Claims Team Lead (Supervisor) - Workers Compensation | Brea, CA

Sedgwick; Brea (CA); Hybrid; USD 105,000 - 118,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development opportunities

Comprehensive benefits package including 401K

Job summary

Sedgwick is seeking a Claims Team Lead (Supervisor) in Brea, CA. In this role, you will supervise teams, provide technical guidance on claims adjudication, and manage client relationships. You should have at least 6 years of claims experience, including 2 years in a supervisory role.

The position offers a flexible work schedule and a comprehensive benefits package, including medical, dental, and vision coverage, with a salary range of $105,000 to $118,000 annually.

Qualifications

• 6 years of claims experience or equivalent combination of education and experience.
• 2 years of claims supervisor experience required.

Responsibilities

• Supervise multiple teams of examiners and technical operations colleagues.
• Provide technical guidance on claims adjudication.
• Act as a second-level appeal authority for client issues.

Skills

Claims adjudication

Process improvement

Client relationship management

California workers compensation knowledge

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Overview

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 (Supervisor) - Workers Compensation | Brea, CA

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?

Responsibilities

• Supervises multiple teams of examiners and technical operations colleagues, delegating duties as needed and ensuring proper licensing and documentation standards.
• Provides technical and jurisdictional guidance on claims adjudication, including quality reviews and reserve evaluations for high-cost or complex claims.
• Acts as a second-level appeal authority for client and claimant issues, implementing final decisions.
• Identifies trends, issues, and opportunities for process improvement; advises management and coordinates related projects.
• Monitors third-party and sensitive claims, including litigated and vocational rehabilitation cases.
• Maintains professional client relationships, offering recommendations and written summaries as needed.
• Ensures accurate claim coding and documentation by examiners.

Qualifications

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

• High School Diploma or GED required. Bachelor\'s degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.

Licensing / Jurisdiction Knowledge: California workers compensation claim handling experience | SIP Certified

Taking Care Of You

• Flexible work schedule.
• Referral incentive program.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental, vision, 401K on day one.

Work Environment

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.

Physical: Computer keyboarding, travel as required.

Auditory/Visual: Hearing, vision and talking.

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. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $105,000-$118,000/yr. 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.

#Hybrid #Claims #Supervisor

Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.

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.