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Sedgwick · 1 month ago

Assistant Claims Team Lead - Workers Compensation

US Telecommuter

Full-time

Hybrid

Mid, Senior Level

$64K/yr - $90K/yr

5+ years exp

Sedgwick is a global industry leader in claims management, and they are seeking an Assistant Claims Team Lead for Workers Compensation. This role involves overseeing teams handling claims, providing technical guidance, and ensuring quality standards are met while maintaining client relationships.

BankingInsuranceRisk Management

Responsibilities

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; advises management and coordinates 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

Qualification

Claims supervisionClaims adjudicationTechnical guidanceProfessional certificationEmpathyAccountabilityInclusionCollaborationGrowth

Required

5+ years of claims experience or equivalent combination of education and experience

Two (2) years claims supervisor experience

High School Diploma or GED

Preferred

Bachelor's degree from an accredited college or university

Professional certification as applicable to line of business

Active adjuster license

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.

A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.