Claims Team Lead - Workers Compensation | Brea, CA

Sedgwick•Brea, CA

4d•$105,000 - $118,000•Hybrid

About The Position

The Claims Team Lead oversees a team of examiners and technical staff handling workers compensation claims for a dedicated client. The role manages workloads, provides training, monitors claim activity, and offers technical and jurisdictional guidance on claims adjudication. It maintains regular diaries, particularly for complex or high-exposure cases, and supports quality, compliance, and client service.

Requirements

High school diploma or GED required.
California workers compensation claim handling experience required.
SIP Certified.

Nice To Haves

Six years of claims experience or an equivalent combination of education and experience preferred.
Bachelor's degree from an accredited college or university preferred.
Professional certification applicable to the line of business preferred.

Responsibilities

Supervise examiners and technical operations colleagues, delegate duties, and ensure proper licensing and documentation standards.
Provide technical and jurisdictional guidance on claims adjudication, including quality reviews and reserve evaluations for high-cost or complex claims.
Act as a second-level appeal authority for client and claimant issues and implement final decisions.
Identify trends, issues, and process-improvement opportunities; advise management and coordinate related projects.
Monitor third-party and sensitive claims, including litigated and vocational rehabilitation cases.
Maintain professional client relationships and provide recommendations and written summaries as needed.
Ensure examiners accurately code and document claims.
Manage workloads, provide training, and monitor individual claim activities.
Maintain regular diaries, especially for complex or high-exposure cases.