Claims Team Lead – Premises & General Liability

🔥 0 minutes ago

❄️ Minnesota, Texas – Remote

❄️ Minnesota – Remote 🤠 Texas – Remote

💵 $85k - $110k / year

⏰ Full Time

🟠 Senior

🦅 H1B Visa Sponsor

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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, multiple product line examiners, and/or at least seven technical operations colleagues • Monitor colleagues' workloads and individual claim activities • Provide training and technical/jurisdictional direction on claims adjudication reports • Identify and advise management of trends, problems, issues, and 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 • Support the organization's quality programs • Administer company personnel policies and follow staffing standards and training recommendations • Interview, hire, and establish colleague performance development plans • Conduct performance discussions and provide leadership, guidance, support, and motivation • Perform quality reviews on claims in compliance with audit, service contract, and quality standards • Act as second-level 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, promote professional client relationships, make claim-status recommendations, and provide written claim resumes • Ensure claims files are correctly coded and adequately documented • Maintain diaries on team claims, including frequent diaries on complex or high-exposure claims

🎯 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 • All 50 states & Home State or Reciprocal licensing required • Direct reports must be properly licensed in the jurisdictions serviced • Ability to think clearly and conceptually • Excellent judgment, troubleshooting, problem solving, analysis, and discretion • Ability to handle work-related stress and multiple priorities simultaneously • Ability to meet deadlines • Computer keyboarding • Travel as required

🏖️ Benefits

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