Technical Standards & Compliance Advisor l OR Workers Compensation Required l Remote OR, WA, CA

📋 Description

• • Join Sedgwick, a global industry leader renowned for its excellence and exceptional customer service, and become an integral part of a rapidly expanding organization.
• • Leverage Sedgwick’s extensive global network of experts to foster continuous learning and contribute your unique insights and perspectives.
• • Embrace a culture that champions professional development, offering a variety of opportunities designed to enhance your performance and accelerate your career growth.
• • Enjoy a high degree of flexibility and autonomy in managing your daily tasks, work location, and career trajectory, empowering you to shape your professional journey.
• • Access a diverse and comprehensive benefits package meticulously designed to support your mental, physical, financial, and professional well-being.
• • The primary purpose of this role is to ensure the highest standards of product quality and unwavering compliance with all relevant regulatory requirements.
• • Serve as a critical resource for office operations, with a dedicated focus on achieving the timely and accurate delivery of benefits and notices.
• • Proactively mitigate potential penalties, legal claim exposures, and other adverse actions through diligent adherence to standards and proactive risk management.
• • Develop, meticulously review, and analyze management reports pertaining to claim processes and decisions that are subject to stringent legal and regulatory oversight.
• • Design and implement comprehensive training programs and technical support materials aimed at monitoring and preventing legal and regulatory claim handling exposures.
• • Collaborate effectively with Sedgwick University to ensure the development and delivery of training programs align seamlessly with established objectives and best practices.
• • Actively participate in round-table reviews of claim strategies, providing expert recommendations that are fully consistent with legally compliant file handling standards.
• • Contribute significantly to projects focused on implementing process, procedural, and/or compliance changes and updates.
• • Facilitate clear and effective communication of changes and updates to field offices, IT departments, Legal teams, and other applicable business units, ensuring smooth transitions and widespread understanding.
• • Prepare offices thoroughly for regulatory audits, actively participate in post-audit debriefings, and provide essential assistance in the development of robust rebuttal positions.
• • Function as a key liaison between Sedgwick, state auditors, and operational teams, fostering strong working relationships and facilitating efficient communication.
• • Educate colleagues, managers, and clients on state regulatory matters, providing expert guidance and assisting in the effective resolution of complex regulatory and compliance issues.
• • Work in close partnership with internal quality programs and practice leads to share critical information and develop proactive mitigation strategies.
• • Ensure the consistent adoption and adherence to required forms, procedures, and legally compliant practices across all business unit offices, maintaining uniformity and high standards.
• • Undertake and complete other duties as assigned, demonstrating flexibility and a willingness to contribute across various functions.
• • Provide dedicated support to the organization's quality programs, contributing to their ongoing improvement and effectiveness.
• • Travel as required to support business needs and ensure comprehensive oversight and engagement.
• • This role is crucial in maintaining the integrity and compliance of our operations, directly impacting risk mitigation and operational efficiency.
• • The ideal candidate will possess a strong understanding of claims management and regulatory frameworks, coupled with the ability to translate complex requirements into actionable guidance.
• • You will be instrumental in safeguarding the company against potential legal and financial repercussions by ensuring adherence to all applicable laws and regulations.
• • Your contributions will directly support the company's reputation for reliability and compliance in the insurance and claims management sector.
• • This position offers a unique opportunity to influence operational best practices and contribute to the overall success of a leading global organization.
• • The role demands a proactive approach to identifying potential compliance gaps and developing strategic solutions.
• • You will be a key player in fostering a culture of compliance and continuous improvement throughout the organization.
• • The ability to analyze complex data and regulatory documents and distill them into clear, concise recommendations is paramount.
• • This role requires a high level of professional judgment and the ability to work independently while collaborating with diverse teams.
• • Your expertise will be vital in navigating the ever-evolving landscape of regulatory requirements in the claims management industry.
• • The position offers significant opportunities for professional growth and development within a supportive and dynamic work environment.
• • You will be empowered to make a tangible impact on the company's operational excellence and risk management strategies.
• • The role involves continuous learning and staying abreast of legislative changes that affect claims handling and benefit administration.
• • You will be a trusted advisor, providing critical support to operational teams and leadership.
• • The successful candidate will demonstrate a commitment to Sedgwick's core values of caring, accountability, growth, and inclusion.
• • This position is ideal for an individual seeking a challenging yet rewarding career in a field that directly impacts people's lives by ensuring fair and compliant claims processing.