Workers Compensation Claims Team Lead

🔥 3 minutes ago

🇺🇸 United States – Remote

💵 $66k - $95k / 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 multiple teams of workers compensation examiners and technical staff • Monitor colleagues' workloads, training, and 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 and advise management on trends, problems, issues, and recommended actions • Inform management of new procedures and continuous process improvement ideas • Coordinate office projects with management • Compile, review, and analyze management reports and take appropriate action • Perform quality reviews on claims to meet audit, service contract, and quality standards • Act as second-level appeal for client and claimant issues and implement final dispositions • Review reserves on high-cost claims and claims exceeding examiner authority • Monitor third-party, litigated, serious vocational rehabilitation, questionable, and sensitive claims • Maintain client contact, recommend actions based on claim status, and provide written claim resumes • Ensure direct reports are properly licensed in serviced jurisdictions • Ensure claim files are correctly coded and adequately documented • Administer personnel policies and follow staffing and training recommendations • Interview, hire, establish performance development plans, and conduct performance discussions • Provide support, guidance, leadership, and motivation to promote maximum performance

🎯 Requirements

• 5 years of Workers Compensation claims management experience or equivalent combination of education and experience required • High School Diploma or GED required • Supervisory experience preferred • Bachelor's degree from an accredited college or university preferred • Professional certification as applicable to line of business preferred • Jurisdiction knowledge: FL, GA, IN, KY, NC, SC, TN, VA • Direct reports must be properly licensed in the jurisdictions serviced

🏖️ Benefits

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