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Sedgwick · 2 days ago

Workforce Absence Team Lead

Chicago, IL

Full-time

Onsite

Senior Level

$56K/yr - $60K/yr

6+ years exp

Sedgwick is a company dedicated to providing support to individuals facing unexpected challenges. The Workforce Absence Team Lead is responsible for supervising multiple teams of examiners and technical staff for disability claims, ensuring compliance with quality standards and managing client relationships.

BankingInsuranceRisk Management

Responsibilities

Supervises multiple teams of examiners and/or several technical operations colleagues for a wide span of control; may delegate some duties to others within the unit

Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office

Provides technical/jurisdictional direction to examiner reports on claims adjudication

Compiles, reviews, and analyzes management reports and takes appropriate action

Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards

Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal

Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner

Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client

Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client

Assures that direct reports are properly licensed in the jurisdictions serviced

Ensures claims files are coded correctly and adequate documentation is made by claims examiners

Performs other duties as assigned

Supports the organization's quality program(s)

Administers company personnel policies in all areas and follows company staffing standards and training recommendations

Interviews, hires, and establishes colleague performance development plans; conducts colleague performance discussions

Provides support, guidance, leadership and motivation to promote maximum performance

Qualification

Claims management proceduresLeadership skillsOralAnalytical skillsWritten communicationOrganizational skillsPC literacyInterpersonal skillsNegotiation skillsTeamworkMotivational skills