Workers Compensation Claims Team Lead

🔥 6 minutes ago

🏈 Alabama, Florida – Remote

🏈 Alabama – Remote 🐊 Florida – Remote

⏰ Full Time

🟠 Senior

🦅 H1B Visa Sponsor

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👻 Ghost score 10%

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.Why this score:

• Just posted.
• Jobs at this company usually fill in 21 days.
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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 operations colleagues • Monitor workloads and individual claim activities • Provide training and technical/jurisdictional direction on examiner reports and claims adjudication • Identify trends, problems, and issues and recommend courses of action • Coordinate management projects and continuous process improvement initiatives • Compile, review, and analyze management reports • Perform quality reviews of claims in accordance with 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 and high-authority claims • Monitor third-party, litigated, serious vocational rehabilitation, questionable, and sensitive claims • Maintain client contact, promote professional client relationships, and provide claim recommendations and written 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, establish performance development plans, and conduct performance discussions • Provide support, guidance, leadership, and motivation to maximize performance

🎯 Requirements

• Bachelor's degree from an accredited college or university preferred • Licenses as required • Professional certifications 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 • Jurisdiction knowledge: AL, AR, FL, GA, IA, KY, MS • Required licensing • Ability to provide technical/jurisdictional direction on claims adjudication • Ability to supervise multiple teams of examiners and technical staff • 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 • Hearing, vision, and talking

🏖️ Benefits

• Flexible work schedule • Referral incentive program • Career development and promotional growth opportunities • Medical, dental, and vision benefits • 401K on day one • Work-life balance • Professional development opportunities • Flexibility and autonomy in daily work, location, and career path

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