Claims Team Lead = Workers Compensation (Pasadena, CA)

Sedgwick • Pasadena, CA

1d • Hybrid

About The Position

This role oversees multiple teams of examiners and technical staff handling workers compensation claims for clients. The Claims Team Lead manages workloads, provides training, and monitors individual claim activities. They offer technical and jurisdictional guidance on claims adjudication and maintain regular diaries, especially for complex or high-exposure cases. The ideal candidate embodies Sedgwick's caring counts model and core values, including empathy, accountability, collaboration, growth, and inclusion. This is a hybrid role based in Pasadena, CA.

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 comp claims handling experience & SIP
• Computer keyboarding

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.

Benefits

• Flexible work schedule.
• Referral incentive program.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
• medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

What This Job Offers

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