Liability Claims Team Lead | Dedicated Client | East Coast States
About The Position
The Liability Claims Team Lead supervises multiple teams of liability claims examiners and technical staff for a dedicated client. The role oversees claim operations, workloads, training, claim activity, quality, and technical and jurisdictional guidance on claim adjudication. It also handles escalated client and claimant appeals, reviews reserves on high-cost claims, maintains oversight of complex and sensitive claims, and supports client relationships and continuous process improvement. The position is based in Marlton, New Jersey, with a hybrid schedule requiring two days in the office. It may be remote for candidates outside commuting distance. Sedgwick describes its culture as centered on empathy, accountability, collaboration, growth, and inclusion.
Requirements
- Six years of claims experience, or an equivalent combination of education and experience.
- Two years of claims supervisory experience.
- Knowledge of East Coast jurisdictions, with a strong emphasis on New Jersey and Pennsylvania.
- Professional judgment, troubleshooting, problem-solving, analysis, discretion, ability to handle work-related stress and multiple priorities, and ability to meet deadlines.
- Ability to perform computer keyboarding.
- Licenses as required; the posting states licensing is not required for this role.
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, multiple product-line examiners, and/or at least seven technical operations colleagues; delegate duties as appropriate.
- Identify and advise management of trends, problems, and issues, recommend actions, communicate new procedures and process-improvement ideas, and coordinate office projects.
- Provide technical and jurisdictional direction on examiner reports and claims adjudication.
- Compile, review, and analyze management reports and take appropriate action.
- Conduct claims quality reviews in compliance with audit requirements, service contract requirements, and quality standards.
- Serve as the second level of appeal for client and claimant issues involving claim-specific, procedural, or special requests, and implement final appeal dispositions.
- Review reserves on high-cost claims and claims exceeding the individual examiner's authority.
- Monitor third-party claims and periodically review litigated, serious vocational rehabilitation, questionable, and client-designated sensitive claims.
- Maintain client contact regarding claims, promote professional client relationships, recommend actions based on claim status, and provide written claim summaries when requested.
- Ensure direct reports hold appropriate licenses in the jurisdictions served.
- Ensure claims files are correctly coded and adequately documented by claims examiners.
- Administer company personnel policies and follow staffing standards and training recommendations.
- Interview and hire colleagues, establish performance development plans, and conduct performance discussions.
- Provide support, guidance, leadership, and motivation to promote strong colleague performance.
Benefits
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- Medical, dental, and vision benefits.
- 401(k) with matching, available on day one.
- Paid time off.
- Disability and life insurance.
- Employee assistance program.
- Flexible spending or health savings account.
- Additional voluntary benefits.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
