Disability Claims Team Lead

Sedgwick; Dubuque (IA); On-site; USD 70,000 - 110,000; Full time

Job summary

Sedgwick in Dubuque, IA is seeking an experienced supervisor to lead multiple teams of examiners and technical staff in disability claims, ensuring accurate adjudication and timely service for clients. You will monitor workloads, provide training and coaching, review performance, and maintain diaries on complex or high exposure claims while guiding staff through procedures and compliance.

The role also requires proactive client communication, quality reviews, and collaboration to uphold

Qualifications

• Bachelor's degree from an accredited college or university preferred; licenses as required.
• Six (6) years of claims experience or equivalent combination of education and experience required; two (2) years of claims supervisory experience preferred.
• Thorough knowledge of claims management procedures and processes for disability.

Responsibilities

• Supervises multiple teams of examiners and/or several 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.
• 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.

Skills

Claims management knowledge

Oral and written communication

Microsoft Office

Leadership/management

Analytical skills

Organizational skills

Interpersonal skills

Negotiation skills

Teamwork

Performance Competencies

Education

Bachelor's degree preferred

Licenses/ Certifications as applicable

Tools

Microsoft Office

Job description

Sedgwick in Dubuque, IA is seeking an experienced supervisor to lead multiple teams of examiners and technical staff in disability claims, ensuring accurate adjudication and timely service for clients. You will monitor workloads, provide training and coaching, review performance, and maintain diaries on complex or high exposure claims while guiding staff through procedures and compliance.

The role also requires proactive client communication, quality reviews, and collaboration to uphold