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. 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.
Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance
Claims Team Lead - Workers Compensation (Dedicated Client) | Concord, CA
Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?
Responsibilities:
- Supervise a team of examiners and technical operations colleagues, delegating duties as needed and ensuring proper licensing and documentation standards.
- Provide technical and jurisdictional guidance on claims adjudication, including quality reviews and reserve evaluations for high-cost or complex claims.
- Act as a second-level appeal authority for client and claimant issues, implementing final decisions.
- Identify trends, issues, and opportunities for process improvement; advise management and coordinate related projects.
- Monitor third-party and sensitive claims, including litigated and vocational rehabilitation cases.
- Maintain professional client relationships, offering recommendations and written summaries as needed.
- Ensure accurate claim coding and documentation by examiners.
Qualifications:
- Education & Licensing: 6 years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience.
- High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
- Professional certification as applicable to line of business preferred.
- Licensing / Jurisdiction Knowledge: California workers compensation claim handling experience | SIP Certified
Benefits:
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
Work Environment:
- When applicable and appropriate, consideration will be given to reasonable accommodations.
- Mental : Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
- Physical : Computer keyboarding, travel as required.
- Auditory/Visual : Hearing, vision and talking.
Salary Range: $105,000-$118,000/yr