Claims Team Lead - Workers Compensation (Dedicated Client)

About the role

Sedgwick is hiring a Claims Team Lead for a dedicated client in workers compensation, based in Concord, CA. The role oversees a team of examiners and technical staff handling claims, manages workloads, provides training and monitors individual claim activity. It is a hybrid position with 2 days onsite.

Key responsibilities

• Supervise a team of examiners and technical operations colleagues, delegating duties and ensuring proper licensing and documentation standards.
• Provide technical and jurisdictional guidance on claims adjudication, including quality reviews and reserve evaluations for high-cost or complex claims.
• Act as a second-level appeal authority for client and claimant issues, implementing final decisions.
• Identify trends, issues and opportunities for process improvement, advise management and coordinate related projects.
• Monitor third-party and sensitive claims, including litigated and vocational rehabilitation cases.
• Maintain professional client relationships and ensure accurate claim coding and documentation by examiners.

Required profile

• 6 years of claims experience or an equivalent combination of education and experience, including 2 years as a claims supervisor.
• High school diploma or GED required; bachelor's degree preferred.
• California workers compensation claim handling experience and SIP certification.
• Professional certification for the line of business preferred.

Required skills

• Computer keyboarding
• Travel as required

What we offer

• Starting pay of $105,000-$118,000 per year for this role.
• Flexible work schedule and referral incentive program.
• Career development and promotion opportunities.
• Medical, dental, vision, 401K, PTO, disability and life insurance, and other benefits.