Workers Compensation Claims Team Lead – Jurisdictions: DE, IL, LA, MO, NJ, OK, TN, TX – License Required

🔥 12 hours ago

🏈 Alabama, Connecticut, +24 more states – Remote

🏈 Alabama – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🌾 Nebraska – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🌪️ Oklahoma – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote ⚓ Rhode Island – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote 🍁 Vermont – Remote 🧀 Wisconsin – Remote

⏰ Full Time

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

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

• Analyze complex or technically difficult general liability claims to determine benefits due • Handle high exposure liability claims involving litigation and rehabilitation • Ensure ongoing adjudication of claims meets service expectations, industry best practices, and client requirements • Identify subrogation opportunities and negotiate settlements • Provide backup for the team lead when out of the office • Supervise multiple teams of examiners and technical staff for workers compensation clients • Monitor colleagues' workloads, provide training, and monitor individual claim activities • Provide technical and jurisdictional direction on claims adjudication reports • Maintain claim diaries, including frequent diaries for complex or high exposure claims • Identify trends, problems, and issues and recommend courses of action • Coordinate management projects and continuous process improvement initiatives • Compile, review, and analyze management reports and take appropriate action • Perform quality reviews of claims according to audit, service contract, and quality standards • Act as second-level appeal authority for client and claimant issues and implement final dispositions • Review reserves on high-cost claims and claims exceeding examiner authority • Monitor third-party claims and periodically review litigated, vocational rehabilitation, questionable, and sensitive claims • Maintain client contact, recommend actions based on claim status, and provide written claim summaries • Ensure direct reports are properly licensed in serviced jurisdictions • Ensure claims files are correctly coded and adequately documented • Administer personnel policies and staffing standards • Interview, hire, create performance development plans, and conduct performance discussions • Provide support, guidance, leadership, and motivation to promote performance

🎯 Requirements

• Bachelor's degree from an accredited college or university preferred • Required licenses for the applicable jurisdictions • Professional certifications as applicable to line of business preferred • Two (2) years of claims experience or equivalent combination of education and experience required • Supervisory experience not required • Jurisdiction knowledge: DE, IL, LA, MO, NJ, OK, TN, TX • Ability to analyze complex or technically difficult claims • Ability to handle workers compensation claims and high exposure liability claims involving litigation and rehabilitation • Ability to identify subrogation and negotiate settlements • Ability to supervise multiple teams of examiners and technical staff • Ability to provide technical and jurisdictional direction • Ability to review claims, reserves, reports, and documentation • Ability to manage 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 skills • Hearing, vision, and talking abilities

🏖️ Benefits

• Flexible work schedule • Referral incentive program • Career development and promotional growth opportunities • Medical, dental, vision, 401K and matching • Paid time off (PTO) • Disability and life insurance • Employee assistance • Flexible spending or health savings account • Other additional voluntary benefits • Reasonable accommodations • Flexible work location and career path • Bonus eligibility may apply