Remote Claims Team Lead - Liability & Quality

Sedgwick; Madison (WI); Remote; USD 80,000 - 110,000; Full time

Job summary

Sedgwick seeks a seasoned supervisor to oversee multiple teams of examiners handling liability claims for diverse clients. You will monitor workloads, provide training, and guide examiner reports across jurisdictions, while maintaining client relationships and ensuring compliance with quality standards.

The role requires extensive claims experience, supervisory background, and licenses where applicable; the candidate will drive process improvements and support a robust quality program in a

Qualifications

• Six (6) years of claims experience or equivalent combination of education and experience.
• Two (2) years claims supervisor 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, 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.
• 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

Leadership

Communication

Teamwork

Negotiation

Analysis

Education

Bachelor's degree in related field

Tools

Microsoft Office

Job description

Sedgwick seeks a seasoned supervisor to oversee multiple teams of examiners handling liability claims for diverse clients. You will monitor workloads, provide training, and guide examiner reports across jurisdictions, while maintaining client relationships and ensuring compliance with quality standards.

The role requires extensive claims experience, supervisory background, and licenses where applicable; the candidate will drive process improvements and support a robust quality program in a