Sedgwick
10,000+ employees
🏢 Enterprise
📋 Compliance
Insurance • Enterprise • Compliance
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.
Claims Team Lead, Auto
🕒 May 28
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Sedgwick
10,000+ employees
🏢 Enterprise
📋 Compliance
Insurance • Enterprise • Compliance
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
• To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients • to monitor colleagues' workloads, provide training, and monitor individual claim activities • to provide technical/jurisdictional direction to examiner reports on claims adjudication • to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims • Identifies and advises management of trends, problems, and issues as well as recommended course of action • informs management of new procedures and ideas for continuous process improvement • coordinates with management projects for the office • Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards • Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests • Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner • Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. • Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status
🎯 Requirements
• Bachelor's degree from an accredited college or university preferred. • Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience. • 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 skills • analytical and interpretive skills • ability to work in a team environment • ability to meet or exceed Performance Competencies.
🏖️ Benefits
• health insurance • retirement plans • paid time off • flexible work arrangements • professional development
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