Workers Compensation Team Leader - Dedicated Client - Jurisdiction: NJ, PA & FL

Sedgwick; Marlton (NJ); Hybrid; USD 90,000 - 120,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Career development

Job summary

Sedgwick is seeking a Workers Compensation Team Leader to supervise multiple examiner teams in Marlton, NJ, with hybrid in-office scheduling (2 days). This role focuses on adjudicating complex claims, providing technical direction, and delivering client-centered solutions across NJ, PA, and FL jurisdictions.

The ideal candidate will bring 6+ years of claims experience, including 2+ years in a supervisory capacity, strong leadership skills, and deep knowledge of workers' compensation procedures.

Qualifications

• Bachelor's degree is preferred.
• Six years of claims experience, including two years in supervision.
• Jurisdiction knowledge: NJ and PA, some FL.
• Licensing: Not Required.

Responsibilities

• Supervises multiple teams of examiners and staff for workers' compensation.
• Monitors workloads and provides training to colleagues.
• Provides technical/jurisdictional direction to examiner reports on claims adjudication.
• Reviews management reports and takes appropriate action.
• Maintains client relationships and communicates claim status to clients.

Skills

Leadership

Team supervision

Claims knowledge

NJ/PA jurisdiction

Education

Bachelor's degree

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 Team Leader | Dedicated Client | Jurisdiction: NJ, PA & FL

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 LOCATION

Marlton, NJ

Hybrid Schedule - 2 days in-office

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

• Supervises multiple teams of examiners, multiple product line examiners and/or several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit.
• Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office.
• Provides technical/jurisdictional direction to examiner reports on claims adjudication.
• Compiles reviews and analyzes management reports and takes appropriate action.
• Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards.
• Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal.
• Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner.
• Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client.
• Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client.
• Assures that direct reports are properly licensed in the jurisdictions serviced.
• Ensures claims files are coded correctly and adequate documentation is made by claims examiners.

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.

TRAVEL

Occasional travel to Media, PA for onsite client meetings

QUALIFICATIONS

• Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred.
• Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience.
• Jurisdiction Knowledge: Heavy NJ & PA, some FL
• Licensing: Not Required

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 in