Remote Workers' Comp Claims Lead

Sedgwick; United States; Remote; USD 100,000 - 115,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

401(k) on day one

Career development opportunities

Job summary

Sedgwick is seeking a driven Workers’ Compensation Claims Team Lead licensed in California or Nevada to supervise examiners and technical staff, monitor workloads, and provide direction on complex claim adjudication.

You will lead team meetings, coordinate investigations, and support hiring decisions while ensuring timely, compliant resolutions and delivering high-quality service to clients across industries. Sedgwick offers growth and a supportive environment.

Qualifications

• 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.
• Jurisdiction Knowledge/Licensing: CA or NV

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

Leadership

Team supervision

Claims analysis

Customer service

Communication

Training

Education

High School Diploma or GED

Bachelor’s degree preferred

Professional certification (as applicable)

Job description

Sedgwick is seeking a driven Workers’ Compensation Claims Team Lead licensed in California or Nevada to supervise examiners and technical staff, monitor workloads, and provide direction on complex claim adjudication.

You will lead team meetings, coordinate investigations, and support hiring decisions while ensuring timely, compliant resolutions and delivering high-quality service to clients across industries. Sedgwick offers growth and a supportive environment.