Senior Workers' Comp Claims Team Lead

Sedgwick Claims Management Services Ltd; Long Beach (CA); On-site; USD 100,000 - 115,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development opportunities

Job summary

Sedgwick is seeking a Workers’ Compensation Claims Team Lead in Long Beach, CA. You will oversee multiple teams of examiners and technical staff, mentor colleagues, and ensure high-quality claims adjudication for clients across diverse industries.

This role emphasizes licensing compliance, jurisdictional guidance, and proactive process improvements, with opportunities for professional development and a flexible benefits package.

Qualifications

• Education & Licensing: 6 years of claims experience or equivalent combination of education and experience required, including two (2) years claims supervisor experience.
• 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

• Supervises multiple teams of examiners and technical operations colleagues, delegating duties as needed and ensuring proper licensing and documentation standards.
• Provides technical and jurisdictional guidance on claims adjudication, including quality reviews and reserve evaluations for high-cost or complex claims.
• Acts as a second-level appeal authority for client and claimant issues, implementing final decisions.
• Identifies trends, issues, and opportunities for process improvement; advises management and coordinates related projects.
• Monitors third-party and sensitive claims, including litigated and vocational rehabilitation cases.
• Maintains professional client relationships, offering recommendations and written summaries as needed.
• Ensures accurate claim coding and documentation by examiners.

Skills

Claims experience

Supervisory experience

California WC knowledge

Claims leadership

Education

High School Diploma or GED

Bachelor's degree preferred

SIP Certified

Job description

Sedgwick is seeking a Workers’ Compensation Claims Team Lead in Long Beach, CA. You will oversee multiple teams of examiners and technical staff, mentor colleagues, and ensure high-quality claims adjudication for clients across diverse industries.

This role emphasizes licensing compliance, jurisdictional guidance, and proactive process improvements, with opportunities for professional development and a flexible benefits package.