Claims Examiner – Workers Compensation Team Lead

🔥 12 hours ago

🌵 Arizona, California, +1 more states – Remote

🌵 Arizona – Remote 🏄 California – Remote 🎰 Nevada – Remote

💵 $100k - $115k / year

⏰ Full Time

🟠 Senior

📋 Claims Specialist

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Sedgwick

WebsiteLinkedInAll Job Openings

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 the operation of multiple teams of workers compensation examiners and technical staff • Monitor colleagues' workloads, provide training, and monitor individual claim activities • Provide technical/jurisdictional direction to examiner reports on claims adjudication • Maintain claim diaries, including frequent diaries on complex or high-exposure claims • Analyze and process complex or technically difficult general liability claims • Investigate and gather information to determine claim exposure • Manage claims through action plans to timely resolution • Manage the litigation process for timely and cost-effective claims resolution • Coordinate vendor referrals for additional investigation and/or 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 • Support monthly review of adjuster workloads, identify trends, and suggest adjustments • Administer company personnel policies and follow staffing and training standards • Interview, hire, establish performance development plans, and conduct performance discussions • Provide support, guidance, leadership, and motivation • May supervise up to three direct reports

🎯 Requirements

• 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 • Workers Compensation knowledge and experience • Supervisory knowledge and experience • Jurisdiction knowledge/licensing: CA • Ability to analyze and process complex or technically difficult claims • Clear and conceptual thinking ability • Excellent judgment, troubleshooting, problem solving, analysis, and discretion • Ability to handle work-related stress and multiple priorities simultaneously • Ability to meet deadlines • Computer keyboarding • Hearing, vision, and talking

🏖️ Benefits

• Work-life balance • Flexible work schedule • Referral incentive program • Career development and promotional growth opportunities • Medical, dental, and vision benefits on day one • 401K on day one • 401k matching • Paid time off (PTO) • Disability and life insurance • Employee assistance • Flexible spending or health savings account • Other additional voluntary benefits • Flexible location and career path • Reasonable accommodations when applicable and appropriate