Workforce Absence Team Lead

Jobtailor; Town of Florida (NY); On-site; USD 85,000 - 105,000; Full time

Job summary

Jobtailor is seeking a seasoned leader to supervise disability claims examiners and technical staff in the United States. You will monitor workloads, provide adjudication guidance, and drive continuous process improvements, including reviewing reports, training teams, and handling high-stakes appeals.

Your role combines people leadership with technical acumen in claims management, requiring strong communication, analytical skills, and the ability to work across teams to meet performance

Qualifications

• Six years of claims experience or equivalent education/ experience
• Two years of supervisory experience preferred
• Bachelor’s degree preferred
• Licenses as required
• Professional certifications as applicable
• Strong knowledge of disability claims management procedures

Responsibilities

• Supervise multiple teams of disability claims examiners and technical staff
• Monitor workloads and individual claim activities
• Provide training and direction on claims adjudication reports
• Identify trends and advise management on actions
• Coordinate office projects with management
• Review management reports and take appropriate action
• Perform quality reviews on claims
• Act as second-level appeal for client issues and implement dispositions

Job description

• Supervise multiple teams of disability claims examiners and technical staff
• Monitor colleagues’ workloads and individual claim activities
• Provide training and technical/jurisdictional direction on claims adjudication reports
• Identify trends, problems, and issues and advise management on recommended actions
• Inform management of procedures and continuous process improvement ideas
• Coordinate office projects with management
• Compile, review, and analyze management reports and take appropriate action
• Perform quality reviews on claims
• Act as second-level appeal for client and claimant issues and implement final dispositions
• Review reserve amounts on high-cost and over-authority claims
• Monitor third-party, litigated, serious vocational rehabilitation, questionable, and sensitive claims
• Maintain client contact, make claim-status recommendations, and provide written claim resumes
• Ensure direct reports are properly licensed and claims files are correctly coded and documented
• Administer personnel policies, interview and hire colleagues, establish development plans, conduct performance discussions, and provide leadership and motivation
• Support the organization’s quality programs and perform other assigned duties

Requirements

• Six (6) years of claims experience or equivalent combination of education and experience required
• Two (2) years of claims supervisory experience preferred
• Bachelor’s degree from an accredited college or university preferred
• Licenses as required
• Professional certifications as applicable to line of business preferred
• Thorough knowledge of disability claims management procedures and processes
• Excellent oral and written communication, including presentation skills
• PC literacy, including Microsoft Office products
• Leadership, management, and motivational skills
• Analytical and interpretive skills
• Strong organizational skills
• Excellent interpersonal skills
• Excellent negotiation skills
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies
• Must live near one of Sedgwick’s centers of excellence: Dublin, OH; Indianapolis, IN; Irving, TX; Memphis, TN; or Orlando, FL
• Travel as required

Core Competencies

Demonstrates extensive knowledge of disability claims management procedures and processes, with strong leadership and analytical skills to supervise teams effectively. Proficient in communication and negotiation, ensuring quality and compliance in claims adjudication.

Highest-signal resume keywords

• Disability Claims Management
• Claims Supervision
• Analytical Skills
• Leadership Skills
• Microsoft Office Proficiency

ATS Optimization Keywords

Hard Skills

• Claims Adjudication
• Quality Review
• Claims Analysis
• Performance Competencies
• Claims Coding
• Claims Documentation
• Trend Identification
• Process Improvement
• Client Contact Management
• Reserve Review

Soft Skills

• Excellent Communication
• Interpersonal Skills
• Negotiation Skills
• Organizational Skills
• Team Collaboration

Certifications & Qualifications

• Professional Certifications

Industry Keywords

• Disability Claims
• Claims Examiner
• Claims Management
• Vocational Rehabilitation
• Performance Management