Remote Workers' Comp Claims Examiner Lead

Sedgwick; San Diego (CA); On-site; USD 100,000 - 115,000; Full time

Benefits offered by this job

Flexible work schedule

Career development

Comprehensive benefits

Job summary

Sedgwick is seeking a Claims Examiner - Workers Compensation Team Lead to supervise multiple teams handling CA or NV workers' compensation claims. Licensing is required and leadership of examiners and technical staff is central to the role.

Ideal candidates will bring extensive claims management expertise, strong supervisory skills, and the ability to drive timely resolutions while maintaining client satisfaction across industries.

Qualifications

• Education & Licensing: 5 years of claims management experience or equivalent combination of education and experience required.
• High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.

Responsibilities

• Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
• Manages the litigation process; ensures timely and cost-effective claims resolution.
• Coordinates vendor referrals for additional investigation and/or litigation management.
• Leads team meetings and assigns accountability for follow-up items.
• Gathers important compliance/claims processing information to be presented at team meetings.
• Assists in interviews of adjusters, clerical staff and provides feedback to hiring manager.
• Provides limited assistance/support to team lead with monthly review of adjuster workloads; notes trends and suggests adjustments when necessary. May include up to (3) three direct reports.

Skills

Claims management

Supervisory experience

Team leadership

Analytical skills

Communication skills

Education

High School Diploma or GED

Bachelor's degree

Job description

Sedgwick is seeking a Claims Examiner - Workers Compensation Team Lead to supervise multiple teams handling CA or NV workers' compensation claims. Licensing is required and leadership of examiners and technical staff is central to the role.

Ideal candidates will bring extensive claims management expertise, strong supervisory skills, and the ability to drive timely resolutions while maintaining client satisfaction across industries.