Senior Workers' Comp Claims Lead & Examiner

Sedgwick; Phoenix (AZ); On-site; USD 100,000 - 115,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401K on day one

PTO

Disability insurance

Life insurance

Employee assistance

Flexible spending account

Health savings account

Job summary

Sedgwick is seeking a Claims Examiner - Workers Compensation Team Lead to supervise multiple examiner teams handling workers compensation for clients in CA or NV. The role emphasizes expert claims adjudication, team leadership, and jurisdictional guidance.

Ideal candidates will have 5+ years in claims management, CA licensing, and strong negotiation skills. The position supports flexible work arrangements within a global organization known for service excellence.

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

Licensing CA

Jurisdiction knowledge

Education

High school diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is seeking a Claims Examiner - Workers Compensation Team Lead to supervise multiple examiner teams handling workers compensation for clients in CA or NV. The role emphasizes expert claims adjudication, team leadership, and jurisdictional guidance.

Ideal candidates will have 5+ years in claims management, CA licensing, and strong negotiation skills. The position supports flexible work arrangements within a global organization known for service excellence.