Claims Team Lead, Auto

Sedgwick Claims Management Services Ltd; Town of Florida (NY); On-site; USD 80,000 - 110,000; Full time

Job summary

Sedgwick Claims Management Services Ltd is seeking a Claims Team Lead in the United States. You will supervise multiple examiner teams on liability claims, monitor workloads, and provide expert direction on adjudication and reports.

The role requires ensuring quality, timely action, and client communication while maintaining regulatory compliance. The position emphasizes leadership, training, and process improvement across product lines, with opportunities to influence outcomes and client

Qualifications

• Bachelor's degree preferred; licenses as applicable.
• Six years claims experience with two years supervisory experience.
• Strong knowledge of claims management processes and client expectations.

Responsibilities

• Supervise multiple teams of examiners and staff for liability claims.
• Monitor workloads, provide training, and direct examiner reports.
• Maintain diaries and monitor high exposure or complex claims.
• Review reserves and ensure quality and compliance.
• Maintain professional client relationships and support continuous improvement.

Skills

Claims management processes

Oral and written communication

Presentation skills

Leadership

Analytical skills

Teamwork

Deadline management

Microsoft Office proficiency

Education

Bachelor's degree

Licenses as required

Professional certifications relevant to line of business

Tools

Microsoft Office

Job description

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top CompaniesCertified as a Great Place to WorkFortune Best Workplaces in Financial Services & InsuranceClaims Team Lead, AutoPRIMARY PURPOSE OF THE ROLE: To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims.ESSENTIAL RESPONSIBLITIES MAY INCLUDESupervises multiple teams of examiners, multiple product line examiners and/or several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit.Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office.Provides technical/jurisdictional direction to examiner reports on claims adjudication.Compiles reviews and analyzes management reports and takes appropriate action.Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards.Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal.Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner.Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client.Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client.Assures that direct reports are properly licensed in the jurisdictions serviced.Ensures claims files are coded correctly and adequate documentation is made by claims examiners.Performs other duties as assigned.Supports the organization's quality program(s).SUPERVISORY RESPONSIBILITIESAdministers company personnel policies in all areas and follows company staffing standards and training recommendations.Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions.Provides support, guidance, leadership and motivation to promote maximum performance.QUALIFICATIONSEducation & Licensing: Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred.Experience : Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience.Skills & knowledge: thorough knowledge of claims management processes and procedures for multiple product lines, excellent oral and written communication, including presentation skills, PC literate, including Microsoft Office products, leadership/management skills, analytical and interpretive skills, ability to work in a team environment, and the ability to meet or exceed Performance CompetenciesWork environment requirements include –Physical: Computer keyboardingAuditory/visual: Hearing, vision and talkingMental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location.. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.