Team Lead Claims Adjuster - Workers Compensation

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're looking for a Team Lead Claims Adjuster - Workers Compensation to join our team. As a Team Lead, you will supervise multiple teams of examiners and provide technical/jurisdictional direction to examiner reports on claims adjudication.

Responsibilities:

• 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 recommended course of action
• Provide technical/jurisdictional direction to examiner reports on claims adjudication
• Compile, review, and analyze management reports and take appropriate action
• Perform quality review on claims in compliance with audit requirements, service contract requirements, and quality standards
• Act as 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 periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims, and sensitive claims
• Maintain contact with the client on claims and promote a professional client relationship
• Assure that direct reports are properly licensed in the jurisdictions serviced
• Ensure claims files are coded correctly and adequate documentation is made by claims examiners

Requirements:

• Bachelor's degree from an accredited college or university preferred
• Six (6) years of claims experience or equivalent combination of education and experience required, including two (2) years claims supervisor experience
• Licenses as required
• Professional certifications as applicable to line of business preferred

Benefits:

• Flexible work schedule
• Referral incentive program
• Opportunity to work in an agile environment
• Career development and promotional growth opportunities
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one