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 Workers Compensation Claims Team Lead to oversee multiple teams of examiners and technical staff handling workers compensation claims for clients. As a Team Lead, you will manage workloads, provide training, and monitor individual claim activities. You'll also offer technical and jurisdictional guidance on claims adjudication and maintain regular diaries, especially for complex or high-exposure cases.

Key responsibilities include:

• Supervising multiple teams of examiners and technical operations colleagues, delegating duties as needed and ensuring proper licensing and documentation standards.
• Providing technical and jurisdictional guidance on claims adjudication, including quality reviews and reserve evaluations for high-cost or complex claims.
• Acting as a second-level appeal authority for client and claimant issues, implementing final decisions.
• Identifying trends, issues, and opportunities for process improvement; advising management and coordinating related projects.
• Monitoring third-party and sensitive claims, including litigated and vocational rehabilitation cases.
• Maintaining professional client relationships, offering recommendations and written summaries as needed.
• Ensuring accurate claim coding and documentation by examiners.

To qualify, you'll need:

• 6 years of claims experience or equivalent combination of education and experience, including two (2) years of 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.
• California workers compensation claim handling experience and SIP certification.

In return, you'll enjoy:

• 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.
• Salary range: $100,000 - $115,000 per year.