Hybrid Workers' Comp Claims Team Lead

Sedgwick Claims Management Services Ltd; Concord (NH); Hybride; USD 105 000 - 118 000; Plein temps

Avantages offerts par ce poste

Flexible schedule

Referral program

Career growth

Benefits package

Résumé du poste

Sedgwick is seeking a Claims Team Lead for Workers' Compensation in Concord, CA. This leadership role oversees a team of examiners, provides adjudication guidance, and serves as a second-level appeal authority for client and claimant issues.

The position offers hybrid onsite/remote flexibility and a path for career development. Ideal candidates bring at least six years of claims experience (including two years in a supervisory role) plus a high school diploma or GED; a Bachelor’s degree is

Qualifications

• Six years of claims experience or equivalent combination of education and experience, including two years as a claims supervisor.
• High School Diploma or GED required.
• Bachelor's degree preferred.
• Professional certification as applicable to line of business preferred.

Responsabilités

• Oversees a team 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.

Formation

High School Diploma or GED

Bachelor's degree preferred

Professional certification as applicable

Description du poste

Sedgwick is seeking a Claims Team Lead for Workers' Compensation in Concord, CA. This leadership role oversees a team of examiners, provides adjudication guidance, and serves as a second-level appeal authority for client and claimant issues.

The position offers hybrid onsite/remote flexibility and a path for career development. Ideal candidates bring at least six years of claims experience (including two years in a supervisory role) plus a high school diploma or GED; a Bachelor’s degree is