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Sedgwick · 18 hours ago

Claims Team Lead - Workers Compensation (REMOTE)

United States

Full-time

Remote

Senior Level

$90K/yr - $100K/yr

6+ years exp

Sedgwick is a global industry leader dedicated to providing innovative solutions in the claims management sector. The Claims Team Lead will oversee teams handling workers compensation claims, manage workloads, provide training, and ensure adherence to documentation and licensing standards.

BankingInsuranceRisk Management

Responsibilities

Supervises multiple teams of examiners and technical operations colleagues, delegating duties as needed and ensuring proper licensing and documentation standards

Provides technical and jurisdictional guidance on claims adjudication, including quality reviews and reserve evaluations for high-cost or complex claims

Acts as a second-level appeal authority for client and claimant issues, implementing final decisions

Identifies trends, issues, and opportunities for process improvement; advises management and coordinates related projects

Monitors third-party and sensitive claims, including litigated and vocational rehabilitation cases

Maintains professional client relationships, offering recommendations and written summaries as needed

Ensures accurate claim coding and documentation by examiners

Qualification

Claims leadership experienceJurisdiction experienceProfessional certificationClaims supervisor experienceEmpathyAccountabilityInclusionCollaborationGrowth

Required

Six (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