Claims Team Lead, Professional Liability

Sedgwick•Anaheim, CA

1d•Hybrid

About The Position

This role supervises the operation of multiple teams of examiners and technical staff for liability claims for clients. The Claims Team Lead monitors colleagues' workloads, provides training, and oversees individual claim activities. They also provide technical/jurisdictional direction to examiner reports on claims adjudication and maintain a diary on claims within their teams, including frequent diaries on complex or high exposure claims. Sedgwick is seeking experienced leaders to supervise multiple teams of Professional Liability specialists while overseeing complex and high-exposure claims. Ideal candidates demonstrate strong leadership, technical expertise, and sound judgment, while driving quality, compliance, and effective claim resolution. Successful individuals thrive in a collaborative environment, build strong client relationships, and are committed to continuous improvement and team development.

Requirements

Eight (8) years of claims management experience related to professional liability claims or equivalent combination of education and experience required to include two (2) years of claims supervisor experience.

Nice To Haves

Bachelor's degree from an accredited college or university preferred.
Licenses as required.
Professional certifications as applicable to line of business preferred.

Responsibilities

Supervises multiple teams of PL Specialists and/or multiple claims colleagues for wide span of control
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.
Identifies and advises management of trends, problems, and issues; makes recommendations on course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for assigned office(s).
Provides technical/jurisdictional direction to PL Specialists on claims issues and resolution.
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.
Reviews reserve amounts on high cost claims and claims over the authority of individual PL Specialists.
Maintains periodic review of claims that are litigated, sensitive, or questionable as determined by the client.
Maintains contact with client on claims and promotes professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes on specific claims as requested by client.
Ensures that direct reports are properly licensed in the jurisdiction serviced.
Ensures claim files are coded correctly and adequate documentation is made by PL Specialists.
Performs other duties as assigned.
Supports the organization quality program(s).