Workers' Comp Claims Team Lead: Flexible Schedule & Growth

Sedgwick Claims Management Services; Concord (CA); Hybrid; USD 105,000 - 118,000; Full time

Benefits offered by this job

Medical, dental, vision

401k with match

PTO

Job summary

Sedgwick Claims Management Services in Concord, CA, is seeking a Claims Team Lead for Workers' Compensation. You will oversee examiners and technical staff for a dedicated client, manage workloads, provide training, and ensure compliant claims adjudication with regular reviews and updates.

The ideal candidate has 6+ years in claims and 2+ years in supervisory roles, a CA WC background (SIP Certified preferred), and a bachelor’s degree or better.

Qualifications

• 6 years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience.
• High School Diploma or GED; Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.

Responsibilities

• Supervises a team 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

Team leadership

Claims experience

Quality reviews

Education

High School Diploma or GED

Bachelor's degree (preferred)

Professional certification (relevant)

Job description

Sedgwick Claims Management Services in Concord, CA, is seeking a Claims Team Lead for Workers' Compensation. You will oversee examiners and technical staff for a dedicated client, manage workloads, provide training, and ensure compliant claims adjudication with regular reviews and updates.

The ideal candidate has 6+ years in claims and 2+ years in supervisory roles, a CA WC background (SIP Certified preferred), and a bachelor’s degree or better.