Workforce Absence Team Lead

About the role

Sedgwick is hiring a Workforce Absence Team Lead in Chicago to supervise multiple teams of examiners and technical staff handling disability claims for clients. The role monitors workload, trains colleagues, gives technical direction on claims adjudication and keeps track of claims, including frequent diaries on complex or high-exposure claims.

Key responsibilities

• Supervise multiple teams of examiners and technical staff, possibly delegating some duties within the unit
• Identify trends, problems and issues, advise management and coordinate with management projects
• Provide technical direction to examiner reports on claims adjudication and review reserve amounts on high-cost claims
• Perform quality reviews of claims in line with audit, service contract and quality standards
• Act as second-level appeal for client and claimant issues and implement the final disposition
• Monitor third-party claims and periodically review litigated, serious vocational rehabilitation, questionable and sensitive claims
• Maintain contact with the client, make recommendations and provide written summaries of specific claims
• Ensure direct reports are properly licensed in their jurisdictions and that claims files are coded correctly with adequate documentation
• Support the organization's quality programs and administer company personnel policies, including hiring, performance plans and coaching

Required profile

• Bachelor's degree from an accredited college or university preferred
• Licenses as required and professional certifications preferred
• Six years of claims experience or an equivalent combination of education and experience; two years of claims supervisory experience preferred

Required skills

• Thorough knowledge of claims management procedures for disability
• Oral and written communication, including presentation skills
• PC literacy, including Microsoft Office
• Analytical, organizational and interpersonal skills, and strong negotiation skills

What we offer

• Starting pay range of $62,770 to $64,000 for this role in Chicago
• Medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, and flexible spending or health savings accounts