Workforce Absence Team Lead - Claims Assistant Team

Sedgwick Claims Management Services Ltd; Dubuque (IA); On-site; USD 70,000 - 95,000; Full time

Job summary

Sedgwick Claims Management Services Ltd in Dubuque, IA is seeking a Workforce Absence Team Lead to supervise multiple teams of examiners and support staff. You will monitor workload, provide training, and guide adjudication direction for disability claims.

The role requires strong leadership, communication, and analytical skills, with experience in claims processes and team supervision. On-site work in Dubuque with opportunities for professional growth within a caring culture.

Responsibilities

• Supervises multiple teams of examiners and/or several technical operations colleagues for a wide span of control; delegates duties as needed.
• Identifies trends, problems, and improvement opportunities; informs management and proposes action.
• Provides technical/jurisdictional direction to examiner reports on claims adjudication.
• Compiles, reviews, and analyzes management reports and takes appropriate action.
• Performs quality reviews on claims in compliance with audits, standards, and client requirements.
• Acts as second level of appeal for client and claimant issues; implements final disposition of the appeal.
• Reviews reserve amounts on high cost claims and claims beyond examiner authority.
• Maintains contact with clients and promotes professional relationships; provides updates as requested.
• Ensures claims files are properly coded and properly documented by examiners.
• Ensures direct reports are properly licensed in the jurisdictions serviced.

Job description

## Workforce Absence Team Lead - Claims Assistant TeamApply: Dubuque, IA: Posted Today: R78402By 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 Lead - Claims Assistant Team**PRIMARY 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 RESPONSIBILITIES*** Supervises 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 RESPONSIBILITIES*** Performs other duties as assigned.* Supports the organization's quality program(s).**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****Education & Licensing** Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred.**Experience** Six (6) years of claims experience or equivalent combination of education and experience required. Two (2) years of claims supervisory experience preferred.**Skills & Knowledge*** Thorough knowledge of claims management procedures and processes for disability* Excellent oral and written communication, including presentation skills* PC literate, including Microsoft Office products* Leadership/management/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**WORK ENVIRONMENT** 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, travel as required**Auditory/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.Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.