Claims Team Lead – Auto

🔥 43 minutes ago

🏈 Alabama, Florida, +3 more states – Remote

🏈 Alabama – Remote 🐊 Florida – Remote 🌪️ Oklahoma – Remote 🎸 Tennessee – 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 for liability claims • Monitor colleagues' workloads and individual claim activities • Provide training and technical/jurisdictional direction on claims adjudication • Maintain claim diaries, including frequent diaries for complex or high-exposure claims • Identify trends, problems, and issues and advise management on recommended actions • Inform management of new procedures and continuous process improvement ideas • Coordinate projects with management • 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 • Review reserve amounts on high-cost claims and claims exceeding examiner authority • Monitor third-party claims and periodically review litigated, serious vocational rehabilitation, questionable, and sensitive claims • Maintain client contact and promote professional client relationships • Make recommendations to clients based on claim status and provide written claim summaries as requested • Ensure direct reports are properly licensed in serviced jurisdictions • Ensure claims files are correctly coded and adequately documented • Administer company personnel policies and follow staffing and training standards • Interview, hire, and establish colleague performance development plans • Conduct performance discussions and provide leadership, guidance, support, and motivation • Support the organization's quality programs • Perform other duties as assigned

🎯 Requirements

• Bachelor's degree from an accredited college or university preferred • Licenses as required • Professional certifications as applicable to line of business preferred • 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 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 • Ability to perform computer keyboarding • Hearing, vision and talking ability • Clear and conceptual thinking ability • Excellent judgement and discretion • Ability to meet deadlines

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • 401(k) plan and matching • Paid time off (PTO) • Disability insurance • Life insurance • Employee assistance program • Flexible spending account or health savings account • Other additional voluntary benefits • Work-life balance • Caring culture