Remote Claims Operations Lead

Sedgwick; Austin (TX); Remote; USD 90,000 - 130,000; Full time

Job summary

Sedgwick seeks a skilled supervisor to lead multiple examiner teams handling liability claims. You will supervise workloads, provide training, and direct examiner reports on adjudication while maintaining detailed claim diaries.

You will also review reserves on high-cost claims, escalate issues to management, and ensure quality standards are met. Strong leadership and client-facing skills are essential.

Qualifications

• Six (6) years of claims experience or equivalent education/experience
• Bachelor's degree from an accredited college or university preferred
• Licenses as required; professional certifications as applicable to line of business preferred

Responsibilities

• Supervises multiple teams of examiners and/or technical staff for liability claims
• Monitors workloads, provides training and direction to examiner reports
• Maintains diaries on complex/high exposure claims and claim activities
• Reviews reserves on high cost claims and those beyond individual authority
• Interacts with clients to maintain professional relationships and provide updates
• Supports the organization’s quality programs and compliance standards

Skills

Claims management

Leadership

Communication

Analytical skills

Teamwork

Negotiation skills

Education

Bachelor's degree

Licenses as required

Professional certifications

Tools

Microsoft Office

Job description

Sedgwick seeks a skilled supervisor to lead multiple examiner teams handling liability claims. You will supervise workloads, provide training, and direct examiner reports on adjudication while maintaining detailed claim diaries.

You will also review reserves on high-cost claims, escalate issues to management, and ensure quality standards are met. Strong leadership and client-facing skills are essential.