Remote Claims Team Lead - Liability

Sedgwick; Orlando (FL); Remote; USD 75,000 - 100,000; Full time

Job summary

Sedgwick in the United States is seeking a Senior Claims Supervisor to oversee multiple teams of examiners and staff for liability claims. You will monitor workloads, provide training, and guide examiner reports on claims adjudication while maintaining diaries on complex or high‑exposure cases.

Responsibilities include identifying trends, advising management on improvements, and ensuring compliance with audit and quality standards. Strong leadership and communication are essential.

Qualifications

• Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience.
• Bachelor's degree from an accredited college or university preferred.
• Licenses as required.

Responsibilities

• Supervises multiple teams of examiners, multiple bodily injury and property damage 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.
• Performs other duties as assigned.
• Supports the organization's quality program(s).

Skills

Claims management

Leadership

Communication

Microsoft Office

Analytical skills

Teamwork

Negotiation

Organization

Education

Bachelor's degree

Job description

Sedgwick in the United States is seeking a Senior Claims Supervisor to oversee multiple teams of examiners and staff for liability claims. You will monitor workloads, provide training, and guide examiner reports on claims adjudication while maintaining diaries on complex or high‑exposure cases.

Responsibilities include identifying trends, advising management on improvements, and ensuring compliance with audit and quality standards. Strong leadership and communication are essential.