Hybrid Full-time

Sedgwick is hiring a Technical Standards & Compliance Advisor l OR Workers Compensation Required l Remote OR, WA, CA

About the Role

Sedgwick is hiring a Technical Standards & Compliance Advisor to ensure product quality and compliance with regulatory requirements. This role serves as a key resource to office operations to achieve timely and accurate delivery of benefits, mitigating penalties and legal exposures.

What You'll Do

  • Develop and review management reports related to claim processes or decisions subject to legal and regulatory compliance.
  • Develop training programs and technical support material to monitor and prevent legal and regulatory claim handling exposures.
  • Consult with Sedgwick University in the development and delivery of training programs.
  • Participate in round table review of claim strategy and make recommendations consistent with legally compliant file handling standards.
  • Assist with projects focused on process, procedural and/or compliance changes and updates.
  • Prepare offices for regulatory audits, participate in debriefings, and assist in the development of rebuttal positions.
  • Act as a liaison to state auditors and operations.
  • Educate colleagues, managers, and clients regarding state regulatory matters and assist with the resolution of regulatory and compliance issues.
  • Work closely with internal quality programs and practice leads to share information and prepare mitigation strategies.
  • Ensure consistent adoption of required forms, procedures, and legally compliant practices by all business unit offices.
  • Support the organization's quality programs.
  • Travel as required.

What We're Looking For

  • Ten (10) years of claims management and/or other related experience or equivalent combination of education and experience required.
  • Workers Compensation experience required, specifically in Oregon.

Nice to Have

  • Bachelor's degree or equivalent from an accredited college or university preferred.

Benefits & Compensation

  • Compensation range: $73,000 - $90,000
  • Flexible Work Schedule
  • Referral Incentive Program
  • Opportunity to work from home
  • Career development and promotional growth opportunities
  • A diverse and comprehensive benefits offering including medical, dental, vision, and 401K on day 1

Work Mode

This is a hybrid position open to candidates in Oregon, Washington, and California.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. Qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable fair chance ordinances.

Required Skills
Workers CompensationComplianceTechnical StandardsRisk ManagementRegulatory AnalysisPolicy DevelopmentAuditStakeholder EngagementTrainingProcess Improvement
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About company
Sedgwick

Sedgwick is a company providing claims management and related services to people around the world facing the unexpected.

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Job Details
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Posted a month ago