Claims Team Lead, Auto

🔥 0 minutes ago

🐊 Florida, North Carolina, +1 more states – Remote

🐊 Florida – Remote 🌲 North Carolina – Remote 🤠 Texas – Remote

⏰ Full Time

🟠 Senior

🦅 H1B Visa Sponsor

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👻 Ghost score 10%

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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 multiple teams of examiners and technical staff handling liability claims • Monitor colleagues' workloads and individual claim activities • Provide training and technical/jurisdictional direction on claims adjudication • Maintain diaries on team claims, including complex or high-exposure claims • Identify trends, problems, and issues and advise management on recommended actions • Inform management of procedures and ideas for continuous process improvement • Coordinate projects with management • Compile, review, and analyze management reports and take appropriate action • Perform quality reviews of claims for audit, service contract, and quality compliance • Act as second-level appeal reviewer for client and claimant issues and implement final dispositions • Review reserves on high-cost and examiner-authority claims • Monitor third-party, litigated, serious vocational rehabilitation, questionable, and sensitive claims • Maintain client contact, promote professional relationships, make recommendations, and provide written claim summaries • Ensure direct reports are properly licensed in serviced jurisdictions • Ensure claims files are correctly coded and adequately documented • 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 • Support the organization's quality programs • Perform other duties as assigned

🎯 Requirements

• Bachelor's degree from an accredited college or university preferred • Required licenses as applicable • Six (6) years of claims experience or equivalent combination of education and experience required • Two (2) years of claims supervisor experience • Thorough knowledge of claims management processes and procedures for multiple product lines • Excellent oral and written communication, including presentation skills • PC literacy, including Microsoft Office products • Leadership and management skills • Analytical and interpretive skills • Ability to work in a team environment • Ability to meet or exceed Performance Competencies • Computer keyboarding ability • Hearing, vision, and talking ability • Clear and conceptual thinking ability • Excellent judgment and discretion • Ability to meet deadlines

🏖️ Benefits

• Work-life balance • Caring culture • Career growth opportunities • Equal opportunity workplace • Drug-free workplace