Team Lead, Claims Adjuster – Workers Compensation

🔥 0 minutes ago

🚗 Michigan, Minnesota, +3 more states – Remote

🚗 Michigan – Remote ❄️ Minnesota – Remote 🤠 Texas – Remote ⛷️ Utah – Remote 🍑 Georgia – Remote

💵 $69k - $97k / year

⏰ Full Time

🟠 Senior

📋 Claims Specialist

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.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.

Apply Now

Find Similar Remote Jobs

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 several technical operations colleagues • Identify and advise management of trends, problems, and issues and recommend courses of action • Inform management of new procedures and ideas for continuous process improvement • Coordinate projects with management • Provide technical and jurisdictional direction on claims adjudication reports • Compile, review, and analyze management reports and take appropriate action • Perform quality reviews on claims in compliance with audit requirements, service contract requirements, and quality standards • Act as second level of appeal for client and claimant issues and implement final appeal 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 • Provide written claim summaries as requested by clients • Ensure direct reports are properly licensed in jurisdictions serviced • Ensure claims files are correctly coded and adequately documented • Administer company personnel policies and follow staffing and training standards • Interview, hire, and establish performance development plans • Conduct colleague performance discussions • Provide support, guidance, leadership, and motivation • Perform other duties as assigned • Support the organization's quality programs

🎯 Requirements

• Licenses as required • Six (6) years of claims experience or equivalent combination of education and experience required • Two (2) years claims supervisor experience • Bachelor's degree from an accredited college or university preferred • Professional certifications as applicable to line of business preferred • Clear and conceptual thinking ability • Excellent judgment, troubleshooting, problem solving, analysis, and discretion • Ability to handle work-related stress • Ability to handle multiple priorities simultaneously • Ability to meet deadlines • Computer keyboarding • Hearing, vision and talking • Employment may be contingent upon successful completion of a motor vehicle record (MVR) check, where job-related

🏖️ Benefits

• Flexible work schedule • Referral incentive program • Opportunity to work in an agile environment • Career development and promotional growth opportunities • Medical, dental, vision, 401K and matching on day one • PTO • Disability and life insurance • Employee assistance • Flexible spending or health savings account • Other additional voluntary benefits

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume