Workers Compensation Claims Team Lead | Roseville, CA or Long Beach, CA,

Sedgwick; Roseville (CA); Hybrid; USD 105,000 - 115,000; Full time

Benefits offered by this job

Comprehensive benefits package

Flexible work schedule

Career development opportunities

Job summary

Sedgwick is seeking an experienced Workers Compensation Claims Team Lead based in Roseville, CA, or Long Beach, CA, with a hybrid work arrangement. This role will oversee multiple teams managing workers compensation claims, ensuring proper workflow, training, and technical guidance.

The ideal candidate will have a minimum of 6 years of claims experience, including supervisory duties. A competitive salary of $105,000–$115,000 annually is available, along with a comprehensive benefits package that covers medical, dental, 401(k) plans, and more.

Qualifications

• Minimum of 6 years of workers compensation claims experience.
• At least 2 years in a supervisory role.
• Professional certification preferred.

Responsibilities

• Supervise teams overseeing claim operations.
• Provide technical guidance on claims adjudication.
• Monitor claims for trends and risks.
• Maintain client relationships and ensure accurate documentation.

Skills

Workers compensation claims experience

Supervisory experience

Problem-solving skills

Excellent judgment

Education

High School Diploma or GED required

Bachelor's degree preferred

Job description

Workers Compensation Claims Team Lead – Roseville, CA or Long Beach, CA (Hybrid)

Open position for an experienced claims team lead to oversee multiple teams of examiners and technical staff handling workers compensation claims. Responsibilities include managing workloads, training, monitoring claim activities, providing technical guidance, and maintaining client relationships.

Responsibilities

• Supervise multiple teams of examiners and technical operations colleagues, delegating duties and ensuring proper licensing and documentation standards.
• Provide technical and jurisdictional guidance on claims adjudication, including quality reviews and reserve evaluations for high-cost or complex claims.
• Act as a second‑level appeal authority for client and claimant issues, implementing final decisions.
• Identify trends, issues, and opportunities for process improvement; advise management and coordinate related projects.
• Monitor third‑party and sensitive claims, including litigated and vocational rehabilitation cases.
• Maintain professional client relationships, offering recommendations and written summaries as needed.
• Ensure accurate claim coding and documentation by examiners.

Qualifications

• Minimum of 6 years of workers compensation claims experience, including at least 2 years in a supervisory role.
• High School Diploma or GED required; Bachelor’s degree preferred.
• Professional certification in the line of business is preferred.
• Experience with SIP and California workers compensation claims handling.

Benefits & Compensation

• Competitive salary: $105,000–$115,000 per year (range), commensurate with experience.
• Comprehensive benefits package including medical, dental, vision, 401(k) with matching, PTO, disability, life insurance, employee assistance program, flexible spending or health savings account, and additional voluntary benefits.
• Flexible work schedule and hybrid work arrangement.
• Referral incentive program.
• Career development and promotional growth opportunities.

Work Environment Requirements

• Clear conceptual thinking, excellent judgment, troubleshooting, problem‑solving, analysis, and discretion.
• Ability to handle multiple priorities and meet deadlines under work‑related stress.
• Computer keyboarding proficiency.
• Good hearing, vision, and speaking abilities.
• Reasonable accommodations will be considered when applicable.

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. The range for this role is $105,000–$115,000 per year.

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, consider applying. Sedgwick is building a diverse, equitable, and inclusive workplace.