Sedgwick · 5 hours ago
Claims Team Lead - Workers Compensation | Concord, CA
Concord, CA
Full-time
Hybrid
Senior Level
$100K/yr - $115K/yr
6+ years expSedgwick is a global industry leader committed to providing exceptional service and support to clients worldwide. They are seeking a Claims Team Lead for Workers Compensation to supervise examiners, manage claims adjudication, and enhance operational efficiency. This role involves training staff, monitoring claims, and ensuring compliance with quality standards.
BankingInsuranceRisk Management
Responsibilities
Supervises a team of examiners; 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
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
Required
Bachelor's degree from an accredited college or university preferred
Licenses as required
Professional certifications as applicable to line of business preferred
Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience
California workers compensation claims handling experience
SIP Certified
Benefits
Flexible work schedule
Career development
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one
Medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
Company
Sedgwick
Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$1.5BKey Investors
Altas PartnersLa Caisse
2024-09-12Private Equity· $1B
2018-12-01Private Equity
2018-09-12Acquired
Leadership Team
Michael Arbour
Chairman & Chief Executive Officer
Kalani Reelitz
Global Chief Financial Officer
Recent News
Morningstar.com
2025-11-10
2025-09-04
Company data provided by crunchbase