Liability Claims Team Lead - GL & Auto Exp. Required | Must Reside in CA

Sedgwick • Roseville, CA

2d • Hybrid

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, a National Top Company Certified as a Great Place to Work®, and among Fortune Best Workplaces in Financial Services & Insurance. This role offers an opportunity to join a global industry leader, bringing big ideas to solve problems for some of the world’s best brands. You will apply your knowledge and experience in an energetic culture, delivering innovative customer-facing solutions to clients across virtually every industry. Be part of a rapidly growing, industry-leading global company known for its excellence and customer service. Leverage Sedgwick’s broad, global network of experts for learning and sharing insights, and take advantage of professional development opportunities to grow your career. Enjoy flexibility and autonomy in your daily work, location, and career path, with access to diverse and comprehensive benefits for mental, physical, financial, and professional needs. Sedgwick is looking for driven individuals who embody its caring counts model and core values, including empathy, accountability, collaboration, growth, and inclusion. The primary purpose of this position is to supervise a team of liability claims examiners and adjusters, monitor workloads, provide training, oversee individual claim activities, offer technical/jurisdictional direction on claims adjudication, and maintain a diary on claims, including frequent diaries on complex or high exposure cases.

Requirements

• Six (6) years of Liability claims experience or equivalent combination of education and experience.
• Two (2) years claims supervisor experience.
• Licenses as required.

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; and 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; and 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 and life insurance
• Employee assistance
• Flexible spending or health savings account
• Other additional voluntary benefits

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Number of Employees: 251-500 employees