Workers Compensation Claims Team Lead – CA or NV license

🔥 0 minutes ago

🏄 California, Nevada, +1 more states – Remote

🏄 California – Remote 🎰 Nevada – Remote ⛷️ Utah – Remote

💵 $100k - $115k / 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 the operation of multiple teams of workers compensation examiners and technical staff • Monitor colleagues' workloads, provide training, and monitor individual claim activities • Provide technical and jurisdictional direction on examiner reports and claims adjudication • Maintain a diary on team claims, including complex or high-exposure claims • Analyze and process complex or technically difficult general liability claims • Investigate and gather information to determine claim exposure • Manage claims through action plans to timely and appropriate resolution • Manage litigation processes and ensure timely, cost-effective claims resolution • Coordinate vendor referrals for additional investigation or litigation management • Lead team meetings and assign accountability for follow-up items • Gather compliance and claims-processing information for team meetings • Assist with interviews of adjusters and clerical staff and provide feedback to the hiring manager • Support monthly reviews of adjuster workloads, identify trends, and suggest adjustments • Administer company personnel policies and follow staffing and training standards • Interview, hire, establish performance development plans, and conduct performance discussions • Provide support, guidance, leadership, and motivation to promote maximum performance

🎯 Requirements

• 5 years of claims management experience or equivalent combination of education and experience required • 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 • CA or NV jurisdiction knowledge/licensing • Supervisory knowledge and experience in workers compensation • Ability to analyze and process complex or technically difficult claims • Clear and conceptual thinking ability • Excellent judgment, troubleshooting, problem solving, analysis, and discretion • Ability to handle work-related stress and multiple priorities simultaneously • Ability to meet deadlines • Computer keyboarding ability • Hearing, vision, and talking abilities

🏖️ Benefits

• Flexible work schedule • Referral incentive program • Career development and promotional growth opportunities • Medical, dental, and vision coverage from day one • 401K from day one • 401K matching • PTO • Disability insurance • Life insurance • Employee assistance • Flexible spending or health savings account • Other additional voluntary benefits • Remote work flexibility and autonomy in daily work, location, and career path