Remote Workers' Comp Claims Lead

Sedgwick; United States; Remote; USD 70,000 - 110,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentives

Agile environment

Career growth

Benefits package including medical/d/t

Job summary

Sedgwick is seeking a Team Lead Claims Adjuster for Workers’ Compensation in a remote setup. You will oversee multiple examiner teams, adjudicate complex claims, and drive client satisfaction across a broad range of industries.

Ideal candidates bring senior claims experience, leadership skills, and valid licensing in applicable jurisdictions. Expect an agile environment, growth opportunities, and a focus on quality and compliance.

Qualifications

• Bachelor's degree required or preferred depending on role.
• Licenses as required; professional certifications as applicable to line of business.

Responsibilities

• Supervises multiple teams of examiners and related staff across several product lines.
• Identifies trends and advises management on actions and process improvements.
• Provides direction to examiner reports on claims adjudication.
• Reviews management reports and takes appropriate action.
• Performs quality reviews of claims in line with audit and standards.
• Acts as second level of appeal for client and claimant issues.
• Reviews reserve amounts on high-cost claims and those beyond examiner authority.
• Maintains client contact and promotes professional relationships.
• Ensures reports and files are properly documented and licensed where required.
• Supports quality programs and miscellaneous duties as assigned.

Education

Bachelor's degree from an accredited college or university preferred.

Job description

Sedgwick is seeking a Team Lead Claims Adjuster for Workers’ Compensation in a remote setup. You will oversee multiple examiner teams, adjudicate complex claims, and drive client satisfaction across a broad range of industries.

Ideal candidates bring senior claims experience, leadership skills, and valid licensing in applicable jurisdictions. Expect an agile environment, growth opportunities, and a focus on quality and compliance.