Claims Team Lead - Liability

Sedgwick • Eden Prairie, MN

3d

About The Position

The Claims Team Lead supervises multiple teams of liability claims examiners and technical staff for clients. The role oversees workloads and claim activities, provides training and technical and jurisdictional direction on claim adjudication, and maintains claim diaries, including frequent reviews of complex or high-exposure claims. The team lead also reviews claims for quality and compliance, supports client relationships, handles appeals, and guides colleagues’ performance and development.

The position is based in Eden Prairie, Minnesota. Sedgwick describes a flexible work schedule and an agile environment, with professional development and promotional growth opportunities. A bachelor's degree is preferred, and candidates must have six years of claims experience (or an equivalent combination of education and experience), including two years of claims supervisory experience. Licenses are required as applicable.

Requirements

• Six years of claims experience, or an equivalent combination of education and experience.
• Two years of claims supervisory experience.
• Licenses as required for the role and jurisdictions served.
• Ability to think clearly and conceptually and exercise sound judgment, troubleshooting, problem-solving, analysis, and discretion.
• Ability to handle work-related stress, multiple priorities, and deadlines.
• Ability to perform computer keyboarding and travel as required.
• Hearing, vision, and talking ability.

Nice To Haves

• Bachelor's degree from an accredited college or university.
• Professional certifications applicable to the line of business.

Responsibilities

• Supervise multiple teams of examiners, product-line examiners, and/or technical operations colleagues; delegate duties where appropriate.
• Identify trends, problems, and issues; advise management and recommend actions and process improvements; coordinate office projects.
• Provide technical and jurisdictional direction on claims adjudication.
• Compile, review, and analyze management reports and take appropriate action.
• Conduct quality reviews of claims in compliance with audit, service-contract, and quality requirements.
• Serve as a second-level appeal contact for client and claimant issues and implement final appeal dispositions.
• Review reserves on high-cost claims and claims exceeding an examiner’s authority.
• Monitor third-party claims and periodically review litigated, serious vocational rehabilitation, questionable, and client-designated sensitive claims.
• Maintain client contact, promote professional relationships, make claim-status recommendations, and provide written claim summaries as requested.
• Ensure direct reports are properly licensed in the jurisdictions served.
• Ensure claim files are correctly coded and adequately documented by examiners.
• Administer personnel policies and staffing standards; interview and hire colleagues; establish development plans and conduct performance discussions.
• Provide colleagues with support, guidance, leadership, and motivation.
• Perform other assigned duties and support organizational quality programs.

Benefits

• Flexible work schedule.
• Referral incentive program.
• Opportunity to work in an agile environment.
• Career development and promotional growth opportunities.
• Medical, dental, and vision coverage.
• 401(k) and matching.
• Paid time off.
• Disability and life insurance.
• Employee assistance program.
• Flexible spending or health savings account.
• Additional voluntary benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager