Impactful Workers' Comp Claims Team Lead

Sedgwick; Jackson (MS); On-site; USD 66,000 - 95,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile environment

Career development

Benefits package

Job summary

Sedgwick is seeking a driven Workers Compensation Claims Team Lead to supervise multiple teams of examiners and technical staff for clients, handling complex claims and ensuring quality outcomes.

This role offers flexible work options, opportunities for professional growth, and a comprehensive benefits package. You will monitor workloads, provide direction, and maintain strong client relationships while ensuring proper licensing and documentation.

Qualifications

• 5 years of Workers Compensation claims management experience.
• Bachelor's degree preferred; High School Diploma or GED required.
• Professional certification as applicable to line of business preferred.

Responsibilities

• Supervises multiple teams of examiners, multiple product line 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

Leadership

Supervisory experience

Claims management

Jurisdiction knowledge

Education

High School Diploma or GED

Bachelor's degree

Job description

Sedgwick is seeking a driven Workers Compensation Claims Team Lead to supervise multiple teams of examiners and technical staff for clients, handling complex claims and ensuring quality outcomes.

This role offers flexible work options, opportunities for professional growth, and a comprehensive benefits package. You will monitor workloads, provide direction, and maintain strong client relationships while ensuring proper licensing and documentation.