Claims Team Lead (Supervisor) - Workers Compensation | Brea, CA

Sedgwick•Brea, CA

6d•$105,000 - $118,000•Hybrid

About The Position

This role oversees multiple teams of examiners and technical staff handling workers compensation claims for clients. The ideal candidate will manage workloads, provide training, and monitor individual claim activities. They will offer technical and jurisdictional guidance on claims adjudication and maintain regular diaries, especially for complex or high-exposure cases. This is an opportunity to join a global industry leader where you can apply your knowledge and experience to adjudicate complex customer claims in an energetic culture. Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights. Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. Enjoy flexibility and autonomy in your daily work, your location, and your career path. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

Requirements

6 years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience.
High School Diploma or GED required.
California workers compensation claim handling experience
SIP Certified

Nice To Haves

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

Responsibilities

Supervises multiple teams of examiners and technical operations colleagues, delegating duties as needed and ensuring proper licensing and documentation standards.
Provides technical and jurisdictional guidance on claims adjudication, including quality reviews and reserve evaluations for high-cost or complex claims.
Acts as a second-level appeal authority for client and claimant issues, implementing final decisions.
Identifies trends, issues, and opportunities for process improvement; advises management and coordinates related projects.
Monitors third-party and sensitive claims, including litigated and vocational rehabilitation cases.
Maintains professional client relationships, offering recommendations and written summaries as needed.
Ensures accurate claim coding and documentation by examiners.