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.
As a Claims Team Lead | Auto | Property Damage & Bodily Injury, your primary purpose will be to supervise the operation of multiple teams of examiners and technical staff for liability claims for clients. You will monitor colleagues' workloads, provide training, and monitor individual claim activities. You will also provide technical/jurisdictional direction to examiner reports on claims adjudication and maintain a diary on claims in the teams, including frequent diaries on complex or high exposure claims.
Key responsibilities include:
- Supervising multiple teams of examiners and technical staff
- Identifying and advising management of trends, problems, and issues, as well as recommending courses of action
- Providing technical/jurisdictional direction to examiner reports on claims adjudication
- Compiling, reviewing, and analyzing management reports and taking appropriate action
- Performing quality reviews on claims in compliance with audit requirements, service contract requirements, and quality standards
- Acting as a second level of appeal for client and claimant issues regarding claim-specific, procedural, or special requests
- Reviewing reserve amounts on high-cost claims and claims over the authority of the individual examiner
- Maintaining contact with clients on claims and promoting a professional client relationship
- Assuring that direct reports are properly licensed in the jurisdictions serviced
- Ensuring claims files are coded correctly and adequate documentation is made by claims examiners
As a supervisor, you will:
- 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
To qualify for this role, you will need:
- Six years of claims experience or an equivalent combination of education and experience, including two years of claims supervisor experience
- A bachelor's degree from an accredited college or university (preferred)
- Licenses as required
- Professional certifications as applicable to the line of business (preferred)
- Thorough knowledge of claims management processes and procedures for multiple product lines
- Excellent oral and written communication, including presentation skills
- PC literacy, including Microsoft Office products
- Leadership, management, and motivational skills
- Analytical and interpretive skills
- Strong organizational skills
- Excellent interpersonal skills
- Excellent negotiation skills
- Ability to work in a team environment
- Ability to meet or exceed Performance Competencies