Workforce Absence Team Lead

Sedgwick Claims Management Services Ltd; Eden Prairie (MN); On-site; USD 61,000 - 75,000; Full time

Benefits offered by this job

Comprehensive benefits

401k matching

Paid time off (PTO)

Job summary

Sedgwick is seeking a Workforce Absence Team Lead in Minnesota to supervise multiple teams of examiners and technical staff handling disability claims. You will monitor workloads, provide training, and give jurisdictional direction on adjudication while maintaining high quality and client relationships.

The role requires strong claims experience and supervisory capabilities, with heavy emphasis on process improvement, documentation, and adherence to client standards.

Qualifications

• Bachelor's degree preferred; professional certifications as applicable to line of business.
• Six years of claims experience or equivalent; two years of supervisory experience preferred.
• Thorough knowledge of claims management procedures for disability; strong analytical skills.

Responsibilities

• Supervise multiple teams of examiners and technical staff for disability claims.
• Monitor workload and provide training; offer direction on examiner reports.
• Review management and quality reports; ensure compliance with audit requirements.

Skills

Claims management

Supervisory experience

Leadership

Analytical skills

Communication skills

Microsoft Office

Education

Bachelor's degree

Tools

Microsoft Office

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 CompaniesCertified as a Great Place to WorkFortune Best Workplaces in Financial Services & InsuranceWorkforce Absence Team LeadPRIMARY PURPOSE : To supervise the operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, 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 within the teams including frequent diaries on complex or high exposure claims.ESSENTIAL FUNCTIONS and RESPONSIBILITIESSupervises multiple teams of examiners and/or several 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.ADDITIONAL FUNCTIONS and RESPONSIBILITIESPerforms other duties as assigned.Supports the organization's quality program(s).SUPERVISORY RESPONSIBILITIESAdministers 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.QUALIFICATIONSEducation & LicensingBachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred.ExperienceSix (6) years of claims experience or equivalent combination of education and experience required. Two (2) years of claims supervisory experience preferred.Skills & KnowledgeThorough knowledge of claims management procedures and processes for disabilityExcellent oral and written communication, including presentation skillsPC literate, including Microsoft Office productsLeadership/management/motivational skillsAnalytical and interpretive skillsStrong organizational skillsExcellent interpersonal skillsExcellent negotiation skillsAbility to work in a team environmentAbility to meet or exceed Performance CompetenciesWORK ENVIRONMENTWhen 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 deadlinesPhysical : Computer keyboarding, travel as requiredAuditory/Visual : Hearing, vision and talkingThe statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.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 $68,000 USD annual salary, $1,000 SIPP bonus eligibility. 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.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.