Claims Team Lead | Auto | Property Damage & Bodily Injury

Sedgwick Claims Management Services Ltd; United States; Remote; USD 100,000 - 140,000; Full time

Job summary

Sedgwick is seeking a Claims Team Lead for Auto, Property Damage & Bodily Injury to oversee multiple examiner teams remotely across several states. You will monitor workloads, coach staff, and provide technical direction on claims adjudication to ensure high-quality results.

Ideal candidates bring at least six years of claims experience including supervisory exposure, strong communication, and the ability to drive process improvements in a dynamic client environment.

Qualifications

• Bachelor's degree preferred.
• Licenses as required.
• Professional certifications as applicable to line of business preferred.

Responsibilities

• Supervises multiple teams of examiners and staff for liability claims.
• Provides technical/jurisdictional direction to examiner reports on claims adjudication.
• Reviews reserves and claims activity; conducts quality reviews per audits.
• Maintains client relationships and communicates status and outcomes.

Skills

Leadership/management/motivational

Excellent oral and written comms

Microsoft Office

Analytical and interpretive skills

Strong organizational skills

Excellent interpersonal skills

Excellent negotiation skills

Team collaboration

Ability to meet/exceed performance

Education

Bachelor's degree

Tools

Microsoft Office

Job description

## Claims Team Lead | Auto | Property Damage & Bodily InjuryApply: Telecommuter WI: Telecommuter TX: Telecommuter GA: Telecommuter IA: Telecommuter TN: Posted Today: R79726By 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 | 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.## 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.