Claims Team Lead, Auto – PIP

🕒 September 29

🤠 Texas – Remote

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⏰ Full Time

🟠 Senior

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Logo of Sedgwick

Sedgwick

10,000+ employees

🏗️ Construction

💼 Consulting

🏥 Healthcare

Construction • Consulting • Healthcare

Sedgwick is a global provider of technology-enabled risk, benefits, and integrated business solutions. They help people and organizations by managing and mitigating risk with solutions in accident, health, disability, unemployment compensation, and liability claims administration, among others. Sedgwick offers services such as claims administration, building consulting, forensic accounting, and forensic engineering. Their specialties include property restoration, brand protection, and loss prevention across several industries, including agriculture, construction, and environmental sectors. The company emphasizes diversity, equity, and inclusion (DEI) as well as environmental, social, and governance (ESG) practices.

📋 Description

• Supervise personal injury protection examiner teams and technical staff for clients • Monitor colleagues' workloads and individual claim activities • Provide training and technical/jurisdictional direction on claims adjudication • Supervise multiple examiner teams, product line examiners, and/or technical operations colleagues • Identify and advise management on trends, problems, issues, and recommended actions • Coordinate projects with management and support continuous process improvement • Compile, review, and analyze management reports and take appropriate action • Perform quality reviews on claims in compliance with audit, service contract, and quality standards • Act as second level of appeal for client and claimant issues and implement final dispositions • Maintain client contact, promote professional client relationships, and provide claim summaries • Ensure direct reports are properly licensed and claims files are correctly coded and documented • Administer personnel policies, interview and hire colleagues, establish performance plans, conduct performance discussions, and provide leadership and motivation

🎯 Requirements

• Six (6) years of claims experience or equivalent combination of education and experience required, including two (2) years of claims supervisor experience • Licenses as required • Thorough knowledge of claims management processes and procedures for multiple product lines • Excellent oral and written communication, including presentation skills • PC literate, including Microsoft Office products • Leadership, management, and motivational skills • Analytical and interpretive skills • Strong organizational skills • Excellent interpersonal skills • Excellent negotiation skills • Ability to work in a team environment • Ability to meet or exceed Performance Competencies

🏖️ Benefits

• Work-life balance • Caring culture • Diversity, equity, and inclusion workplace • Equal Opportunity Employer • Drug-Free Workplace

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