Sedgwick

Compliance

• Partner with Sedgwick business units to ensure compliance with applicable privacy laws and regulations
• Analyze escalated suspected privacy incidents reported to the privacy team to ensure appropriate and prompt response
• Assist with escalated breach notification efforts, including coordination with outside resources
• Manage privacy incident databases and reporting
• Monitor pending privacy and industry laws, regulations, changes, trends, and best practices; assess their potential organizational impact and inform the Privacy team
• Complete the full life cycle of Data Subject Access Requests (DSARs)
• Ensure all DSARs are completed within agreed timeframes
• Manage and maintain a DSAR log and produce DSAR reports and information summaries
• Liaise with internal stakeholders on data breaches, including preparedness, prevention, impact mitigation, and breach management
• Liaise with internal stakeholders on DSARs, including information verification and request fulfillment
• Complete other privacy-related tasks and assigned duties

Data Privacy Analyst

Claims Specialist

• Analyze Lost-Time Workers Compensation claims on behalf of clients to determine benefits due
• Ensure ongoing adjudication of claims within service expectations, industry best practices, and client service requirements
• Analyze and process claims through action plans toward appropriate and timely resolution
• Investigate and gather information to determine claim exposure
• Negotiate claim settlements within designated authority
• Communicate claim activity and processing with claimants and clients
• Report claims to the excess carrier
• Respond professionally and timely to requests for directions

Workers Compensation Claims Examiner

Operations

• Oversee technical and operational functions, including compliance with company standards and industry best practices
• Ensure consistent delivery of quality services
• Oversee staffing and training needs
• Oversee 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
• 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
• Perform other duties as assigned
• Travel as required

Workforce Absence Operations Manager

• Process low-level workers compensation claims to determine compensability and benefits due
• Ensure ongoing adjudication of claims according to company standards and industry best practices
• Monitor reserve accuracy and file required documentation with state agencies
• Develop and coordinate claims action plans through resolution and return-to-work efforts
• Approve claim payments and administer action plans according to claim or client contracts
• Identify subrogation claims and negotiate settlements
• Communicate claim actions 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
• Complete state and physician filings and make decisions on treatments recommended by utilization review
• Maintain professional client relationships

Claims Examiner – Workers Compensation

Administration

• Manage damage collections and damage-related customer queries
• Provide ongoing support to the damage collections team and FNOL Contacts team
• Manage receivables and ensure damage invoices are paid on time by leisure and corporate customers
• Send monthly reminders and statements to customers
• Track incoming payments and participate in calls with key stakeholders
• Handle customer contact cases, queries, and disputes related to damage charges
• Investigate and process damage invoices
• Prepare documentation to support recovery of damage costs
• Liaise with rental locations, insurance providers, maintenance teams, claim handlers, and customers
• Maintain accurate records within internal systems
• Ensure claims are opened within agreed timescales
• Obtain and correctly match accident reports, photographs, vehicle damage assessments, and other supporting evidence to claims
• Gather additional information and ensure corporate standards and procedures are followed
• Support efficient recovery and resolution of motor damage claims

Data Privacy Analyst

Workers Compensation Claims Examiner

Workforce Absence Operations Manager

Claims Examiner – Workers Compensation

Motor Administration Specialist