Workforce Absence Team Lead Sr

Sedgwick Claims Management Services Ltd; Los Angeles, Fallbrook (CA, CA); On-site; USD 73,000 - 86,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401k with match

Paid time off

Disability insurance

Employee assistance

FSA/HSA

Other benefits

Job summary

Sedgwick, a leading risk and claims administrator, seeks a Senior Workforce Absence Team Lead to oversee examiners and technical staff across client programs in a dynamic, client-facing role. You’ll mentor teams, ensure quality and compliance, review performance metrics, and drive improvements while coordinating with clients and internal groups.

The role requires a bachelor’s degree and at least six years of related claim experience, including multi-client supervisory experience, with

Qualifications

• Bachelor's degree from an accredited college or university preferred.
• Six years of related claim experience, including at least two years of multi-client claims supervisory experience.
• Strong client-facing communication and relationship-building skills.

Responsibilities

• Acts as a primary operational contact for clients across multiple programs.
• Leads and participates in client meetings to support project initiatives and strategic alignment.
• Supervises a team of examiners and/or technical staff, ensuring balanced workloads and high performance.
• Monitors claim coding and documentation accuracy; ensure consistent quality across programs.
• Delivers training, mentorship, and performance feedback to support team development.
• Reviews and analyzes management reports to identify trends and performance gaps.
• Conducts quality audits to ensure compliance with service standards and contractual obligations.
• Oversees claim processes and ensure updates are reflected in client communications and documentation.
• Develops and implements action plans to address operational challenges and improve outcomes.
• Tracks team performance against KPIs and service guarantees.
• Prepares and presents reports on claims trends, operational metrics, and improvement initiatives.

Skills

Claims management

Team leadership

Client-facing communication

Jurisdictional knowledge

Data analysis

Report writing

Multiclient management

Cross-program coordination

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 Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Workforce Absence Team Lead Sr

Senior Workforce Absence Team Lead:PRIMARY PURPOSE

The Senior Workforce Absence Team Lead is responsible for overseeing the daily operations of examiners and technical staff managing claims across multiple client programs. This role requires strong client‑facing capabilities, strategic oversight, and operational excellence to ensure quality, compliance, and efficiency in claims handling. The Senior Workforce Absence Team Lead serves as a liaison between internal teams and clients, providing technical guidance, mentoring staff, and driving continuous improvement across diverse programs.

ESSENTIAL FUNCTIONSandRESPONSIBILITIES

Client Relationship Management

• Acts as a primary operational contact for clients across multiple programs.
• Leads and participates in client meetings (weekly, monthly, quarterly) to support project initiatives and strategic alignment.
• Maintains proactive communication, manage claim inquiries, and track action items to ensure timely resolution.
• Prepares formal correspondence, summaries, and recommendations to support client needs.

Team Leadership&Oversight

• Supervises a team of examiners and/or technical staff, ensuring balanced workloads and high performance.
• Provides technical and jurisdictional guidance, especially on complex or high-exposure claims.
• Monitors claim coding and documentation accuracy; ensure consistent quality across programs.
• Delivers training, mentorship, and performance feedback to support team development.

Operational Excellence

• Reviews and analyzes management reports to identify trends and performance gaps.
• Conducts quality audits to ensure compliance with service standards and contractual obligations.
• Oversees claim processes and ensure updates are reflected in client communications and documentation.
• Develops and implements action plans to address operational challenges and improve outcomes.

Performance Monitoring&Reporting

• Tracks team performance against KPIs and service guarantees.
• Prepares and presents reports on claims trends, operational metrics, and improvement initiatives.
• Supports stewardship efforts by contributing to client-facing performance reviews and ensuring program alignment.

ADDITIONAL FUNCTIONSandRESPONSIBILITIES

Performs other duties as assigned. Travels as required.

SUPERVISORY RESPONSIBILITIES

Provides support, guidance, leadership and motivation to promote maximum performance for two or more colleagues. 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.

QUALIFICATIONS

Education&Licensing

Bachelor's degree from an accredited college or university preferred.

Experience

Six (6) years of related claim experience or equivalent combination of education and experience required, including at least two (2) years of multi-client claims supervisory experience.

Skills&Knowledge

• Proven experience in claims management and team leadership.
• Strong client‑facing communication and relationship‑building skills.
• Expertise in jurisdictional and technical claims adjudication.
• Analytical mindset with the ability to interpret data and drive performance improvements.
• Ability to manage multiple programs with agility and strategic focus.
• Excellent oral and written communication skills, including presentation skills.
• PC literate, including Microsoft Office products.
• Ability to create and complete comprehensive, accurate and constructive written reports.
• Ability to work in a team environment.
• Ability to meet or exceed Performance Competencies.

WORKENVIRONMENT

• 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 talking.

The 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 $73,000.00 - $86,000.00 USD Annual (bonus eligibility, SIPP $1,000.00 USD Annual). 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.

• medical
• dental
• vision
• 401k and matching
• PTO
• disability and life insurance
• employee assistance
• flexible spending or health savings account
• other additional voluntary benefits

Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

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.

Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI‑enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall.

With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape.

For more, see sedgwick.com