Workers Compensation Claims Team Lead

🕒 Agosto 20

🏄 California, Nevada, +1 estados a mais – Remoto

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💵 $100.000 - $115.000 / ano

⏰ Tempo Integral

🟠 Sênior

🦅 Patrocina Visto H1B

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👻 Score fantasma 6%

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🗣️🇺🇸🇬🇧 Inglês obrigatório

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Logo of Sedgwick

Sedgwick

10.000+ funcionários

🏗️ Construção

💼 Consultoria

🏥 Saúde

Construction • Consulting • Healthcare

A Sedgwick é uma fornecedora global de soluções de tecnologia para riscos, benefícios e negócios integrados. Eles ajudam pessoas e organizações a gerenciar e mitigar riscos com soluções em administração de sinistros de acidentes, saúde, invalidez, compensação por desemprego e responsabilidade, entre outros. A Sedgwick oferece serviços como administração de sinistros, consultoria de construção, contabilidade forense e engenharia forense. Suas especialidades incluem restauração de propriedades, proteção de marcas e prevenção de perdas em vários setores, incluindo agricultura, construção e setores ambientais. A empresa enfatiza diversidade, equidade e inclusão (DEI) e práticas ambientais, sociais e de governança (ESG).

Descrição

• Supervise multiple teams of workers compensation examiners and technical staff • Monitor colleagues' workloads and individual claim activities • Provide training and technical/jurisdictional direction on claim adjudication reports • Maintain claim diaries, including frequent diaries for complex or high-exposure claims • Analyze and process complex or technically difficult claims by investigating and gathering information • Manage claims through action plans to timely and appropriate resolution • Manage the litigation process and ensure cost-effective claims resolution • Coordinate vendor referrals for investigation and litigation management • Lead team meetings and assign accountability for follow-up items • Gather compliance and claims-processing information for team meetings • Assist with interviews of adjusters and clerical staff and provide feedback to the hiring manager • Assist with monthly reviews of adjuster workloads, identify trends, and suggest adjustments • Administer personnel policies and follow staffing and training standards • Interview, hire, establish performance development plans, and conduct performance discussions • Provide support, guidance, leadership, and motivation to promote maximum performance • May supervise up to three direct reports

🎯 Requisitos

• 5 years of claims management experience or equivalent combination of education and experience required • High School Diploma or GED required • Bachelor's degree from an accredited college or university preferred • Professional certification as applicable to line of business preferred • CA or NV jurisdiction knowledge/licensing • Supervisory experience and knowledge of workers compensation claims • Ability to investigate and gather information to determine claim exposure • Ability to manage litigation and claims resolution • Ability to handle multiple priorities and meet deadlines • Clear and conceptual thinking ability • Excellent judgment, troubleshooting, problem solving, analysis, and discretion • Ability to handle work-related stress • Computer keyboarding • Hearing, vision, and talking

🏖️ Benefícios

• Flexible work schedule • Referral incentive program • Career development and promotional growth opportunities • Medical, dental, and vision coverage on day one • 401K on day one • 401k matching • PTO • Disability and life insurance • Employee assistance • Flexible spending or health savings account • Additional voluntary benefits • Flexible location and career path • Reasonable accommodations

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