Workers Compensation Claims Team Lead | Jurisdictions: CO & UT Experience Preferred | Dedicate Client

Sedgwick; Cincinnati (OH); Hybrid; USD 75,000 - 85,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile environment

Career development opportunities

Medical, dental, vision, 401K on day 1

Job summary

Sedgwick is seeking a Workers’ Compensation Claims Team Lead to supervise multiple examiner teams, manage workloads, and ensure timely adjudication for clients across CO, UT and nearby jurisdictions. The role emphasizes leadership, coaching, and adherence to established processes in a dynamic, hybrid work environment.

Ideal candidates bring 6+ years in claims with 2+ years in supervision, plus 5 years as a seasoned examiner in lost time and/or medical only claims.

Qualifications

• Six years of claims experience, plus two years in a supervisory role.
• Seasoned examiner experience of five years in lost time and/or medical only claims.
• High School Diploma or GED required; Bachelor's degree preferred.

Responsibilities

• Supervise multiple teams of examiners for workers' compensation claims; monitor workloads and provide training.
• Direct examiner reports on claim adjudication and maintain diaries on complex/high-exposure cases.
• Lead team meetings and coordinate follow-up items; manage vendor referrals for investigations or litigation as needed.

Skills

Claims experience

Supervisory experience

Examiner experience

Jurisdiction knowledge

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

Workers Compensation Claims Team Lead | Jurisdictions: CO & UT Experience Preferred | Dedicate Client

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?

• Apply your Workers Compensation & supervisory knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
• Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations.
• Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
• Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights.
• Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
• Enjoy flexibility and autonomy in your daily work, your location, and your career path.
• Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

ARE YOU AN IDEAL CANDIDATE?

To supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims.

WORK LOCATIONS

Hybrid schedule if within commutable distance to Blue Ash, OH office

Open to remote

PRIMARY PURPOSE OF THE ROLE:

We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

• 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.

SUPERVISORY RESPONSIBILITIES

• Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
• Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions.
• Provides support, guidance, leadership, and motivation to promote maximum performance.

QUALIFICATIONS

Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience preferred. Seasoned examiner experience of five (5) years - lost time & medical only 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.

Jurisdiction Knowledge: CO & UT with limited exposure to OK & WY

Licensing: Home state licensing

TAKING CARE OF YOU

• Flexible work schedule.
• Referral incentive program.
• Opportunity to work in an agile environment.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

WORK ENVIRONMENT REQUIREMENTS INCLUDE

When applicable and appropriate, consideration will be given to reasonable accommodations.

• Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
• Physical: Computer keyboarding
• Auditory/Visual: Hearing, vision and talking

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (75 - 85K). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

#claimsexaminer #claims #hybrid #LI-REMOTE

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.