Director of Client Services – Managed Care

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $97k - $125k / year

⏰ Full Time

🔴 Lead

📁 Client Services

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Sedgwick

WebsiteLinkedInAll Job Openings

10,000+ employees

🏢 Enterprise

📋 Compliance

Insurance • Enterprise • Compliance

Sedgwick is a global provider of technology-enabled risk, benefits, and integrated business solutions. They help people and organizations by managing and mitigating risk with solutions in accident, health, disability, unemployment compensation, and liability claims administration, among others. Sedgwick offers services such as claims administration, building consulting, forensic accounting, and forensic engineering. Their specialties include property restoration, brand protection, and loss prevention across several industries, including agriculture, construction, and environmental sectors. The company emphasizes diversity, equity, and inclusion (DEI) as well as environmental, social, and governance (ESG) practices.

📋 Description

• Serve as the primary managed care advisor and point of contact for assigned clients. • Lead stewardship meetings, business reviews, strategic discussions, and follow-up action planning. • Develop and deliver executive-level reporting, program insights, recommendations, and value narratives. • Identify opportunities to improve outcomes, reduce costs, strengthen program utilization, and support client retention or growth. • Maintain awareness of client-specific requirements, goals, operational challenges, and contractual commitments. • Monitor managed care performance, utilization trends, service outcomes, and program effectiveness. • Translate operational data and reporting into clear, actionable recommendations for clients and internal stakeholders. • Support implementation of new programs, pilots, service enhancements, and process improvement initiatives. • Partner with sales, account management, claims operations, and clinical leaders to align managed care solutions with client needs. • Coordinate timely resolution of managed care service issues, escalations, and client concerns. • Partner with operational leaders to identify root causes, assign ownership, and drive sustainable corrective actions. • Ensure accountability for commitments, deliverables, action items, and communication follow-through. • Escalate risks and barriers appropriately while maintaining clear, professional communication with impacted stakeholders. • Support education, resource navigation, and managed care consultation for claims examiners and client-facing teams. • Performs other duties as assigned.

🎯 Requirements

• Bachelor's degree from an accredited college or university preferred • Ten (10) years related experience or equivalent combination of education and experience required to include two (2) years account manager experience or five (5) years adjuster experience including two (2) years in a supervisory capacity. • Excellent oral and written communication, including presentation skills • PC literate, including Microsoft Office products • Analytical and interpretive skills • Strong organizational skills • Excellent interpersonal skills • Excellent negotiation and facilitation skills • Leadership/management/motivational skills • Ability to work in a team environment • Excellent account rounding ability • Strong understanding of workers compensation, liability and disability claims management • In-depth knowledge of client servicing • Ability to handle conflict and confront challenging issues in a fast work environment • Ability to meet or exceed Performance Competencies

🏖️ Benefits

• medical • dental • vision • 401k and matching • PTO • disability and life insurance • employee assistance • flexible spending or health savings account • other additional voluntary benefits