Liability Claims Team Lead - Dedicated Client - East Coast States

Sedgwick; Marlton (NJ); Hybrid; USD 90,000 - 120,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Agile environment

Career development

Benefits: medical, dental, vision, 401

Job summary

Sedgwick is seeking a Liability Claims Team Lead to supervise multiple examiner teams and drive effective claims adjudication for a key client base in the East Coast region. The role blends leadership with expert technical oversight in a hybrid Marlton, NJ setting.

You will mentor staff, optimize workflows, monitor workloads, and maintain strong client relationships while ensuring adherence to service standards and regulatory requirements.

Qualifications

• Six years of claims experience with at least two years in a supervisory role.
• Jurisdiction knowledge focused on East Coast, especially NJ and PA.
• Licensing not required (per client).
• Bachelor's degree from an accredited college or university preferred.

Responsibilities

• Supervises multiple teams of examiners and technical staff for liability claims.
• Identifies trends and advises management on issues and action plans.
• Provides technical/jurisdictional direction to examiner reports on claims adjudication.
• Compiles reviews and analyzes management reports; takes appropriate action.
• Performs quality reviews on claims in accordance with audit and quality standards.
• Acts as second level of appeal for client and claimant issues; implements final disposition of the appeal.
• Maintains contact with the client on claims and promotes professional relationships.

Skills

Claims leadership

Supervisory experience

East Coast jurisdiction knowledge

Education

Bachelor's degree

Job description

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

Liability Claims Team Lead | Dedicated Client | East Coast States

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?

• Apply your liability & supervisory knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
• Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations.
• Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
• Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights.
• Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
• Enjoy flexibility and autonomy in your daily work, your location, and your career path.
• Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

ARE YOU AN IDEAL CANDIDATE?

To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims.

WORK LOCATION

Marlton, NJ - Hybrid Schedule (2 days in-office)

Remote if outside of commutable distance to office

PRIMARY PURPOSE OF THE ROLE:

We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

• Supervises multiple teams of examiners, multiple product line examiners and/or several (minimum seven) 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.
• Monitors third party claims; maintains periodic review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client.
• 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.

SUPERVISORY RESPONSIBILITIES

Administers company personnel policies in all areas and follows company staffing standards and training recommendations.

Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions.

Provides support, guidance, leadership and motivation to promote maximum performance.

QUALIFICATIONS

• Bachelor's degree from an accredited college or university preferred.
• Licenses as required.
• Professional certifications as applicable to line of business preferred.
• Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience.
• Jurisdiction Knowledge: East Coast - heavy NJ & PA
• Licensing: not required

TAKING CARE OF YOU

• Flexible work schedule.
• Referral incentive program.
• Opportunity to work in an agile environment.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental vision, 401K o