Claims Team Lead - Workers Compensation (Dedicated Client) | Concord, CA

Sedgwick • Concord, CA

5d • Hybrid

About The Position

This role oversees a team of examiners and technical staff handling workers compensation claims for a dedicated client. The ideal candidate will have experience adjudicating complex customer claims within an energetic culture, delivering innovative customer-facing solutions. Sedgwick is a global industry leader known for its excellence and customer service, offering opportunities for professional development, flexibility, and autonomy. The company fosters a caring culture with core values including empathy, accountability, collaboration, growth, and inclusion.

Requirements

• 6 years of claims experience or equivalent combination of education and experience required.
• Two (2) years claims supervisor experience required.
• High School Diploma or GED required.
• California workers compensation claim handling experience.
• SIP Certified.
• Computer keyboarding.
• Ability to handle work-related stress.
• Ability to handle multiple priorities simultaneously.
• Ability to meet deadlines.

Nice To Haves

• Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.
• Travel as required.
• Hearing, vision and talking as required.

Responsibilities

• Supervises a team 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.

Benefits

• Flexible work schedule.
• Referral incentive program.
• Career development and promotional growth opportunities.
• Medical, dental, vision insurance.
• 401K on day one.
• 401k and matching.
• PTO.
• Disability and life insurance.
• Employee assistance program.
• Flexible spending or health savings account.
• Other additional voluntary benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED