelines, and AI-supported compensation insights
• Coordinate approvals and offer documentation
• Maintain accurate recruiting data, workflow documentation, and disposition records
• Ensure human oversight, transparency, bias mitigation, and policy compliance across AI-assisted recruiting activities
• Comply with employment laws, selection guidelines, privacy requirements, and company policies
• Perform other duties as assigned
• Travel as required

Talent Acquisition Specialist, Bilingual

Operations

• Oversee technical and operational functions, compliance with company standards, industry best practices, service quality, staffing and training needs, budget preparation, and profit and loss management
• Oversee the internal quality review process and report monthly
• Assure compliance with client internal controls, audit requirements, and service agreement requirements
• Establish business plans with goals and objectives for assigned clients
• Ensure claims management policies and procedures meet service standards, state statutes/regulations, disability plan documents, industry best practices, and client service requirements
• Establish and maintain client contacts
• Support the organization's quality programs
• Perform other duties as assigned
• Travel as required
• Administer company personnel policies and follow staffing standards and training recommendations
• Interview, hire, and establish colleague performance development plans
• Conduct colleague performance discussions
• Provide support, guidance, leadership, and motivation to promote maximum performance
• Directly oversee fewer than 25 colleagues

Workforce Absence Operations Manager

Client Services Representative

• Determine account management strategies related to client service plans
• Manage retention of existing clients, customer satisfaction, revenue growth, client surveys, and new business
• Provide program management for jumbo clients requiring dedicated staff, multiple offices, and complex service models
• Oversee local Client Services staff
• Provide stewardship reporting and educate clients on issues and trends impacting programs
• Conduct pre-renewal visits and review client loss experience and company performance
• Identify potential dissatisfaction before renewal meetings
• Perform client renewals, contract revisions, and Client Service Instruction preparation for complex programs
• Negotiate changes or improvements to service plans
• Reduce process, technology, and resource constraints by directing and influencing internal departments
• Coordinate client invoicing, audits, and accounts receivable follow-up
• Resolve major customer service issues
• Identify and solicit cross-selling opportunities
• Participate in the local insurance community through advanced education and affiliation memberships
• Supervise and direct personnel assigned to multi-Account Representative programs
• Ensure compliance with applicable quality initiatives
• Support quality programs and perform other assigned duties
• Provide leadership, guidance, motivation, personnel administration, hiring, and performance development for assigned colleagues

Workforce Absence Director, Client Services

Adjuster

• Investigate claims against insurance or other companies involving personal, casualty, or property loss or damage
• Handle complex local losses independently up to designated authority
• Assist with larger losses, including accounting-based losses such as business interruption and stock
• Examine claim forms and records to determine insurance coverage
• Interview, telephone, or correspond with claimants and witnesses
• Consult police and hospital records and inspect property damage to determine company liability
• Estimate repair, replacement, or compensation costs
• Prepare findings reports and negotiate settlements with claimants
• Recommend litigation by the legal department when settlement cannot be negotiated
• Attend litigation hearings
• Revise case reserves in assigned claims files to cover probable costs
• Assist in preparing loss experience reports and calculate adequate future rates
• Perform other duties as assigned
• Support the organization's quality programs
• Travel as required

General Adjuster

• Reach out to patients regarding new or existing referrals, confirming demographic information, providing referral updates, and confirming delivery of goods or services
• Communicate with vendor partners, claims adjusters, and nurse case managers about new and in-process referrals
• Procure vendor partners for each referral based on requested goods or services
• Make or take calls concerning existing referrals, new referrals, or other team members' referrals
• Provide quotes to clients for approval and follow up to obtain written approval for requested referrals
• Ensure referrals are medically necessary and approved by the claims adjuster
• Confirm required billing information is present and move referrals to billing each day
• Process referrals according to state regulations and workers compensation guidelines
• Perform other assigned duties
• Support the organization's quality programs
• Travel as required

Systems Engineer

• Partner with BA/PO to analyze approved business requirements, workflows, rules, and acceptance expectations
• Translate approved requirements into detailed system requirements, technical specifications, and actionable technical tasks
• Document system behavior, integrations, interfaces, data impacts, mappings, edge cases, and non-functional considerations
• Identify technical impacts, dependencies, constraints, and impediments and provide recommendations to Engineering and Architecture
• Maintain traceability from approved business requirements through technical specifications, design, testing, and delivered system behavior
• Support backlog readiness by ensuring technical requirements, dependencies, impacts, and system considerations are understood before development
• Provide input into user story LOE and planning by assessing technical complexity, system impacts, dependencies, and implementation risks
• Validate delivered system behavior against documented technical requirements and support Development/QA issue analysis and defect triage
• Create technical documentation, including technical design documentation (TDD)
• Develop and maintain technical release documentation
• Manage Single Sign-On (SSO) implementations, certificate renewals, and ongoing maintenance for client-facing applications
• Serve as primary technical liaison for clients during SSO onboarding, configuration, testing, and deployment
• Lead system configuration conversations for client implementation projects
• Facilitate configuration execution, production readiness reviews, and cutover activities
• Provide post-implementation support for ongoing operations and successful client adoption

IT Systems Analyst

Full-stack Engineer

• Lead a team in the design, development, maintenance, testing, and debugging of software
• Formulate and define system scope and objectives for assigned projects
• Devise or modify procedures to solve complex problems
• Prepare detailed specifications for program development
• Conduct quality assurance reviews
• Support project completion and user satisfaction
• Provide guidance and training to the assigned team
• Determine the impact and compatibility of new programs with existing system operations
• Oversee development of system specifications through interaction with business users and sponsors
• Determine project feasibility
• Project software and hardware requirements
• Ensure SDLC guidelines are followed
• Lead software development, modification, and maintenance
• Prepare administrator and end-user documentation
• Direct analyst/programmers and assign, prioritize, and monitor workload
• Prepare status reports for the department manager
• Ensure project completion conforms to goals and requirements
• Maintain cooperative project-team relationships
• Keep up-to-date with technology changes and direction
• Support the organization's quality programs
• Perform other duties as assigned

Senior IT Software Developer Advisor

Manager

• Work face to face with injured workers and medical providers
• Facilitate advocacy, progressive medical treatment, and timely return-to-work
• Act as a liaison and provide communication between all involved parties
• Manage complex medical conditions, treatment planning, and recovery from illness or injury
• Serve as patient advocate for injured workers, families, and caregivers
• Support, guide, and coordinate care throughout the recovery process
• Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, service-resource identification, and service facilitation
• Identify appropriate providers and facilities across the continuum of services
• Ensure resources are used in a timely and cost-effective manner to obtain optimum value for the client and reimbursement source
• Travel frequently while maintaining a home-based office

RN Field Case Manager

Claims Specialist

• Analyze mid- and higher-level general liability claims to determine benefits due
• Ensure ongoing adjudication of claims within company standards and industry best practices
• Identify subrogation opportunities and negotiate settlements
• Gather information to determine liability exposure
• Assign reserve values and make claims payments as necessary
• Settle claims up to the designated authority level
• Assess liability and resolve claims within evaluation
• Approve and process assigned claims and manage action plans pursuant to the claim or client contract
• Communicate claim actions with claimants and clients
• Document claim files properly and ensure accurate claims coding
• Process complex lifetime medical and/or defined-period medical claims when required
• Maintain professional client relationships
• Support the organization's quality programs
• Perform other assigned duties

Claims Adjuster – Liability

• Process low level general liability claims by gathering information to determine liability exposure
• Assign reserve values to claims, make claims payments, and settle claims up to designated authority level
• Develop and coordinate claims action plans to resolution and return-to-work efforts
• Approve and process assigned claims, determine benefits due, and administer action plans pursuant to claim or client contract
• Administer subrogation of claims and negotiate settlements
• Communicate claim action with claimants and clients
• Ensure claim files are properly documented and claims coding is correct
• Process low-level lifetime medical and/or defined period medical claims when applicable
• Handle state and physician filings and decisions on appropriate treatments recommended by utilization review
• Maintain professional client relationships
• Support the organization's quality programs
• Perform other duties as assigned
• Travel as required

Claims Associate – Liability

• Analyze and process workers compensation claims through well-developed action plans toward appropriate and timely resolution
• Investigate and gather information to determine claim exposure
• Negotiate settlement of claims within designated authority
• Communicate claim activity and processing with claimants and clients
• Report claims to the excess carrier and respond to requests for direction professionally and promptly
• Analyze workers compensation claims to determine benefits due
• Ensure ongoing adjudication of claims within service expectations, industry best practices, and client service requirements

Patient Care Coordinator

Talent Acquisition Specialist – Contractor

Care Team Lead

VP Product Management

Talent Acquisition Specialist, Bilingual

Workforce Absence Operations Manager

Workforce Absence Director, Client Services

General Adjuster

Patient Care Coordinator

IT Systems Analyst

Senior IT Software Developer Advisor

RN Field Case Manager

Claims Adjuster – Liability

Claims Associate – Liability

Workers Compensation Claims Examiner