Claims Team Lead = Workers Compensation (Pasadena, CA)

Sedgwick•Pasadena, CA

2d•$100,000 - $105,000•Hybrid

About The Position

This role oversees multiple teams of examiners and technical staff handling workers compensation claims for clients. The position involves managing workloads, providing training, and monitoring individual claim activities. It also offers technical and jurisdictional guidance on claims adjudication and maintains regular diaries, especially for complex or high-exposure cases. The company is a global industry leader known for its excellence and customer service, offering opportunities for professional development, flexibility, and autonomy. Sedgwick is recognized as a Great Place to Work® and a Fortune Best Workplace in Financial Services & Insurance.

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

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.