Claims Team Lead | Auto | Property Damage & Bodily Injury

Sedgwick; Athens (GA); On-site; USD 80,000 - 110,000; Full time

Job summary

Sedgwick is seeking a Claims Team Lead to supervise multiple teams handling liability claims for clients. You will monitor workloads, mentor staff, and provide expert direction on examiner reports and adjudication. The role emphasizes accuracy, client service, and adherence to quality standards.

Ideal candidates have extensive claims experience, a track record in leadership, and the ability to manage complex or high-exposure cases. Collaboration with clients and teams is essential to success.

Qualifications

• Six years of claims experience or equivalent education/experience.
• Two years of claims supervisor experience required.
• Bachelor's degree preferred; licenses as required.

Responsibilities

• Supervises multiple teams of examiners and staff.
• Monitors workloads and provides training.
• Provides technical direction on examiner reports.
• Reviews reserves and adjudication for claims.
• Maintains client relationships and quality programs.
• Ensures staff are properly licensed.

Skills

Claims management

Leadership

Analytical skills

Communication

Team coordination

Education

Bachelor's degree (preferred)

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 Companies

Certified as a Great Place to Work

Fortune Best Workplaces in Financial Services & Insurance

Claims Team Lead | Auto | Property Damage & Bodily Injury

PRIMARY 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 RESPONSIBILITIES OF THE ROLE MAY INCLUDE

• Supervises multiple teams of examiners, multiple bodily injury and property damage 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 RESPONSIBILITIES

• Administers 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.

QUALIFICATIONS

Experience : Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience.

• Bachelor's degree from an accredited college or university preferred.
• Licenses as required.
• Professional certifications as applicable to line of business preferred.

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/motivational skills
• Analytical and interpretive skills
• Strong organizational skills
• Excellent interpersonal skills
• Excellent negotiation skills
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies

Work environment requirements include –

Physical: Computer keyboarding
Auditory/visual: Hearing, vision and talking
Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.

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.