Liability Claims Team Lead | Hybrid East Coast Clients

Sedgwick; Marlton (NJ); Hybrid; USD 95,000 - 104,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile environment

Career development and promotional增长

Job summary

Sedgwick in Marlton, NJ is seeking a Senior Liability Claims Team Lead to supervise multiple examiner teams and drive client-focused outcomes across East Coast states. The role blends leadership, claims expertise and strategic oversight in a hybrid in-office setting.

You will mentor staff, review complex claims, ensure compliance, and collaborate with clients to deliver timely resolutions while advancing professional development and quality service.

Qualifications

• Bachelor's degree 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.

Responsibilities

• 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 periodical 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.

Skills

Leadership

Claims expertise

Team supervision

Education

Bachelor's degree

Job description

Sedgwick in Marlton, NJ is seeking a Senior Liability Claims Team Lead to supervise multiple examiner teams and drive client-focused outcomes across East Coast states. The role blends leadership, claims expertise and strategic oversight in a hybrid in-office setting.

You will mentor staff, review complex claims, ensure compliance, and collaborate with clients to deliver timely resolutions while advancing professional development and quality service.