Claims Team Lead – General Liability

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $80k - $100k / year

⏰ Full Time

🟠 Senior

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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 and high-exposure claims • Identify trends, problems, and issues and advise management on recommended actions • Coordinate management projects and continuous process improvement initiatives • Compile, review, and analyze management reports • Perform quality reviews of claims for audit, service contract, and quality compliance • Act as second-level appeal authority for client and claimant issues • Review reserve amounts on high-cost and examiner-authority claims • Monitor third-party, litigated, serious vocational rehabilitation, questionable, and sensitive claims • Maintain client relationships and provide claim recommendations and written claim summaries • Ensure direct reports are properly licensed in applicable jurisdictions • Ensure accurate claims-file coding and documentation • Administer personnel policies and staffing standards • Interview, hire, and establish performance development plans • Conduct colleague performance discussions and provide leadership, guidance, and motivation • Support the organization's quality programs • Perform other duties as assigned

🎯 Requirements

• 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 • Six (6) years of claims experience or equivalent combination of education and experience required • Two (2) years of claims supervisor experience • Home state or reciprocal license required • New York licensing preferred • Jurisdiction knowledge of all states • Ability to supervise multiple teams and at least seven technical operations colleagues • Ability to handle work-related stress and multiple priorities simultaneously • Clear and conceptual thinking ability • Excellent judgment, troubleshooting, problem solving, analysis, and discretion • Ability to meet deadlines • Computer keyboarding, hearing, vision, and talking abilities

🏖️ Benefits

• Flexible work schedule • Referral incentive program • Opportunity to work in an agile environment • Career development and promotional growth opportunities • Medical, dental, and vision coverage • 401K on day one • 401K matching • Paid time off (PTO) • Disability insurance • Life insurance • Employee assistance • Flexible spending or health savings account • Other additional voluntary benefits • Remote work flexibility and autonomy