Liability Claims Team Lead - GL & Auto Exp. Required | Must Reside in CA
About The Position
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Sedgwick has been recognized as America’s Greatest Workplaces by Newsweek, certified as a Great Place to Work®, and listed among Fortune Best Workplaces in Financial Services & Insurance. This role offers an opportunity to join a global industry leader, apply your knowledge and experience in an energetic culture, and deliver innovative customer-facing solutions to clients across various industries. You will be part of a rapidly growing, industry-leading global company known for its excellence and customer service, leveraging Sedgwick’s broad network of experts for learning and sharing insights. The position provides professional development opportunities, flexibility, and autonomy in daily work, location, and career path, along with diverse and comprehensive benefits for mental, physical, financial, and professional needs. Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected with expertise and advanced AI-enabled technology in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape.
Requirements
- Licenses as required.
- Six (6) years of Liability claims experience or equivalent combination of education and experience required.
- Two (2) years claims supervisor experience.
- Driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
Nice To Haves
- Bachelor's degree from an accredited college or university.
- Professional certifications as applicable to line of business.
Responsibilities
- Supervises a team of eight liability claims examiners and adjusters.
- Identifies and advises management of trends, problems, and issues as well as recommended course of action.
- Informs management of new procedures and ideas for continuous process improvement.
- Coordinates with management projects for the office.
- Provides technical/jurisdictional direction to examiner reports on claims adjudication.
- Compiles reviews and analyzes management reports and takes appropriate action.
- Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards.
- Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests.
- Implements final disposition of the appeal.
- Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner.
- Monitors third party claims.
- Maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client.
- Maintains contact with the client on claims and promotes a professional client relationship.
- Makes recommendations to client as suggested by the claim status.
- Provides written resumes of specific claims as requested by client.
- Assures that direct reports are properly licensed in the jurisdictions serviced.
- Ensures claims files are coded correctly and adequate documentation is made by claims examiners.
- Performs other duties as assigned.
- Supports the organization's quality program(s).
- Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
- Interviews, hires and establishes colleague performance development plans.
- Conducts colleague performance discussions.
- Provides support, guidance, leadership and motivation to promote maximum performance.
Benefits
- Flexible work schedule
- Career development
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one
- 401k and matching
- PTO
- Disability insurance
- Life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
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What This Job Offers
Career Level
Manager
Number of Employees
251-500 employees
