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Sedgwick · 3 days ago

Claims Team Lead - Worker's Compensation (REMOTE)

United States

Full-time

Remote

Senior Level

6+ years exp

Sedgwick is a global industry leader in claims management, and they are seeking a Claims Team Lead to supervise multiple teams of examiners for workers compensation claims. The role involves monitoring workloads, providing training, and ensuring compliance with quality standards while delivering exceptional customer service.

BankingInsuranceRisk Management

Responsibilities

Supervises multiple teams of examiners, multiple product line examiners and/or several (minimum seven) 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

Performs other duties as assigned

Supports the organization's quality program(s)

Travels as required

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 supervisionClaims adjudicationProcess improvementManagement reportingEmpathyAccountabilityInclusionTeam leadershipCollaborationGrowth

Required

Bachelor's degree from an accredited college or university

Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience

Licenses as required