Claims Team Lead I – CA Workers’ Comp

Sedgwick; Helena (MT); Remote; USD 75,000 - 100,000; Full time

Benefits offered by this job

Flexible work schedule

Career development

Medical, dental, vision benefits

Job summary

Sedgwick, a global leader in risk and claims administration, seeks a Claims Team Lead I for Workers' Compensation to supervise multiple examiner teams in a remote, US-based telecommuting role, guiding complex claim adjudication and client service. You will monitor workloads, provide training, ensure proper licensing, and maintain documentation while collaborating with Sedgwick's broad network of experts.

Sedgwick offers development opportunities and a comprehensive benefits package for this

Qualifications

• 5+ years of California Workers' Compensation claims management experience or equivalent.
• Bachelor's degree preferred.
• Professional certification as applicable to line of business preferred.

Responsibilities

• Supervises multiple teams of examiners and technical staff across a wide span of control.
• Identifies trends, informs management, and recommends course of action for continuous improvement.
• 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 and quality standards.
• Acts as second level of appeal for client and claimant issues; implements final disposition.

Skills

Supervisory experience

Workers' compensation knowledge

Claims adjudication

Client relations

Education

California WC claims experience

Bachelor's degree desired

Job description

Sedgwick, a global leader in risk and claims administration, seeks a Claims Team Lead I for Workers' Compensation to supervise multiple examiner teams in a remote, US-based telecommuting role, guiding complex claim adjudication and client service. You will monitor workloads, provide training, ensure proper licensing, and maintain documentation while collaborating with Sedgwick's broad network of experts.

Sedgwick offers development opportunities and a comprehensive benefits package for this