Remote Claims Team Lead – Premises & Liability

Sedgwick; Santa Fe (NM); Hybrid; USD 85,000 - 110,000; Full time

Benefits offered by this job

Medical, dental, vision benefits

401(k) with match

PTO and disability insurance

Life insurance and employee assistance

Job summary

Sedgwick is seeking a Claims Team Lead to supervise multiple examiner teams across premises and general liability claims. You will monitor workloads, provide training, and guide examiner reports while maintaining client relationships and ensuring licensed jurisdiction compliance.

Ideal candidates have a 6+ years claims background, including 2+ years in supervision, and all-state licensing. Sedgwick offers strong benefits, career growth, and a hybrid/remote work setup.

Qualifications

• High school diploma or GED required.
• Bachelor's degree preferred.
• Professional certification as applicable to line of business preferred.
• Six years of claims experience or equivalent, including two years claims supervisor experience.
• All 50 states & Home State or Reciprocal licensing required.

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 other duties as assigned; Supports the organization's quality program(s).
• 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.
• 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.

Education

High School Diploma or GED

Bachelor's degree

Professional certification

Job description

Sedgwick is seeking a Claims Team Lead to supervise multiple examiner teams across premises and general liability claims. You will monitor workloads, provide training, and guide examiner reports while maintaining client relationships and ensuring licensed jurisdiction compliance.

Ideal candidates have a 6+ years claims background, including 2+ years in supervision, and all-state licensing. Sedgwick offers strong benefits, career growth, and a hybrid/remote work setup.