Managed Care Client Services Director - Remote - Remote Eligible

Managed Care Client Services Director - Remote

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?

Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.

Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.

Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.

Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.

Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.

Enjoy flexibility and autonomy in your daily work, your location, and your career path.

Access diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs.

Are you an ideal candidate? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

Primary Purpose Of The Role: To determine account management strategies related to managed care client service plans; to be responsible for retention of existing clients, customer satisfaction, revenue growth, client surveys, and new business; to provide managed care program management for jumbo clients requiring dedicated staff, multiple offices, and complex service models; and to oversee the work of other local Client Services staff.

Essential Responsibilities May Include:

• Provides stewardship reporting to clients, identifying and educating clients on managed care issues and trends impacting programs.
• Conducts pre-renewal visits reviewing client loss experience and general company performance. Reviews and identifies areas of potential dissatisfaction prior to renewal meetings.
• Performs client renewal, contract revision, and Client Service Instruction preparation for complex programs.
• Negotiates changes or improvements to service plan.
• Facilitates the reduction of process barriers, technology constraints, or resource constraints by directing and influencing the activities of other internal departments such as information technology, operations and business development.
• Coordinates client invoicing, audits and accounts receivable follow up for assigned clients.
• Resolves all major customer service issues.
• Identifies and solicits cross-selling opportunities.
• Participates in local insurance community through advanced education and affiliation memberships.
• Supervises and directs personnel assigned to programs requiring multiple Account Representatives.
• Ensures compliance with all applicable Quality initiatives.

Additional Functions and Responsibilities:

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

Qualifications & Licensing:

Education & Experience: Bachelor’s degree from an accredited college or university preferred. CPCU, AIC and/or ARM or other related designation preferred.

Experience: Ten (10) years related experience or equivalent combination of education and experience required to include two (2) years managed care experience or five (5) years adjuster experience.

MVR Required

Taking Care Of You: Flexible work schedule. Referral incentive program. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.