Description
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.
As a Workers Compensation Team Lead, you will supervise multiple teams of examiners and technical staff for workers compensation claims, monitor colleagues' workloads, provide training, and monitor individual claim activities.
Key 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, and recommend courses of action
- Provide technical/jurisdictional direction to examiner reports on claims adjudication
- Compile, review, and analyze management reports, and take appropriate action
- Perform quality reviews on claims in compliance with audit requirements, service contract requirements, and quality standards
- Act as a 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 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
Additional Responsibilities:
- Perform other duties as assigned
- Support the organisation's quality program(s)
- Administer company personnel policies, and follow company staffing standards and training recommendations
- Interview, hire, and establish colleague performance development plans
- Conduct colleague performance discussions
- Provide support, guidance, leadership, and motivation to promote maximum performance
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
Skills and Knowledge:
- Thorough knowledge of claims management processes and procedures for multiple product lines
- Excellent oral and written communication, including presentation skills
- PC literate, including Microsoft Office products
- Leadership/management/motivational skills
- Analytical and interpretive skills
- Strong organisational skills
- Excellent interpersonal skills
- Excellent negotiation skills
- Ability to work in a team environment
- Ability to meet or exceed Performance Competencies