Workers Compensation Claims Team Lead

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

We're looking for a driven individual to lead our Workers Compensation Claims Team, primarily working with clients in Alabama, Arkansas, Florida, Georgia, Iowa, Kentucky, and Mississippi. As a team lead, you'll apply your workers compensation and supervisory knowledge to adjudicate complex customer claims in an energetic culture.

Primary Purpose of the Role: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

Essential Responsibilities May Include:

• Supervise multiple teams of examiners, multiple product line examiners, and/or several technical operations colleagues
• Identify and advise management of trends, problems, and issues, as well as recommend courses of action
• Provide technical/jurisdictional direction to examiner reports on claims adjudication
• Compile, review, and analyze management reports, taking appropriate action
• Perform quality reviews on claims in compliance with audit requirements, service contract requirements, and quality standards
• Act as the second level of appeal for client and claimant issues regarding claim-specific, procedural, or special requests
• Review reserve amounts on high-cost claims and claims over the authority of the individual examiner
• Monitor third-party claims and maintain periodic reviews of litigated claims, serious vocational rehabilitation claims, questionable claims, and sensitive claims
• Maintain contact with clients on claims and promote a professional client relationship
• Ensure that direct reports are properly licensed in the jurisdictions serviced
• Ensure claims files are coded correctly and adequate documentation is made by claims examiners

Supervisory Responsibilities:

• Administer company personnel policies and follow company staffing standards and training recommendations
• Interview, hire, and establish colleague performance development plans
• Conduct colleague performance discussions and provide support, guidance, leadership, and motivation

Qualifications:

• Bachelor's degree from an accredited college or university preferred
• Licenses as required; professional certifications as applicable to line of business preferred
• Six years of claims experience or equivalent combination of education and experience required, including two years of claims supervisor experience

Jurisdiction Knowledge: Alabama, Arkansas, Florida, Georgia, Iowa, Kentucky, Mississippi

Licensing: 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, and 401K on day one