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Claims Team Lead (Supervisor) - Workers Compensation

sedgwick · Brea

New
Hybrid Senior 105,000 - 118,000 USD/year 🇬🇧 English
Claim coding Reserve evaluation

Job description

About the role

Sedgwick is hiring a Claims Team Lead (Supervisor) for its Workers Compensation unit in Brea, CA, working in a hybrid arrangement (3 days in the office, 2 days remote). The role oversees several teams of examiners and technical staff handling workers compensation claims for clients, manages workloads, provides training and monitors individual claim activity. It also offers technical and jurisdictional guidance on claims adjudication and keeps regular diaries, especially for complex or high-exposure cases.

Key responsibilities

  • Supervise multiple teams 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, offering recommendations and written summaries as needed.
  • 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 from an accredited college or university preferred.
  • California workers compensation claim handling experience and SIP certification.
  • Professional certification applicable to the line of business preferred.

Required skills

  • Computer keyboarding and ability to travel as required.
  • Clear conceptual thinking, judgment, problem-solving, analysis and discretion.
  • Ability to handle work-related stress, multiple priorities and deadlines.

What we offer

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

Questions fréquentes

Le salaire proposé pour ce poste est de 105-118k USD par an. Le détail figure dans l'annonce.
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Source : ats:workday

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Published 2 days ago

Expires 1 month from now

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sedgwick

Brea