Claims Team Lead – Workers Compensation, Jurisdiction & Licensing: NV Required

🕒 September 9

🌵 Arizona, Florida, +8 more states – Remote

🌵 Arizona – Remote 🐊 Florida – Remote 🌾 Iowa – Remote 🎰 Nevada – Remote 🌲 Oregon – Remote ❄️ Minnesota – Remote 🏰 Missouri – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ☕ Washington – Remote

💵 $80k - $106k / year

⏰ Full Time

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 26%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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 workers compensation examiners and technical staff • Monitor colleagues' workloads and individual claim activities • Provide training and technical/jurisdictional direction on claims adjudication • Maintain diaries on claims, including complex and high-exposure claims • Identify and advise management on trends, problems, issues, and recommended actions • Inform management of 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 for audit, service contract, and quality standards compliance • Act as second-level appeal authority for client and claimant issues and implement final dispositions • Review reserves on high-cost and over-authority claims • Monitor third-party, litigated, serious vocational rehabilitation, questionable, and sensitive claims • Maintain client contact and professional client relationships • Make claim-status recommendations and provide written claim resumes • Ensure direct reports are properly licensed in serviced jurisdictions • Ensure correct claims-file coding and adequate documentation • 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

• 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 • NV jurisdiction knowledge/licensing required • Ability to supervise multiple teams of examiners and technical staff • Ability to handle multiple priorities and meet deadlines • Clear and conceptual thinking ability • Excellent judgment, troubleshooting, problem solving, analysis, and discretion • Ability to handle work-related stress • Computer keyboarding • Travel as required

🏖️ Benefits

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