Hybrid Claims Team Lead - Workers' Compensation

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

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development and promotional成长

Benefits package including medical, &l

Job summary

Sedgwick is seeking a Claims Team Lead (Supervisor) for Workers Compensation in Brea, CA. This hybrid role oversees multiple teams of examiners and technical staff, guiding adjudication, training, and performance while maintaining strong client relationships.

You will manage workloads, provide jurisdictional guidance, and act as an appeal authority for complex claims, ensuring accurate coding and documentation. A culture of care supports professional development and work-life balance.

Qualifications

• 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.

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.

Skills

Team supervision

Training

Decision making

Client relationship management

Education

High School Diploma or GED

Bachelor’s degree preferred

Job description

Sedgwick is seeking a Claims Team Lead (Supervisor) for Workers Compensation in Brea, CA. This hybrid role oversees multiple teams of examiners and technical staff, guiding adjudication, training, and performance while maintaining strong client relationships.

You will manage workloads, provide jurisdictional guidance, and act as an appeal authority for complex claims, ensuring accurate coding and documentation. A culture of care supports professional development and work-life balance.