Remote Workers' Comp Claims Team Lead

Financialjobbank; Boston (MA); Remote; USD 90,000 - 130,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development and promotional成长机会

Job summary

Sedgwick is hiring a Workers Compensation Claims Team Lead to supervise multiple examiner teams and manage complex claims adjudication. The role emphasizes coaching, process improvement, and client relationships across jurisdictions including DE, IL, LA, MO, NJ, OK, TN, TX.

The ideal candidate has a bachelor's degree, at least two years of claims experience, and appropriate licenses. The position offers flexible scheduling and comprehensive benefits, with remote work flexibility.

Qualifications

• Bachelor's degree; Licenses as required; professional certifications as applicable to line of business preferred.
• two (2) years of claims experience or equivalent combination of education and experience required; Supervisory experience not 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 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.

Skills

Supervisory experience

Claims knowledge

Leadership

Education

Bachelor's degree

Job description

Sedgwick is hiring a Workers Compensation Claims Team Lead to supervise multiple examiner teams and manage complex claims adjudication. The role emphasizes coaching, process improvement, and client relationships across jurisdictions including DE, IL, LA, MO, NJ, OK, TN, TX.

The ideal candidate has a bachelor's degree, at least two years of claims experience, and appropriate licenses. The position offers flexible scheduling and comprehensive benefits, with remote work flexibility.